scholarly journals Changes in the focus of clinical paediatric orthopaedics in the period 1980-2021 on the example of the Department of Children’s Orthopaedics and Rehabilitation in Lublin

2020 ◽  
Vol 86 (2) ◽  
pp. 50-58
Author(s):  
Marek Okoński ◽  
◽  
Patrycja Misztal-Okońska ◽  
Grzegorz Kandzierski

For 40 years we have been observing clear changes in the interest of pediatric orthopedists. Some malformations and diseases have almost disappeared in pediatric orthopedic departments, such as developmental hip dislocation, multiple congenital clubfoot surgeries, torticollis, varus of the shin, Blounts disease,Volkmann syndrome, shin mower amputations and others described in this article. The reason for this phenomenon is usually the emergence of new diagnostic methods (e.g. hip joint ultrasound), new treatment methods (e.g. botulinum toxin) or new birth techniques or technical progress in agricultural machinery.

Author(s):  
Francesco C Blumetti ◽  
José A Pinto ◽  
Brenda Nazaré Gomes Silva ◽  
Eiffel T Dobashi ◽  
Akira Ishida

2019 ◽  
Vol 48 (2) ◽  
pp. 030006051985428 ◽  
Author(s):  
Yi-Ping Wei ◽  
Yu-Cheng Lai ◽  
Wei-Ning Chang

Management of pediatric septic coxarthritis and osteomyelitis of the femur is challenging, and the sequelae of multiplanar hip joint deformity with instability are difficult to reconstruct. The inadequacy of a suitable device for fixing small bones during pediatric osteotomy is a hindrance to the correction of subluxated hip joints and deformed femurs in children. Two-dimensional axial images and three-dimensional (3D) virtual models representing the patient’s individual anatomy are usually reserved for more complex cases of limb deformity. 3D printing technology can be used for preoperative planning of complex pediatric orthopedic surgery. However, there is a paucity of literature reports regarding the application of 3D-printed bone models for pediatric post-osteomyelitis deformity. We herein present a case of a 4-year-old boy who underwent treatment for post-osteomyelitis deformity. We performed corrective surgery with Pemberton osteotomy of the right hip, multilevel varus derotation osteotomy of the right femur, and immobilization with a hip spica cast. A 3D-printed bone model of this patient was used to simulate the surgery, determine the proper osteotomy sites, and choose the appropriate implant for the osteotomized bone. A satisfactory clinical outcome was achieved.


2015 ◽  
Vol 35 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Jason S. Hoellwarth ◽  
Young-Jo Kim ◽  
Michael B. Millis ◽  
James R. Kasser ◽  
David Zurakowski ◽  
...  

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