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Biomedical subjects

C T Price

Publications and source records attributed to C T Price.

At least 37 records · Page 2Linked to original sources
PubMed1990

Correction of distal femoral deformity.

This retrospective study reviews 12 distal femoral osteotomies in nine patients performed for angular and rotational deformities, using the Orthofix external fixator. All osteotomies progressed to solid union with reliable correction of the deformity. Few complications were encountered. Simultaneous lengthening was performed on one patient successfully. This method proved to be a safe and precise means of correcting distal femoral deformity with the option of simultaneous correction of length discrepancy.

Adolescent↗
PubMed1990

Adult scoliosis. Current concepts.

Back pain and increasing deformity of the spine can develop in adults with idiopathic scoliosis. It is known that scoliosis can continue to progress after skeletal maturity and cause problems in adults. Conservative treatment is effective in most cases, but occasionally surgery is necessary. Recent advances in spinal instrumentation have resulted in improved results and fewer complications.

Adult↗
PubMed1989

Metaphyseal and physeal lengthening.

The potential problems associated with physeal distraction and the relative success of callus distraction favor callus distraction as the procedure of choice for equalization of major limb-length discrepancies. Indications for lengthening are the same as in the Wagner procedure. The expected results and soft-tissue complications of callus distraction are similar to those of the Wagner technique. However, the number of procedures required and the osseous complications of lengthening appear to be reduced with these newer methods of limb lengthening.

Bone Lengthening↗
PubMed1987

Osteoid osteoma of the femoral neck: excision through medial approach.

An 11-year-old girl with osteoid osteoma of the medial femoral neck underwent excision of the lesion through a medial adductor approach. A satisfactory result was achieved without unsightly scarring or internal fixation. The medial adductor approach should be considered when osteoid osteoma of the femoral neck is encountered.

Child↗
PubMed1984

Use of a bivalved polypropylene orthosis in the postoperative management of idiopathic scoliosis.

Forty-four consecutive patients with idiopathic scoliosis treated by posterior spinal fusion and Harrington rod instrumentation were immobilized after surgery with bivalved polypropylene orthoses. Immediate ambulation was allowed, and the patients wore the orthoses for a mean of 5.9 months. Brace removal was permitted with the patient recumbent for sponge bathing. These patients were followed up for a mean of 2.1 years (range, 1.0-4.3 years). The average final correction for all curves was 45%. The average loss of correction was 2.4 degrees (5.3%). Combined distraction and compression instrumentation was found to improve final correction in all curves by 3 degrees (6.2%) as compared with distraction instrumentation alone. There were no pseudarthroses and no rod breakage. Patients enjoyed the benefits of improved personal hygiene, pleasing cosmetic appearance, and increased life-style flexibility, especially swimming, which was not possible with the conventional Risser plaster cast. Use of the polypropylene orthosis offers significant advantages as compared with previous methods of postoperative management: it not only provides consistently good results but is enthusiastically accepted by patients as well.

Adolescent↗
PubMed1983

Radial lengthening for septic growth arrest.

A case is presented of a child who sustained septic growth arrest of the distal radial epiphysis following osteomyelitis at 5 weeks of age. At age 8 years and 8 months radial lengthening using the Wagner apparatus was performed. Two and one-half centimeters of total length (18% of original length) was gained. No significant complications were encountered and normal function has been maintained. Although follow-up is short and additional lengthening is anticipated, this report illustrates the technical considerations for performing this procedure.

Bone Diseases, Developmental↗
PubMed1980

Thompson Arthrodesis of the hip in children.

Between 1966 and 1975, we performed a fusion of the hip by the Thompson method in fifteen children with non-tuberculous, non-paralytic conditions. An attempt was made to position the hip in 30 degrees of flexion, neutral rotation, and neutral abduction. Fourteen patients were followed for an average of 4.5 years (range, one to ten years) postoperatively. A fibrous pseudarthrosis developed in one patient. The remainder had solid arthrodeses. None had delayed union. At follow-up, all patients were free of pain and had returned to normal activities. There was no significant increase in adduction with growth.

Adolescent↗
PubMed1978

Ligament repair in the knee with preservation of the meniscus.

In early surgical repair of forty acute ruptures of the medial ligament of the knee in patients sixteen to twenty-four years old, the meniscus was resutured when it was avulsed from the bone and was excised only when there was central disruption (three knees). Follow-up of one to six years in thirty-six patients whose menisci were preserved showed that thirty-three had no limitations due to knee impairment. Twenty-six patients were re-examined; sixteen had no medial instability and twenty-one had no anterior rotatory instability. We concluded that in the absence of significant advantage from meniscectomy, an intact meniscus should not be removed.

Adolescent↗
PubMedDate not supplied

Sexual complications of anterior fusion of the lumbar spine.

Recently, there is renewed interest in anterior fusion for spondylolisthesis and congenital and paralytic scoliosis with pelvic obliquity. Some of the candidates are prepubertal boys. Sterility after surgery in urogenitally normal prepubertal boys will not be determined until these patients mature. A worldwide survey of 20 surgeons with 15-20 years of experience (4,500 cases) reports the frequency of sterility (retrograde ejaculation) to be 19 cases (0.42%) and impotence 20 cases (0.44%). One-fourth of the retrograde ejaculation cases resolved and became normal. Impotence is non-organic. The complication of retrograde ejaculation does not appear to be related to approach, though it was related to technique. While the complications of sterility and impotence following anterior fusion have been over-exaggerated, caution and informed consent from adult males and parents of prepubertal male children is advisable.

Adolescent↗
PubMedDate not supplied

Sublaminar wiring.

A technique for sublaminar wiring is described. This technique emphasizes prevention of deep penetration of the wires into the spinal canal by a method of crimping the wire around the lamina. The authors have experienced a low neurologic injury rate with this technique.

Bone Wires↗