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Biomedical subjects

A Ganel

Publications and source records attributed to A Ganel.

At least 37 records · Page 2Linked to original sources
PubMed1997

Orthopaedic long term aspects of bladder exstrophy.

This study evaluates long term orthopaedic aspects of children with bladder exstrophy who were operated on using different techniques and at different ages. Data were accumulated from 20 patients with an age range of 2 to 29 years (average, 13 years). Fourteen patients underwent pelvic osteotomy. Interviews and physical examinations confirmed that, in the long term, children with classical bladder exstrophy do not have significant orthopaedic problems or disability, whether or not they underwent pelvic osteotomy. Radiographic imaging showed normal hip joint configuration with marked pubic diastasis. There were no clinical problems associated with the diastasis. Pelvic computed tomography studies in 7 patients showed marked remodeling of the femora and acetabula. Radiographs of the spine showed a curve in 7 (47%) of the patients, but in only 3 cases was the curve larger than 10 degrees. Pelvic osteotomy is indicated during surgical correction of bladder exstrophy to facilitate closure of the abdominal wall to prevent postoperative wound dehiscence and possibly achieve better urinary control in older age. However, there is no clear indication for pelvic osteotomy from an orthopaedic point of view.

Adolescent↗
PubMed1996

Limb lengthening in children with achondroplasia. Differences based on gender.

Twelve achondroplastic dwarfs underwent serial limb lengthening during childhood. All had repeated bilateral simultaneous elongation of their lower limbs. The height of these patients was plotted on growth curves for children with achondroplasia. The end results were evaluated after all patients reached skeletal maturity. Growth acceleration was seen in male patients with achondroplasia, but no such effect was seen in females. The female patients lost several centimeters as calculated from their predicted final height based on their preoperative growth curve and the centimeters gained by mechanical distraction. The authors' recommendation is to start limb elongation of male patients with achondroplasia at the age of 8 years or older, but to delay limb lengthening in female patients with achondroplasia until approximately 15 years of age to allow for maximal skeletal growth.

Achondroplasia↗
PubMed1994

Expanding mass in the gluteal area of a 7-year-old child.

The following case is presented to illustrate the roentgenographic and clinical findings of a condition of interest to the orthopaedic surgeon. Initial history, physical findings, and roentgenographic examinations are found on the first two pages. The final clinical and differential diagnoses are presented on the following page.

Buttocks↗
PubMed1993

Body image of achondroplastic children before and after leg elongation.

Body image disturbance was studied in 6 achondroplastic children before and after surgical leg elongation (Wagner's procedure) using Fisher's Draw-a-Person Test and the Body Cathexis Test, as well as on another group of 6 achondroplastic children who had undergone the same procedure several years earlier. These groups were compared with 12 healthy control children. Gross disturbance of body image was present before the operation with a substantial improvement after the procedure. However, even years after the surgical procedure there still exists a difference in body image between the control-normal group and achondroplastic adolescents.

Achondroplasia↗
PubMed1993

The operative results of tibial plateau fractures in older patients: a long-term follow-up and review.

A retrospective review of 19 elderly patients (65 years of age or older) with operatively managed tibial plateau fractures demonstrated that most patients had acceptable functional results, based on Rasmussen's criteria. The follow-up period was of 8-14 years (average 11 years). Seventy-nine percent of the patients (15/19) had excellent or good results. They regained their preinjury walking capacity and suffered only occasional pain. Four patients had fair results with limitation of walking capacity, pain on certain positions, and/or pain after activity. One of these 4 patients had significant medial instability. In this age group, internal fixation of tibial plateau fractures and early mobilization appeared to be beneficial in achieving good functional results.

Aged↗
PubMed1991

Pigmented villonodular synovitis.

Pigmented villonodular synovitis (PVS) is an uncommon, usually monoarticular disorder encountered mainly in adults. A boy and a girl, both 7 years old, were referred because of recurrent knee effusions. Both were medically treated for other rheumatic disorders for five years. PVS was diagnosed by arthroscopy and synovectomy was curative in both cases.

Arthroscopy↗
PubMed1990

Ankle instability of the donor site following removal of vascularized fibula bone graft.

We have assessed the donor site of fibula bone graft to detect signs and symptoms of ankle instability in 8 patients. In 1 patient with generalized joint hyperlaxity pain, clinical instability and pathological motion of the proximal end of the distal remaining fibula were encountered. Seven other patients were asymptomatic and had no instability both clinically and on stress radiographs.

Adult↗
PubMed1990

Surgery for synovial chondromatosis. 26 cases followed up for 6 years.

Surgery was performed in 31 patients with synovial chondromatosis: 12 had synovectomy and removal of loose bodies, and 16 had removal of loose bodies only. The remaining 3 patients had more radical surgery: 2 had total hip replacement and 1 had resection arthroplasty. Twenty-six patients were reviewed after an average of 6 years and 4 months. Thirteen patients were symptomatic and 11 had residual signs of limited joint motion and localized tenderness. In 1 case of metatarsophalangeal joint involvement, recurrence occurred. Removal of loose bodies only did not differ from synovectomy and removal of loose bodies.

Adolescent↗
PubMed1990

Approaches to senior care #10. Recurrent dislocation of the shoulder in an elderly patient.

A case in which 23 recurrent episodes of anterior dislocation of the shoulder occurred in a 76-year-old woman is presented. Du Toit and Roux staple capsulorrhaphy was used to achieve a stable, functioning shoulder. Recurrent dislocation of the shoulder is a problem of youth. Peak incidence occurs at age 20, after age 70, the incidence of recurrent dislocation of the shoulder is extremely low. The surgical treatment of a 76-year-old woman, who suffered 23 documented anterior dislocations of the right shoulder, is discussed and reviewed.

Aged↗
PubMed1989

Delayed diagnosis of a primary psoas abscess mimicking septic arthritis of the hip.

A 5-year-old boy presented with a limp, fever, and right hip pain of 72 hours' duration. An intensive workup of right hip pain synovitis failed to diagnose any local pathology. Delayed diagnosis of psoas abscess was made on the 12th day of hospitalization. A rapid recovery with no further complications followed surgical evacuation of the abscess.

Abscess↗