Predictors of a successful primary bladder closure in cloacal exstrophy: A multivariable analysis

Purpose

To investigate the factors affecting primary bladder closure in cloacal exstrophy (CE). A successful primary closure is important for optimizing reconstructive outcomes, and it is a critical first-step in the reconstruction of CE. The authors' hypothesize that a smaller diastasis and use of an osteotomy are independent predictors of a successful closure.

Do osteotomies of the proximal femur still have a role?

Trochanteric valgus and varus correction osteotomies have been described with or without associated rotational correction. In the last decade, new techniques have been described, including femoral neck osteotomy, femoral head reorientation, relative neck lengthening, greater or lesser trochanter distalization, and femoral head reduction osteotomy. While the overall number of femoral osteotomies in the young patients has decreased because of the efficacy of primary total hip arthroplasties, those osteotomy techniques may expand the indications for femoral osteotomies in select patients who meet the indications.     

儿童脑瘫性髋关节疾病的外科治疗与结果评价CSCD

儿童脑瘫性髋关节疾病通常需要手术治疗,手术方式包括预防性、重建性和补救性手术三种。手术的目的是防止股骨头向外侧移位,重建半脱位及脱位髋关节的稳定,消除不可重建髋关节脱位导致的持续性疼痛,进而改善患儿行走功能,方便不具站立及行走能力患儿的会阴部护理。本文通过系统复习新近相关文献,重点阐述儿童脑瘫性髋关节疾病各种手术方式的适应证、操作要点以及临床与X线评价结果、远期随访结果。