One-stage release by double surgical approach for neglected congenital vertical talus: results in a series of walking children in Tanzania

This study reports results and complications in a series of walking children affected by neglected congenital vertical talus treated by one-stage release through a double surgical approach in a hospital sited in the Tanzanian rural outback. Between 2009 and 2014, nine consecutive congenital vertical talus were observed in five patients (three males and two females) aged between 2 and 4 years. In two children, the deformity was idiopathic, in two it was associated to distal arthrogryposis and in one to Larsen syndrome. The surgical procedure was performed through a posteromedial and a lateral incision and included extensive soft tissue release and reduction of talo-navicular and subtalar joint, pinned with percutaneous Kirschner wires. The talar axis-first metatarsal base angle (TAMBA) was measured preoperatively and at follow-up. Results were summarized using the Adelaar score and the PODCI (Pediatric Outcomes Data Collection Instrument) questionnaire. The mean follow-up was 2.6 years (2–4). No major intraoperative complications were observed. The TAMBA passed from 74.4° (range 68–82°) to 20.2° (range 18–24°). No talar osteonecrosis was observed. The results were excellent in three cases, good in five cases and fair in one (Adelaar score). The mean postoperative PODCI score was 48 (range 38–60). None of the patients underwent further surgery. In case of neglected congenital vertical talus and limited health resources, this surgical tech...
Source: Journal of Pediatric Orthopaedics B - Category: Orthopaedics Tags: Foot & Ankle Source Type: research

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DiscussionTrapeziectomy with LRTI for thumb carpometacarpal osteoarthritis provided early subjective improvements in outcomes as early as 3 months post-procedure. However, more than 6 months are required to determine objective improvements in outcomes. To obtain early patient-reported satisfactory outcomes, we should focus not on improving hand and finger strength, but on treating postoperative surgical site pain and preventing thumb stiffness.Level of evidenceIV, retrospective therapeutic study.
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
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Source: Psychiatr News - Category: Psychiatry Tags: ajp in advance cannabis cannabis use disorder Deborah Hasin National Epidemiologic Survey on Alcohol and Related Conditions pain Source Type: research
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Source: Interdisciplinary Neurosurgery - Category: Neurosurgery Source Type: research
Sattamma, a daily labourer in the Rangareddy district of southern India’s Telangana state, says that even though she no longer has Hansen’s Disease, she remains discriminated against because of it. Credit: Stella Paul/IPSBy Stella PaulHYDERABAD, India , Jan 23 2020 (IPS) Fifteen years ago, Sattamma – a daily labourer in the Rangareddy district of southern India’s Telangana state – was abandoned by her husband after she was diagnosed with Hansen’s Disease. Last October, while her neighbours were celebrating Diwali, Sattamma was homeless again as her landlord threw her out of the house aft...
Source: IPS Inter Press Service - Health - Category: International Medicine & Public Health Authors: Tags: Asia-Pacific Development & Aid Editors' Choice Featured Global Headlines Health Human Rights Latin America & the Caribbean Poverty & SDGs TerraViva United Nations Brazil Hansen's disease India Indonesia leprosy Source Type: news
Authors: Kolbe L, Eberhardt T, Leinberger B, Hinterberger T Abstract BACKGROUND: Biofeedback-treatment for primary headache is highly recommended. Its expenses are mostly not or not completely covered by health funds, hindering the implementation in the care system. This randomized controlled study aimed at evaluating the efficacy of a biofeedback-treatment for primary headache in the outpatient care system all over Germany. METHODS: The participants were divided into a direct treatment-group (n=41) and a waiting control-group (n=29). The treatment was carried out for 8-11 sessions with vasoconstriction-/vasodi...
Source: PPmP Psychotherapie Psychosomatik Medizinische Psychologie - Category: Psychiatry & Psychology Tags: Psychother Psychosom Med Psychol Source Type: research
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Source: The Journal of Pain - Category: Materials Science Authors: Tags: Review Article Source Type: research
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Source: Journal of Craniovertebral Junction and Spine - Category: Orthopaedics Authors: Source Type: research
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Source: Chinese Journal of Integrative Medicine - Category: Internal Medicine Source Type: research
Conditions:   Cervical Disc Herniation;   Pain, Neuropathic Intervention:   Drug: Combination Product: triamcinolone and saline Sponsor:   Marmara University Active, not recruiting
Source: - Category: Research Source Type: clinical trials
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Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
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