Introducción: Las fracturas de la espina tibial son lesiones poco frecuentes en población pediátrica, lo que ha generado debate sobre los algoritmos diagnósticos y las estrategias terapéuticas más apropiadas. En este estudio, se analizaron prácticas preferencias cirujanos ortopédicos pediátricos afiliados a Sociedad Argentina Ortopedia Traumatología Infantil (SAOTI) Española Pediátrica (SEOP) el tratamiento estas fracturas. Materiales Métodos: Se realizó una encuesta transversal línea, con...

La incidencia de lesiones del ligamento cruzado anterior en deportistas esqueléticamente inmaduros ha aumentado, manera exponencial, los últimos años. Si bien se han desarrollado numerosas técnicas que permiten estabilizar la rodilla minimizando el riesgo lesión fisaria, reconstrucción pacientes jóvenes sigue vinculada a una alta tasa fracaso injerto. El anterolateral despertado un considerable interés recientemente debido su papel estabilidad rotatoria anterolateral. objetivo este artículo...

Aim Several clinical studies have shown that lateral pinning alone is of equal stability to crossed pins in the treatment supracondylar fractures. The aim this study was compare parallel and varied divergent pin configurations provide an easily reproducible technique for optimal placement. Methods Twelve third-generation synthetic composite humeri were osteotomized at level coronoid olecranon fossae simulate a humeral fracture. Each fracture reduced fixed using two 1.6 mm (0.062 inches)...

Purpose Although evidence is increasing that the most effective treatment for severely subluxated or dislocated hips a one-stage comprehensive approach there are few studies compare results with traditional (varus derotational osteotomy, VDRO). The purpose of this study to evaluate clinical and radiologic outcome after reconstruction versus VDRO alone. Methods We retrospectively analyzed 52 in 39 consecutive patients spastic cerebral palsy treated from January 1997 2007. Group A (36 hips)...

Treatment of moderate to severe slipped capital femoral epiphysis (SCFE) is controversial. Over the last years, 3 institutions in Argentina adopted modified Dunn procedure for realignment selected cases SCFE. Our aim this study was evaluate clinical outcome and rate complications patients who had undergone surgical hip dislocation realignment.A multicenter retrospective cohort received from January 2009 2013 performed. Data concerning features, technique, intraoperative findings,...

Introduction Pigmented villonodular synovitis (PVNS) is a benign idiopathic proliferative disorder that results in villous or nodular formation the joints, tendons sheaths, and bursae. As PVNS rare pathology children, diagnosis often delayed. In this study, we analyze therapeutic methods used obtained treatment of pathology. Materials All patients with knee seen between January 1988 June 2006 were evaluated. We assessed form presentation, time to diagnosis, previous type treatment, relapse,...

Introduction: Coalition resection can restore motion, and improve pain in patients with talocalcaneal coalitions (TCCs) an aligned foot. However, there is some debate regarding appropriate treatment of associated valgus deformity. The purpose this study was to present the outcomes complications following surgical reconstruction, or without coalition resection, a series TCC severe hindfoot valgus. Methods: Thirteen consecutive (14 feet) were evaluated. Eleven male. Mean age 14 years....

Objectives: Lateral humeral condyle fractures account for 12% to 17% of all distal humerus in children, and usually occur as an isolated injury or are associated with radial neck and/or proximal ulna fractures. The presentation a concomitant dislocation the elbow is rare. Therefore, literature on young patients this uncommon combination sparse mostly limited case reports small series. aim present study identify best treatment strategy injury, recognize potential risk factors development...

Juvenile osteochondritis dissecans of the talus is rare, and literature provides little data to guide treatment. The purpose present study was evaluate our clinical radiographic results with arthroscopic retrograde drilling in patients who were refractory conservative care.We retrospectively evaluated all juvenile underwent surgery for treatment stable lesions that failed Medical records reviewed symptoms demographic information. Preoperative latest postoperative radiographs used determine...

Complex clubfoot is a term used to describe those feet that present after treatment with short first metatarsal, severe plantar flexion of all metatarsals, rigid equinus, and deep folds through the sole foot above heel. Ponseti has described modification his original technique for deformity. Few series have reported outcomes this group patients. The purpose study analyze mid-term results complications large multicenter cohort.Patients complex treated at 6 tertiary-care institutions minimum...

To evaluate the efficacy of decompression unicameral bone cysts (UBCs) long bones with intramedullary nailing and to compare responses treatment according location.We evaluated 48 consecutive patients treated between January 1988 June 2000. Mean age was 10.3 years. follow-up 9.8 Evaluation performed radiographic criteria Capanna.UBCs were located in proximal humerus (n = 24), humeral shaft 2), femur 19), distal tibia 2) fibula 1). A total 62.5% presented a pathological fracture. Successful...

Background: Several procedures have been described for the treatment of congenital elevation scapula. The method proposed by Mears in 2001 seems to provide highly favorable functional and cosmetic results. To date, there are no studies literature that supported initial results obtained this author. aim our study is evaluate appearance range motion with technique. Methods: We evaluated prospectively 21 consecutive patients treated from June 2006. Fourteen them (5 males 9 females) Cavendish...

Tarsal coalition represents abnormal fusion among two or more tarsal bones and is a frequent cause of foot ankle pain. The coexistence calcaneonavicular talocalcaneal coalitions in the same has been rarely cited literature. We report three cases rigid flatfoot associated to double foot. Routine computed tomography (CT) scan helped delineate joint space narrowing bony bridges for preoperative planning. All were treated surgically with lateral medial approach, bar resection, extensor digitorum...

Fractures of the tibia and fibula are among most common injuries involving lower extremities in children adolescents. Although can be treated nonoperatively, with satisfactory long-term results, some fractures require surgical stabilization. The increasing experience adults minimally invasive plate osteosynthesis for treatment complex extremity has supported selected distal older This article details technique plating using percutaneous approach assesses results complications a pediatric...

Scaphoid nonunions are extremely uncommon injuries in children. On account of the rarity injury, there is no agreement about standard method treatment. The purpose this study was to evaluate clinical and radiologic outcomes after surgical treatment with bone grafting internal fixation.We retrospectively analyzed 23 patients aged 18 years or less unstable scaphoid who underwent fixation. Mean age at time surgery 15.1 average duration follow-up 5.2 (range, 1-17 y). Outcome Score used assess...

Bunionette deformity is a painful osseous prominence on the lateral aspect of head fifth metatarsal. The purpose this study to evaluate results metatarsal sliding osteotomy for treatment in patients under 18 years age.We retrospectively evaluated 13 feet 11 consecutive with bunionette treated from January 2003 2008 at 2 referral centers. Mean age was 14.8 (95% confidence limit, SD 1.5 y); mean follow-up 32.2 months 11.7 mo); and clinical evaluation made according modified American...

Purpose: Distal femoral growth arrest can result in progressive deformities and functional disability. The treatment is challenging given the significant potential of distal physis. This study addresses short-term outcomes after physeal bar resection combined with guided for angular limb deformity. Methods: We conducted a retrospective analysis patients treated resection, fat graft interposition, modulation tension-band plate. Data recorded included patient demographics, cause, size,...

Introduction Triplane fractures are well-documented injuries occurring in the distal and proximal tibia, humerus, radius, hand. However, there no reports femur. The aim of this study was to document an unusual fracture pattern, make recommendations about evaluation management children with such injuries. Methods A rare case femoral triplane a 13-year-old boy is reported. This type injury consists transverse physis (Salter-Harris I), coronal sagittal intra-articular epiphysis III). Discussion...

Despite advances in limb reconstruction, there are still a number of young patients who require trans-tibial amputation. Amputation osteoplasty is technique first described by Ertl to enhance rehabilitation after The purpose the study reported here was evaluate results original procedure skeletally immature and assess whether use this would result diminished incidence bony overgrowth.The cases four consecutive (five amputations) treated between January 2005 June 2008 were reviewed. Clinical...

Background: Although percutaneous trigger thumb release has been extensively used in adults, the technique is not widespread children. The purpose of this study was to evaluate efficacy and safety pediatric age group. Methods: Twenty consecutive thumbs 15 patients scheduled for surgical A1 pulley were included cohort. Each patient received first (PR) followed by an open (OR) served as self-controls. Thumb extension assessed immediately before PR, after finally OR, using a goniometer. Extent...

Introduction: Since its introduction in 2007, the use of 8-plates has gained great popularity for correction diverse deformities skeletally immature patients. In this study, we evaluate 2 different techniques implant placement. Methods: A consecutive series patients with indication guided growth around knee (femur or tibia) were included study. Patients randomly divided groups, 8-plate inserted using technique as described by Stevens (group A) versus modified from Paley B). We analyzed...