Search PubMed⌕ Search

Biomedical subjects

C F Moseley

Publications and source records attributed to C F Moseley.

24 records · Page 2Linked to original sources
PubMed1977

A straight-line graph for leg-length discrepancies.

A graphic method is presented that facilitates the recording and interpretation of data in cases of leg-length discrepancy. It provides a mechanism for predicting future growth that automatically takes into account the child's growth percentile and the degree of growth inhibition in the short leg. It can be used to predict the effects of corrective surgical procedures and to choose a surgical timetable. A series of cases of epiphyseodesis is presented, showing the straight-line graph method to be significantly more accurate than the so-called growth-remaining method, particularly in cases of growth inhibition.

Adolescent↗
PubMedDate not supplied

Finding patients after 40 years: a very long term follow-up study of the Colonna arthroplasty.

Between 1952 and 1965, surgeons at the Los Angeles Shriners Hospital managed 23 hips with the Colonna two-stage capsular arthroplasty, a procedure originally described in 1936 with very stringent indications for the treatment of childhood hip dysplasia. By using chart review, credit traces, telephone listings software, and the Internet, we found 17 (90%) of 19 patients known to be alive 40 years after surgery. Only four of 16 patients questioned have not undergone total hip arthroplasty, and these patients were no better candidates for the Colonna arthroplasty than were the 12 patients who have required hip-replacement surgery. We do not support revival of this now obscure procedure. However, we do attest that the average clinical investigator currently has access to tools that allow reliable location of patients for very long term follow-up. This technology will improve the accuracy and statistical power of outcomes research.

Adolescent↗
PubMedDate not supplied

Primary osteomyelitis caused by coagulase-negative staphylococci.

Coagulase-negative staphylococci (CONS) are occasionally cultured from foci of osteomyelitis in otherwise healthy individuals and are usually regarded as contaminants. The present report describes two children with subacute osteomyelitis of the distal tibia in which pure cultures of CONS were obtained from bone. In one patient, the infection was multifocal, and CONS were isolated from two anatomical sites at two different times. In the other patient, the infection was unifocal, and CONS were cultured from two separate specimens obtained from the same site. In both patients, the symptoms progressed until appropriate antibiotic treatment was initiated. CONS isolated from cultures of bone should not automatically be disregarded. Appropriate antibiotic therapy may result in clinical resolution.

Child↗
PubMedDate not supplied

Pulmonary function and scoliosis in Duchenne dystrophy.

Pulmonary function data were evaluated in 68 Duchenne muscular dystrophy patients to determine the rate of decline of the percentage of normal forced vital capacity (FVC). The percentage of normal FVC declined most rapidly during the adolescent growth spurt, which demonstrated a need for an accurate and reliable means for determining height in these patients. The age at 35% of normal FVC was 14.9 +/- 3.6 years (2 SD), and survival for the 28 patients who died was 3.2 (range 0.2-5.7) years. Pulmonary function tests were performed 10-74 months after spinal stabilization on 21 Duchenne dystrophy patients and compared with 46 nonfused scoliotic Duchenne patients. No difference was found in the rate of deterioration of the percentage of normal FVC.

Adolescent↗
PubMedDate not supplied

Comparison of crossed pins and external fixation for correction of angular deformities about the knee in children.

External fixation was compared to crossed Steinman pins and plaster for fixation after osteotomy about the knee in children. A group of 26 patients treated by external fixation was compared to a control group of 26 patients fixed with crossed Steinman pins and casting. The groups were matched for age, height, and weight. Overall there was a 100% union rate. Preoperative deformity and postoperative correction were similar in the two groups. The time to union was significantly longer, and there were significantly more complications in the external fixator group. There were 16 complications (62%) in the external fixator group and five (19%) in the control group. Complications included pin tract infections, peroneal nerve palsy, and delayed union. External fixation provides certain advantages for fixation after osteotomies about the knee in children but is associated with a variety of complications.

Adolescent↗