Background Many patients with X-linked hypophosphataemic rickets (X-LHPR) demonstrate significant lower limb deformity despite optimal medical management. This study evaluates the use of guided growth by means hemi-epiphysiodesis to address coronal plane in skeletally immature child. Methods Since 2005, 24 X-LHPR have been referred our orthopaedic unit for evaluation. All had standardised long leg radiographs that were analysed sequentially before and after surgery if any was performed. The...

Objectives: To compare the free-hand (FH) technique of placing interlocking screws to a commercially available electromagnetic (EM) targeting system in terms operating time, radiation dose, and accuracy screw placement. Methods: Between September 2011 July 2012, we prospectively randomized 100 consecutive femur shaft fractures 99 patients requiring intramedullary nails either FH using fluoroscopy (n = 43) or EM 38; Sureshot). Setting: Single Level 1 University Hospital Trauma Center. Main...

Background: Acute haematogenous osteomyelitis (AHO) of the long bones is frequently complicated by development sequestrum, pathological fracture, chronic and growth arrest.We aimed to determine frequency complications outcomes patients with AHO requiring surgical evacuation pus.We furthermore examined predictive value clinical, biochemical radiological variables on following AHO.Methods: Eighty-one were included.Clinical course, occurrence eventual outcome documented.Complications defined...

Background:We evaluated the outcomes following femoral lengthening by distraction osteogenesis in children.Additionally, we determined incidence and nature of complications, management thereof factors associated with development complications.Method: A retrospective review was performed all patients who underwent as an isolated procedure at our institution.Data regarding presenting details clinical course were collected X-rays analysed.The healing index (HI) percentage lengthened...

tendinitis' inappropriate. 6,9Currently the term 'tendinopathy' is preferred to describe pathological conditions in and around tendons resulting largely from overuse. 11he exact aetiology pathophysiology of this painful condition remain unknown. 12Management varies widely centre with variable results reported literature.This review will focus on tendinopathy body Achilles tendon, excluding insertional acute inflammatory conditions, discuss recent advances understanding underlying pathology...

The association of sarcoidosis with multiple myeloma is not well known. Including this case report, 12 cases patients both and have been reported in the literature. skeletal lesions conditions many clinical radiological similarities, unless clinicians are aware possibility dual pathologies, diagnosis known may be missed. We present a patient longstanding who was found to on magnetic resonance imaging (MRI) involving pelvis proximal femurs. Histological analysis revealed presence...

Despite improvement in antenatal care and screening, myelomeningocele remains the most common congenital birth defect, with a reported incidence of 1 - 2.5/1 000 patients Western Cape, South Africa. The multidisciplinary team involved Spinal Defects Clinic at Red Cross War Memorial Children's Hoapital, Cape Town, Africa consists neurosurgeons, urologists, orthopaedic surgeons, stomatherapists orthotists. Orthopaedic surgeons have protean involvement management myelomeningocele.

Background: Paediatric cervical spine injury (CSI) is rare compared to adult CSI.Very little has been published regarding the epidemiology and outcome of CSI in children South Africa.The objective this retrospective study characterise report on <13 years at a tertiary referral centre for paediatric trauma.Methods: We performed our hospital over ten-year period.The Picture Archiving Communication System (PACS) institution was searched patients with CSIs.Search terms included: fracture,...

Legg-Calve-Perthes disease (LCPD) is a relatively common condition affecting around 4 in 100 000 children aged four to ten years. The extent of femoral head collapse and deformity following LCPD the single most important factor contributing long-term outcome.1,2 severity residual at skeletal maturity commonly described using Stulberg classification.3 Treatment strategies during active stage frequently involve measures minimise loads across hip joint whilst maintaining movement, with hope...

Background. Osteoarticular infections (OAI) are very common in children living low- and middle-income countries, yet the bacterial aetiology antibiotic susceptibility of OAI not well described. Objective. To determine paediatric patients a regional hospital Cape Town, South Africa. Methods. The study included all who underwent surgery for over 3-year period, those with organisms identified from tissue, pus, fluid or blood. Duplicate cultures same patient were excluded if organism profiles...

Following a horse-riding accident, 16-year-old female sustained minimally displaced sacral fracture extending into the S1 and S2 foramina on left.The patient was initially treated conservatively but neuropathic pain, dysaesthesia weakness in L5 distributions developed persisted.CT MRI revealed fragment abutting nerve root.Epidural anaesthesia aggressive neural mobilisation by physiotherapy failed to improve symptoms.Surgical decompression via sub-iliacus approach then performed 6 weeks...

The benefits of breastfeeding for infants in the first year life developing countries 1 and developed 2 are well established. In addition, maternal such as earlier return to pre-pregnant weight, 3 increased child spacing, 4 improved bone re-mineralization postpartum, 5 reduction hip fractures postmenopausal period, 6 reduced risk ovarian cancer 7 pre-menopausal breast cancer, 8 described. Thus a decision deny infant mother potential feeding must be carefully considered, based on best...

PURPOSE OF STUDY: Prolonged bracing following injury in patients with Spinal Cord Injury without Radiographic Abnormality (SCIWORA) remains controversial. Some authors claim that there is occult instability and a risk of recurrent whereas others propose the spinal column will deform elastically, but return to its baseline stability by elastic recoil. We aim assess presence ligamentous on MRI incidence SCIWORA order determine need for prolonged bracing.  METHODS: A retrospective chart review...

Background: Paediatric spondylolisthesis can range from a benign non-progressive asymptomatic condition to rapidly progressive slips with associated debilitating axial and radicular pain.We reviewed our experience as the presentation, surgical management outcomes following surgery of this relatively rare condition. Methods:We identified 24 paediatric patients who underwent for 2006-2017.The cohort consisted 17 females seven males median age 13 years (IQR 11-14) at time surgery.A case note...

Introduction: Patients with kyphosis and myelopathy have traditionally been managed by combined anterior posterior surgery associated morbidity long theatre episodes.The vertebral column resection (pVCR) technique allows circumferential apical decompression instrumented correction stabilisation through a single extra-pulmonary approach.The objective of this study was to review the use pVCR in paediatric population as feasibility, safety effectiveness.Methods: A retrospective prospectively...

Although non-surgical management is the mainstay of treatment for non-insertional Achilles tendinopathy, many patients fail to respond conservative measures. If symptoms persist after an extended period management, usually at least six months, surgery should be considered. Classically, open was performed with excision diseased areas tendon. Due a high rate complications, as much 10%, less invasive surgical techniques have been developed and are widely employed good outcomes far fewer...