background: to determine the most important preoperative factors that affect postoperative coronal parameters of scoliotic curves.   methods: all adolescent idiopathic scoliosis (ais) patients included in the study were classified according to lenke and king classification. the fusion levels were selected according to the rigidity of the existing curves (correction less than 50%), tilt of t1 an...

BACKGROUND Metacarpophalangeal (MCP) arthroplasty with implants, which is the replacement of painful knuckle joints with artificial knuckle joints, has been performed for people with rheumatoid arthritis (RA) since the 1960s. The surgery is done because RA can cause damage of the knuckle joints making them unable to straighten out (flexion deformity) and causing them to lean over toward the sma...

BACKGROUND The use of a tourniquet in hand surgery is generally accepted as necessary to create a clear visualization of the operative field. This study aims to determine the effectiveness of one-per-million tumescent solution (1:1,000,000 epinephrine concentration) in creating a bloodless operative field in post-burn hand deformity surgeries performed without a tourniquet. METHODS This retro...

We report on a-6-months-old girl who manifested the phenotypic features of focal dermal hypoplasia. Significant limb deformities in connection with typical skin changes were documented. The family history had a high frequency of spontaneous abortions and male stillbirths. Male stillbirths are a landmark in favour of X-linked dominant pattern of inheritance. Despite the severe hand/foot deformit...

OBJECTIVE DIP joint OA is common but has few cost-effective, evidence-based interventions. Pain and deformity [radial or ulnar deviation of the joint or loss of full extension (extension lag)] frequently lead to functional and cosmetic issues. We investigated whether splinting the DIP joint would improve pain, function and deformity. METHODS A prospective, radiologist-blinded, non-randomized,...

We report our experience of the use of callus distraction with a monolateral fixator for the treatment of acquired radial club-hand deformity after osteomyelitis. Between 1994 and 2004, 13 patients with a mean age of eight years (4 to 15) were treated by callus distraction with a monolateral fixator after a preliminary period of at least four weeks in a corrective short-arm cast. All patients a...

background & importance: spinal deformity is one of the most common disorders among the vertebral diseases that results from unnatural curvatures of spine, such as scoliosis and kyphosis. spinal fusion surgery used most commonly to treat certain types of spinal deformity. here in, we report the efficacy of posterior spinal fusion accompanied by instrumentation in patients with the limitations o...

The hands are an essential part of the body, accounting for 40-50% hand's function thanks to broad movements such as flexing, extending, closing, stretching, etc. In this article, author reports a rare case surgical repair supernumerary thumb deformities at Lam Dong General Hospital. Objectives: To evaluate results correcting in children. Subjects and methods: Surgical malformation by “on-top o...

OBJECTIVES To identify the most common functional problems caused by ulnar nerve palsy. This study is the first phase in the process of developing a patient-centred hand function questionnaire specific for ulnar palsy. DESIGN Twenty-five participants with complete irreversible ulnar nerve palsy were asked to record the five main problems they had because of their hand deformity in the week be...

Trophic ulcers (or 'plantar ulcers' ) may occur on structurally normal but anaesthetic feet, and these have been called the 'dynamic type' ulcer, by Price ( 1 963) . They occur on pliant feet, heal rapidly with rest, and can be prevented by appropriate shoes. On the other hand, the presence of a deformity may promote recurrent and intractable ulcers even when shoes are worn. Ulcers associated w...