Unicameral bone cysts are benign bone lesions commonly seen in pediatric patients. Several treatment methods have been described with variable results and high recurrence rates. We previously reported short-term success of a minimally invasive technique that includes combining percutaneous decompression and grafting with medical-grade calcium sulfate pellets. The purpose of this study was to review the additional long-term results with a minimum followup of 24 months (average, 37 months; range, 24-70 months). We identified 55 patients with an average age of 10.8 years (range, 1.3-18 years). Forty-one of 55 lesions occurred in the humerus and femur. Fortyfour of 55 (
Surgical intervention in children with Down syndrome has a high risk of complications, particularly infection and wound healing problems. Careful anesthetic airway management is needed because of the associated risk of cervical spine instability.
The spinal cord is significantly smaller in patients with congenital thoracic scoliosis than in normal controls. Because small spinal cords have been reported to be associated with neurological sequelae, we advise that the diminished spinal cord size be considered an important component of intraspinal anomalies associated with congenital scoliosis.
Effects of posterior bilaterotricipital approach on the outcome of range of motion and carrying-angle of the elbow after open reduction and internal fixation of children's Gartland Type III supracondylar humeral fractures were evaluated. Twenty-five patients (18 boys, 7 girls; mean age 11.2) with Gartland Type III supracondylar humeral fractures, who needed open reduction, were operated through posterior bilaterotricipital approach in our institution between the years 2000 and 2007. At the final follow-up examination, patients were questioned about pain, restriction in motion and satisfaction with the appearance of the elbow. Carrying-angles and flexionextension arcs of the elbows were measured. Change in carrying-angle of the operated elbow was zero to 5°in 19 (76%), 6°-10°in four (16%) and 11°-15°in two (8%) patients. Fourteen (56%) patients lost less than 5°, eight (32%) lost 6°-10°, two (8%) lost 11°-15°and one (4%) lost more than 15°of movement in flexion-extension arc. According to Flynn criteria, excellent results were obtained in 12 (48%), good results in nine (36%), fair results in three (12%) and poor result in one (4%) of the patients at meanly 32.4 months follow-up. Satisfactory results can be obtained by using posterior bilaterotricipital approach for the surgical treatment of Gartland Type III supracondylar humeral fractures, which needed open reduction and internal fixation.
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