Established prognostic factors influencing survival in soft tissue sarcomas include tumor stage, histopathologic grade, size, depth, and anatomic site. The presence of near or at the margin resection increases risk local recurrence but whether a positive surgical affect overall is controversial.We explored impact microscopic on recurrence, metastasis, patients with intermediate- to high-grade extremities. We then determined decreases survival.We retrospectively reviewed medical records 248...

Background: Controversy surrounds the classification and treatment of hips with a lateral center-edge angle (LCEA) between 18° 25°. It remains undetermined as to whether periacetabular osteotomy (PAO) or arthroscopic surgery is best used treat this patient population. Hypothesis: Patients hip pain mild borderline acetabular dysplasia defined by an LCEA 25° have different features femoral morphology, determined other relevant radiographic measures assessing anterior posterior walls, coverage...

Abstract Background The treatment of mild or borderline acetabular dysplasia is controversial with surgical options including both arthroscopic labral repair capsular closure plication and periacetabular osteotomy (PAO). degree to which improvements in pain function might be achieved using these approaches may a morphology the severity dysplasia, but detailed radiographic assessments patients lateral center-edge angle (LCEA) 18° 25° who have undergone PAO not, our knowledge, been performed....

Chronic mechanical overload of the acetabular rim may lead to labral disease in patients with hip dysplasia. Although arthroscopic debridement labrum provide symptomatic relief, underlying abnormality remains. There is little information regarding how results periacetabular osteotomy are affected by a prior primary treatment for presence dysplasia.In retrospective matched-cohort study, seventeen who had (the arthroscopy group) were compared control group thirty-four did not undergo...

Background In situ pinning is the conventional treatment for a stable slipped capital femoral epiphysis (SCFE). However, with severe SCFE residual deformity may lead to femoroacetabular impingement and articular cartilage damage. A modified Dunn subcapital realignment procedure has been developed allow correction at level of while preserving blood supply head. Questions/purposes We compared children treated or in terms (1) proximal radiographic deformity; (2) Heyman Herndon clinical outcome;...

Background: Radiographic surveillance of the hip is vital in diagnosis and treatment developmental dysplasia (DDH) children. The acetabular index (AI) depth ratio (ADR) are radiographic parameters for evaluation morphology. Normal reference curves these that allow serial development a manner independent age necessary clinically useful. purpose this study was (1) to establish normal values AI ADR normally developing pediatric up 14, (2) generate percentile both parameters, (3) determine...

The Bernese periacetabular osteotomy (PAO) is controversial as a treatment for symptomatic acetabular dysplasia in patients ≥40 years of age. We conducted retrospective study to evaluate the outcomes, measure survival rate, and identify factors associated with PAO failure age.We performed age undergoing PAO. Study eligibility criteria were met by 166 (149 women; mean age, 44 ± 3 years), 145 (87%) followed ≥4 after used Kaplan-Meier curve right-censoring calculate survivorship, "failure"...

Two decision analyses on managing the contralateral, unaffected hip after unilateral slipped capital femoral epiphysis (SCFE) have failed to yield consistent recommendations. Missing from both, however, are sufficient data risks associated with prophylactic pinning using modern surgical techniques.We determined incidence and nature of complications contemporary fixation in patients a SCFE.We retrospectively identified reviewed 99 children (mean age, 11 years; range, 8-15 years) who underwent...

Approximately 50% of patients with aneurysmal bone cyst the spine are in pediatric age group. Aneurysmal is considered a locally aggressive benign tumor that may involve posterior and anterior elements spine. Intralesional extended curettage bone-grafting mainstay treatment cysts involving long bones. However, proximity to neurovascular structures potential remaining growth make its management more challenging. We evaluated clinical presentation results surgical treatment, following complete...

Hip pain secondary to acetabular dysplasia can prevent participation in recreational activities.We retrospectively evaluated the physical activity level and after periacetabular osteotomy (PAO) for treatment of symptomatic hip dysplasia.Forty-seven female four male patients with a mean age 27 years underwent PAO. Physical (UCLA) (WOMAC) were assessed preoperatively, at 1 year, minimum 2 postoperatively. Multivariable linear regression identified substantial, independent factors associated...

Background Patients with developmental dysplasia of the hip (DDH) whose hips are dislocated but reducible (Ortolani positive) more likely to experience Pavlik harness treatment failure than patients dysplastic and reduced dislocatable (Barlow hips. However, data regarding factors associated limited conflicting. Questions/Purposes We asked: (1) What is frequency among Ortolani-positive hips, Barlow-positive hips? (2) predictive for Methods In this retrospective study we identified 150 who...

The Bernese periacetabular osteotomy (PAO) is an effective surgical treatment option for symptomatic acetabular dysplasia. Little evidence exists regarding the results of PAO and rates return to play (RTP) in athletic population.The majority athletes will demonstrate improvements functional outcome measures, such as modified Harris Hip Score Disability Osteoarthritis Outcome Score, be able sports after PAO.Case series; Level evidence, 4.A comprehensive hip database at academic referral...

Bernese periacetabular osteotomy (PAO) is a technically challenging procedure with potential risk for major complications and previously reported steep learning curve. However, the impact of contemporary hip preservation fellowships on curve PAO has not been established.(1) What was frequency during two surgeons who recently graduated from fellowships? (2) Is increasing level experience associated complication operative time, possible surrogate measure surgical performance?We retrospectively...

The goal of periacetabular osteotomy (PAO) is to improve the insufficient coverage femoral head and achieve joint stability without creating secondary femoroacetabular impingement. However, complex tridimensional morphology dysplastic acetabulum presents a challenge restoration normal radiographic parameters. Accurate acetabular correction important long-term function pain improvement. There are limited data about proportion patients who have parameters restored after PAO factors associated...

Abstract Background The time-consuming and user-dependent postprocessing of biochemical cartilage MRI has limited the use delayed gadolinium-enhanced (dGEMRIC). An automated analysis three-dimensional (3-D) images could deliver a more time-efficient objective evaluation composition, provide comprehensive information about thickness, surface area, volume compared with manual two-dimensional (2-D) analysis. Questions/purposes (1) How does 3-D thickness dGEMRIC index using both new method...

Pediatric femoral neck fractures are rare injuries that associated with a high risk of osteonecrosis the head. This study compared pediatric patients fully displaced treated either open reduction and internal fixation (ORIF) or closed (CRIF). After institutional review board approval was obtained, authors identified 53 who were for fracture between 2003 2012. Inclusion criteria as follows: (1) diagnosis no anatomic cortical contact; (2) age at least 4 years; (3) clinical/radiographic...

Multidirectionally unstable supracondylar fracture of the distal humerus presents with severe instability in both flexion and extension. Closed reduction percutaneous fixation is challenging may not be obtained by traditional maneuver.We retrospectively evaluated 8 children (4 boys 4 girls) a mean age at presentation 7.6 years (range, 5.3 to 10.9 y) who underwent closed using joystick technique for treatment multidirectionally fractures. Clinical functional results were assessed system...

Obesity is a risk factor for complications following many orthopaedic procedures. The purpose of this study was to investigate whether obesity an independent increasing the rate periacetabular osteotomy (PAO) and determine radiographic correction after PAO affected by obesity. We retrospectively collected demographic, clinical data on 280 patients (231 women; 82.5% 49 men; 17.5%) who were followed mean 48 months (12 60) PAO. A total 65 (23.2%) obese (body mass index (BMI) > 30 kg/m 2 )....

Background Assessment of femoral torsion at preoperative hip imaging is commonly recommended. However, it unclear whether MRI as accurate CT and how different methods affect measurements. Purpose To compare MRI- CT-based assessment by using four used measurement in terms agreement, reproducibility, reliability to angles between the methods. Materials Methods This retrospective study evaluated patients with pain who underwent 3-T including sequences pelvis distal condyles May 2017 June 2018....

Apophyseal avulsion fractures of the pelvis and hip are common injuries in adolescent athletes. However, high volume comparative studies elucidating spectrum largely absent from literature. The current study provides a comprehensive analysis demographic, anatomic, pathophysiological, clinical, athletic-related variables associated with such an extensive population affected adolescents.A retrospective review was performed records patients presenting to single tertiary care pediatric hospital...

Posterior femoroacetabular impingement (FAI) is poorly understood. Patients with increased femoral anteversion (FV) exhibit posterior hip pain.

Despite early medical intervention, children with hypophosphatemic rickets often have progressive deformities in the lower extremities. With forces imparted by gravity and weight bearing, varus or valgus that might otherwise been physiological are likely to progress, causing gait disturbance pain. Proper management is important may theoretically slow prevent progression of valgus, but ineffective at correcting deformity once established. We reviewed literature gathered a series 10 patients,...