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PubMed1977

The results of early operation in talipes quino-varus. A preliminary report.

The results of operation performed within the first six months of life upon seventy-seven resistant club feet are presented. The indications for and the rationale of early operation are discussed. Particular attention has been paid to the relationship between the age at operation and the outcome more than four years later; the results were greatly superior when operation was undertaken early. Two surgical techniques are compared, the postero-medial release proving better than a simple posterior release. The relationship between clinical and radiological assessment is discussed, and also the influence of the results reported upon future practice.

Age Factors↗
PubMed1982

Varus fifth toe.

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Adolescent↗
PubMed1986

Supracondylar fractures of the humerus. Assessment of cubitus varus by the Baumann angle.

A simple method of radiological assessment has been used to measure the angle between the long axis of the humeral shaft and the growth plate of the capitellum (the Baumann angle). In the normal arm a significant relationship was found between the Baumann angle and the carrying angle. The Baumann angle was also measured after reduction of supracondylar fractures of the humerus and was found to correlate well with the final carrying angle measured at follow-up. There was no significant difference between the Baumann angle after reduction and that measured at follow-up; and it is suggested that this angle after reduction can be reliably used to predict accurately the final carrying angle.

Adolescent↗
PubMed1980

Optimal correction in high tibial osteotomy for varus deformity.

As a basis for determining the required correction in high tibial osteotomy a measurement of the laterl angle between the axes of the femur and the tibia on standing films is not sufficiently reliable, because the knee can be maintained in various positions through muscular action. When the three-point technique is applied the medio-lateral instability of the knee joint can be determined and by using the varus/valgus deviation as measured in this way the desired correction can be calculated. For this patient series it was found that correction to between 3 and 7 degrees valgus of the varus/valgus deviation (three-point technique) led to the best subjective ratng of the end result by the patients. To compensate for the expected subjective relapse after the operation another 1 or 2 degrees may be added to the angular change at the operation. To avoid an increase in the instability of the knee a lateral capsule reconstruction should be performed.

Adult↗