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Comparison of open reduction alone and open reduction plus Dega osteotomy in developmental dysplasia of the hip

Issin, Ahmet | Oner, Ali | Kockara, Nizamettin | Camurcu, Yalkin

Article | 2016 | JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B25 ( 1 ) , pp.1 - 6

In the treatment of developmental dysplasia of the hip, concentric reduction of the femoral head into the acetabular cavity plays a key role in the natural development of the acetabulum. However, there is still debate on the need for additional acetabular osteotomies and their timing. In this study, we compared open reduction (OR) alone with OR plus Dega osteotomy for acetabular index (AI) development. Twenty patients, 10 in each group, who underwent either OR alone or OR plus Dega osteotomy were studied retrospectively. All patients were diagnosed with developmental dysplasia of the hip and none of them received treatment previousl . . .y. Preoperative, early postoperative, and follow-up radiographs were gathered, radiological grading was performed according to Tonnis, and AI angles were measured. The OR group had a mean age of 24.5 months, whereas the Dega group had a mean age of 24.8 months. The mean follow-up period of the OR group and Dega group was 57.8 and 66.6 months, respectively. In the OR group, the initial mean AI was 37.5 degrees whereas in the Dega group it was 46 degrees. After the follow-up, despite the acetabular development in the OR group being twice as fast, the final mean AI was 25.5, whereas it was 15.9 in the Dega group. The difference was statistically significant ( Daha fazlası Daha az

Pediatric Uveitis

Celik, Tuba

Article | 2018 | GUNCEL PEDIATRI-JOURNAL OF CURRENT PEDIATRICS16 ( 2 ) , pp.230 - 246

Pediatric uveitis is important for clinicians due to various clinical presentations, the risk of ambliyopia and the limitation of treatment modalities. Childhood uveitis is often recognized during routine eye examination and may cause severe complications because of the limitation of treatment modalities. The patients are encountered with severe complications such as glaucoma, cataract, amblyopia and band keratopathy in the period which is passing by waiting for the development of tolerance to inflammation or follow-up with suboptimal treatment. In this review, the main causes of childhood uveitis and the treatment aproaches are discussed.

Medial mini-open versus percutaneous pin fixation for type III supracondylar fractures in children

Ercin, Ersin | Bilgili, Mustafa Gokhan | Baca, Emre | Basaran, Serdar Hakan | Bayrak, Alkan | Kural, Cemal | Avkan, Mustafa Cevdet

Article | 2016 | ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY22 ( 4 ) , pp.350 - 354

BACKGROUND: The present objective was to compare medial mini-open and percutaneous treatment of pediatric supracondylar fractures according to fluoroscopy time, duration of surgery, and iatrogenic ulnar nerve injury. METHODS: A total of 104 Gartland type III supracondylar humerus fractures were prospectively evaluated between 2011 and 2013. Patients were divided into 2 groups according to type of fixation. In Group A (41 patients), medial pin was inserted with mini-open incision with 2 lateral pins inserted percutaneously. In Group B (63 patients), all pins were inserted percutaneously. Mean follow-up time was 14.1 +/- 1.2 months in . . . Group A, and 14.6 +/- 2.1 months in Group B. All patients were postoperatively evaluated for nerve injury with both motor and sensory function assessment. Length of surgery, total fluoroscopy time, fluoroscopy time for medial pin insertion, Baumann's angle, humeral capitellum angle, final carrying angle, and range of motion were recorded. RESULTS: Sensorial evaluation showed that Group A had 3 poor, and 1 fair results, and Group B had 2 poor, and 1 fair results. No statistically significant differences were observed, including no differences in either surgery or total fluoroscopy times between groups. However, fluoroscopy time during medial pin placement was significantly lower in the mini-open group. CONCLUSION: In conclusion, similar results of both techniques were observed, and both carry risk of iatrogenic ulnar nerve injury. Medial pin placement is easier and less demanding when used with mini-open technique Daha fazlası Daha az

Laser treatment of an oral squamous papilloma in a pediatric patient: A case report

Misir A. | Demiriz L. | Barut F.

Article | 2013 | Journal of Indian Society of Pedodontics and Preventive Dentistry31 ( 4 ) , pp.279 - 281

Oral squamous papilloma is a benign proliferation of the stratified squamous epithelium, which results in a papillary or verrucous exophytic mass induced by human papilloma virus (HPV). These oral mucosa lesions are most often asymptomatic and have small progression. Laser assisted surgery is common nowadays with several advantages including successful hemostasis, devoid of sutures, wound sterilization and minimal post-operative pain and edema. The aim of this report is to present the oral squamous papilloma in a pediatric patient and its treatment with soft tissue laser. The lesion was excised with diode laser and the healing was u . . .neventful in follow-up visit after one year. Oral squamous papillomas can be found in child's oral cavity and laser dentistry can be used by dental clinicians to treat these kinds of oral lesions and should be considered as an alternative to conventional surgery Daha fazlası Daha az

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