Long-term Outcomes of Triple Arthrodesis in Cerebral Palsy Patients

Conclusions: Triple arthrodesis is a surgical option in cerebral palsy patients with painful and/or rigid foot deformities. From this series, successful outcomes can be expected as long as bony union is achieved. The incidence of tibiotalar arthritis is relatively low and not associated with long-term functional outcome. In addition, preoperative and residual postoperative foot deformity is not associated with long-term outcome. Level of Evidence: Level IV—Retrospective case series.
Source: Journal of Pediatric Orthopaedics - Category: Orthopaedics Tags: Cerebral Palsy Source Type: research

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by Drew Rosielle (@drosielle)A Series of Observations on Opioids By a Palliative Doc Who Prescribes A Lot of Opioids But Also Has Questions.This is the 5th post in a series about opioids, with a focus on how my thinking about opioids has changed over the years. See also:Part 1 – Introduction, General Disclaimers, Hand-Wringing, and a Hand-Crafted Graph.Part 2 – We Were Wrong 20 years Ago, Our Current Response to the Opioid Crisis is Wrong, But We Should Still Be Helping Most of our Long-Term Patients Reduce Their Opioid DosesPart 3 – Opioids Have Ceiling Effects, High-Doses are Rarely Therapeutic, and Ano...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: opioid pain rosielle The profession Source Type: blogs
Kathleen Kennedy’s busy life belies narrow-minded assumptions about disabled people When people meet Kathleen Kennedy for the first time they often think she has learning difficulties. In reality, she has a degree in business and is the author of two books. Having a disability throws up many problems in the workplace, largely around the assumptions that other people make. But UNISON disabled members are working together to tackle those assumptions. Kathleen is 43 and lives independently in Aberdeen. She is a support assistant for her local council, and is the vice-chair and equality officer at her UNISON branch, as w...
Source: UNISON Health care news - Category: UK Health Authors: Tags: Article Magazine disability discrimination disability-information-day-2018 disabled members Source Type: news
Operating within InCube Labs, a multi-disciplinary life sciences R&D lab based in Silicon Valley, Rani Therapeutics is developing a novel approach for the oral delivery of large-molecule drugs such as basal insulin, which is currently delivered via i...
Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Medicine Oncology Pediatrics Source Type: blogs
Authors: Wei DH, Feldon P Abstract Total wrist arthrodesis remains an important technique in the surgical armamentarium of upper extremity surgeons. The procedure has evolved over time but continues to provide reliable pain relief at the expense of wrist motion. It is indicated for management of a wide variety of upper extremity conditions, including rheumatoid arthritis, posttraumatic osteoarthritis, cerebral palsy, and brachial plexus injuries, and as a salvage technique after failed implant arthroplasty. Recent studies demonstrate high levels of patient satisfaction and good functional outcomes after bilateral w...
Source: The Journal of the American Academy of Orthopaedic Surgeons - Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research
So much of American medicine focuses on treating the illness, rather than the whole person. Oftentimes, it seems easier to throw medicine at a cough or a cold, without exploring further to make sure the cough isn't a result of a chronic post-nasal drip because of allergy or sinus issues. If you're tired of treating symptoms to make a condition better, rather than treating the condition as part of your whole body, you're not alone. The latest data from the National Center for Complementary and Integrative Health (NCCIH) shows 4 of 10 adults and 1 in nine children are using some form of complementary medicine. This is not t...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
Lance, a Miles for Miracles runner, with his twins Lily and Luke When I tell people I’m running the Boston Marathon as part of the Boston Children’s Hospital Miles for Miracles team, the standard reaction is the same. “I could never run 26.2 miles.” My response never varies. “Yes, you can … with the right training, anyone can do it.” My kids can’t give up when they don’t feel like doing something, and neither can I. ~ Lance My feet ache. I’m often exhausted. I’m hungry all the time. And committing to a long run every Saturday — rain, snow or shin...
Source: Thrive, Children's Hospital Boston - Category: Pediatrics Authors: Tags: Health & Wellness Our Patients’ Stories Parenting Boston Marathon cerebral palsy congenital heart defect Division of Sports Medicine juvenile arthritis Type 1 diabetes Source Type: news
Purpose of review: Crouch gait is defined as excessive ankle dorsiflexion, knee and hip flexion during the stance phase. This gait disorder is common among patients with cerebral palsy. The present article brings an up-to-date literature review on the pathoanatomy, natural history, and treatment of this frequent gait abnormality. Recent findings: Hamstrings are often not shortened in patients with crouch. Patella alta must be addressed if surgery is performed. Surgical correction of joint contractures and lever arm dysfunction can be effectively achieved through a single-event multilevel surgery. Summary: Crouch gait is ...
Source: Current Opinion in Pediatrics - Category: Pediatrics Tags: ORTHOPEDICS: Edited by Daniel W. Green Source Type: research
This article questions whether Obamacare is to blame. Good way to save money. Veterans Affairs just keeps denying claims until the veterans die. Then they mark the files as “no action necessary” so that the surviving family members don’t get benefits, either. Records falsified, employee whistleblowers being retaliated against, management lying to Congress, oh, and a supervisor who required staff members to pay $30 for fortune telling by the supervisor’s wife. If you think things are expensive now, wait to see how much they cost when they’re free. Another example of the Golden Rule. England&rsq...
Source: WhiteCoat's Call Room - Category: Emergency Medicine Authors: Tags: Healthcare Update Source Type: blogs
CONCLUSIONS: Cementless THA using contemporary ceramic-on-ceramic bearings is a useful option for the treatment of advanced degenerative arthritis of the hip in ambulatory adults with CP. PMID: 25729517 [PubMed - in process]
Source: Clinics in Orthopedic Surgery - Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research
Publication date: Available online 19 February 2015 Source:Anaesthesia & Intensive Care Medicine Author(s): David G. Lambert Joint disease: Arthritis can be simply broken into osteoarthritis and rheumatoid arthritis (RA). Osteoarthritis is treated with symptomatic pain relief and surgery. RA is a chronic autoimmune disease that causes inflammation of joints (leading to their destruction), tissues around joints and other organ systems. Treatment (for pain) of RA in the first instance is with non-steroidal anti-inflammatory drugs, with second-line treatment using disease-modifying antirheumatic drugs (DMARDs). DMARDs a...
Source: Anaesthesia and intensive care medicine - Category: Anesthesiology Source Type: research
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