[Tibia varum. 2 cases in children].
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Biomedical subjects
Publications and source records attributed to J L Alain.
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Twenty-five cases of fractures of the proximal tibial metaphysis in children are reported. They are divided into three groups: torus fractures, greenstick fractures, and complete fractures. Genu valgum appeared in 12 cases of complete or greenstick fractures. Eleven deformities deteriorated progressively in the year following trauma. Three of these were spontaneously compensated for by growth at the inferior epiphyseal plate. Four corrective osteotomies were performed in the series, but this procedure is not recommended because of the significant risk of recurrence and the possibility of compartment syndrome, even with associated fibular osteotomy. A persistent valgus deformity can be corrected during puberty, if necessary, by a medial tibial epiphysiodesis.
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The authors have operated on 12 children with solitary unicameral bone cysts of the upper femoral extremity. They opened the cysts widely, resecting one third of the bone circumference, reinforcing the bone solidity by a nail plate and filling the cavity with autogenous bone grafts. 11 cysts healed, 1 recurred. Some residual deformities were noted (coxa valga or vara).
In connection with four new observations and a revue of 82 cases published the mains features of Beckwith-Wiedeman syndrom are described insisting on the neonatal troubles of the glycoregulation upon the structural development of the childrens and on the pathologics associations.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
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