Effects of body weight on the clinical and radiological outcomes of children with flexible flatfeet managed with the ‘calcaneo-stop’ procedure

This study aimed to evaluate the clinical and radiological outcomes of normal, overweight, and obese children with symptomatic flexible flatfeet managed with the ‘calcaneo-stop’ procedure (CSP), and to determine whether any correlation exists between patient weight and outcome. One hundred and seventy-four symptomatic flexible flatfeet were managed with CSP during the study period. The patients were divided into three groups according to their BMI and weight Z-scores: normal, overweight, and obese. Their clinical and radiographic outcomes were assessed preoperatively, and at 1 and 5 years after the index procedure. Although the radiographic criteria were comparable between the three groups, the clinical outcome was worse in obese children than in normal and overweight patients (P
Source: Journal of Pediatric Orthopaedics B - Category: Orthopaedics Tags: PEDIATRIC ORTHOPAEDICS IN ITALY: SPECIAL ISSUE Source Type: research

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We describe our experience using transphyseal screws to correct deformity in this patient population. Methods: A retrospective chart and radiograph review was conducted on all juvenile and adolescent tibia vara patients who underwent lateral proximal tibial hemiepiphyseodesis using a single transphyseal screw. Charts were queried for preoperative and postoperative mechanical axis deviation, medial proximal tibial angle, lateral distal femoral angle, and postoperative complications or need for further surgery. Results: In total, 14 affected limbs in 9 patients (6 males) who underwent lateral proximal tibial transphyse...
Source: Journal of Pediatric Orthopaedics - Category: Orthopaedics Tags: Tibia Source Type: research
Authors: Üstün I, Solmaz A, Gülçiçek OB, Kara S, Albayrak R Abstract OBJECTIVES: Bariatric surgery is an effective intervention for severe obesity and associated comorbidities. We compared symptoms, joint space and life quality of morbidly obese patients with symptomatic knee osteoarthritis before and after bariatric surgery. METHODS: 34 patients with knee osteoarthritis were evaluated with standing anteroposterior and lateral radiography, medial and lateral joint distances of the knees, Visual Analog Scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC) que...
Source: Journal of Musculoskeletal Neuronal Interactions - Category: Neurology Tags: J Musculoskelet Neuronal Interact Source Type: research
The objective of this study is to evaluate the mental index (MI) and panoramic mandibular index (PMI) of a group of adolescent patients in different body mass index (BMI) percentile.Material and methodsSubjects were divided into three different groups in accordance to their BMI percentile status: normal weight (35 subjects; mean age, 14.81 ± 2.12 years), overweight (32 subjects; mean age, 14.77 ± 2.56 years), and obese (33 subjects; mean age, 14.06 ± 2.59 years) groups. Mental index (MI) and panoramic mandibular index (PMI) were assessed on panoramic radiographs.ResultsThere were statistically signific...
Source: Clinical Oral Investigations - Category: Dentistry Source Type: research
Endotracheal intubation is a commonly performed procedure within the healthcare system. Options for placement confirmation include direct visualization of the tube pass through the cords, fogging in the tube, carbon dioxide colorimetry, end tidal Co2, breath sounds, radiography and bronchoscopy. Breath sounds are often used as the first confirmatory method but are unreliable especially in obese patients. The goal of this study was to evaluate an alternative bedside test that could be used to quickly confirm tube placement in this patient population.
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
This study compares the short-term clinical and radiographic outcome between conventional and minimally invasive posterior approaches in total hip arthroplasty. Study Design &Methods We conducted a prospective, comparative pilot study containing 30 patients who underwent primary total hip arthroplasty between January 2017 and May 2017, 15 of them were operated through a conventional posterior approach and the other 15 were operated upon using a minimally invasive posterior approach. The exclusion criteria were severe protrusio or acetabular dysplasia as well as severe obesity (more than 120 kg body weight or a body m...
Source: Journal of Arthroscopy and Joint Surgery - Category: Orthopaedics Source Type: research
Publication date: November 2019Source: Spine Deformity, Volume 7, Issue 6Author(s): Alan G. Valdovino, Tracey P. Bastrom, Fredrick G. Reighard, Madeline Cross, Carrie E. Bartley, Suken A. Shah, Burt Yaszay, Peter O. Newton, Vidyadhar V. UpasaniAbstractStudy DesignRetrospective comparative cohort study.ObjectiveTo compare radiographic parameters between adolescents with a greater body mass index (BMI) percentile to underweight individuals.Summary of Background DataIncreased BMI percentile has been associated with increased complications after surgical correction of adolescent idiopathic scoliosis (AIS). However, association...
Source: Spine Deformity - Category: Orthopaedics Source Type: research
ConclusionBMI is not a determinant of functional scores when computer navigation is used.
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research
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Source: Rheumatology International - Category: Rheumatology Source Type: research
This article summarizes the risk factors for atypical femur fractures (AFF), discusses current and emerging imaging modalities for early identification of AFF, and offers recommendations for prevention and management of AFFs based on the current concepts. Recent findings Antiresorptive therapies are widely recommended for prevention and treatment of osteoporosis. Despite their well established effectiveness to reduce fracture risk, emerging concerns related to potential adverse effects have led to a substantial decline in the use of bisphosphonates. Although, the pathogenesis of AFF has not yet been elucidated, the bulk...
Source: Current Opinion in Endocrinology, Diabetes and Obesity - Category: Endocrinology Tags: PARATHYROIDS, BONE AND MINERAL METABOLISM: Edited by Seth M. Arum Source Type: research
This study examined post-total knee arthroplasty (TKA) mechanical axis (MA), measured on hip-to-ankle radiographs, for patients with a body mass index (BMI)>30 when a fixed 6° valgus distal femoral cut was made. A retrospective radiographic review included 347 TKAs receiving a distal femoral cut of 6° valgus. A distal femoral cut of 6° valgus successful established a neutral, ±3° MA in 86.7% of the 347 obese patients, with a slight tendency toward varus in patients with a BMI>40. A fixed cut may provide more consistent post-TKA alignment, when visualization of anatomical landmarks is made diffi...
Source: Journal of Orthopaedics - Category: Orthopaedics Source Type: research
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