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Biomedical subjects

K Parsch

Publications and source records attributed to K Parsch.

64 records · Page 4Linked to original sources
PubMedDate not supplied

[Treatment of congenital clubfoot with the Ponseti method].

AIM: The primary therapy for congenital clubfoot is non-surgical involving manipulation and serial casting. With traditional casting, relatively large numbers of feet require extensive surgery to achieve full correction. The purpose of this study was to evaluate the efficacy of the Ponseti method. METHODS: Between 1.1.2004 und 31.12.2005, 29 patients with 41 clubfeet were treated with the Ponseti method. Only patients without any prior treatment were included. Classification followed Pirani's score. The number of casts to full correction, tenotomies, number of posteromedial releases, dorsi-, plantarflexion and hindfoot position were documented. The follow-up time was 1-9 months, the average follow-up time was 9.1 months. RESULTS: 39 clubfeet were successfully treated with the Ponseti method. The average Pirani score was 4.9. Percutaneous tenotomies were necessary in 34 of the clubfeet. Average dorsiflexion was 19 degrees and plantarflexion 42 degrees . After failed Ponseti treatment 2 feet were treated with a posteromedial release. CONCLUSION: With the Ponseti method the need for extensive corrective surgery is greatly reduced. We recommend the Ponseti method as standard therapy in clubfoot management.

Casts, Surgical↗
PubMedDate not supplied

[5-year experience with De Bastiani's method of extremity lengthening].

From 1987-1991 19 patients had 20 lengthenings in 23 bones. The average hospitalisation time was 54 days. The time to lengthen one limb was 30 weeks on an average. In a retrospective study the cases were analysed according to Paley's criteria. Our complication rate is compared to that of other authors. We have to cope with a rather high rate of complications. 17 out of 19 patients showed good or very good final results.

Adolescent↗
PubMedDate not supplied

[Diagnosis and therapy of septic arthritis (coxitis)].

Ultrasonography helps in early diagnosis of septic arthritis in children with painful hip with high sedimentation rate and raised c-reactive protein. Native radiology and technetium bone scan are helpful in the diagnosis of coxitis only with a delay of several days. Successful therapy must consist of emergency arthrotomy and effective chemotherapy with tested antibiotics. Delayed surgical intervention risks femoral neck necrosis and coxa vara in small children, major ankylosis in the adolescent.

Adolescent↗
PubMedDate not supplied

[Femoral neck fracture in children].

Fractures of the femoral neck in childhood and adolescence are a rare accident injury. Despite their rarity they are significant for the individual child because of the probability of complications, reported in up to 60% of the cases in the literature. They are caused on the one hand by direct damage to the growth joint, which according to recent studies is regarded as a single, continuous, transverse growth plate which includes the trochanteric joint; and on the other by damage resulting from a circulation disorder. Most authors advocate emergency surgical treatment to relieve the hemarthrosis, even though according to the review by Niethard (1982) surgical treatment was not shown to be superior. The patient's age, the localization of the fracture and the extent of dislocation have a major impact on the prognosis. Among the 19 patients treated by the present authors between 1975 and 1989 there were 3 cases of femoral head necrosis in 10 to 15-year-old patients. Seventeen patients underwent surgery. During the same period a number of pathologic fractures of the femoral neck in children were also seen.

Child↗