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Long-term results after infantile Blount's disease.

https://arctichealth.org/en/permalink/ahliterature33752
Source
J Pediatr Orthop B. 1998 Jul;7(3):226-9
Publication Type
Article
Date
Jul-1998
Author
T. Ingvarsson
G. Hägglund
B. Ramgren
K. Jonsson
M. Zayer
Author Affiliation
Department of Orthopedics, Lund University Hospital, Sweden.
Source
J Pediatr Orthop B. 1998 Jul;7(3):226-9
Date
Jul-1998
Language
English
Publication Type
Article
Keywords
Adult
Aged
Bone Diseases, Developmental - radiography - surgery - therapy
Braces
Epiphyses - abnormalities - surgery
Female
Follow-Up Studies
Humans
Knee Joint - physiopathology - radiography
Male
Middle Aged
Orthopedics - methods
Prognosis
Range of Motion, Articular
Registries
Research Support, Non-U.S. Gov't
Sweden
Tibia - abnormalities - radiography
Time Factors
Treatment Outcome
Abstract
A long-term follow-up of 49 patients with an average age of 38 years (range: 25-67 years) who had experienced infantile Blount's disease was done. Thirty-seven patients had bilateral disease, giving a total of 86 affected knees. Thirty-eight knees had conservative or no treatment during childhood; 13 were treated by epiphysiodesis, and 35 by osteotomy. At follow-up, 11 knees showed arthrosis, and 9 were graded as mild. Ten knees had been surgically treated by medial meniscectomy at an average age of 29 years (range: 19-45 years), after the diagnosis of Blount's disease. Four of the knees showed arthrosis. Most of the patients had a straight leg and mild or no pain from their knee. It is concluded that most children with infantile Blount's disease will, at the age of 40 years, have a straight leg without arthrosis and that one third can reach this result without any treatment.
PubMed ID
9702674 View in PubMed
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Prevention of dislocation of the hip in children with cerebral palsy. The first ten years of a population-based prevention programme.

https://arctichealth.org/en/permalink/ahliterature29925
Source
J Bone Joint Surg Br. 2005 Jan;87(1):95-101
Publication Type
Article
Date
Jan-2005
Author
G. Hägglund
S. Andersson
H. Düppe
H. Lauge-Pedersen
E. Nordmark
L. Westbom
Author Affiliation
Department of Orthopaedics, University Hospital of Lund, Sweden.
Source
J Bone Joint Surg Br. 2005 Jan;87(1):95-101
Date
Jan-2005
Language
English
Publication Type
Article
Keywords
Cerebral Palsy - complications - diagnosis - radiography
Child
Child Health Services
Child, Preschool
Female
Follow-Up Studies
Hip Dislocation - etiology - prevention & control - radiography
Hip Joint - radiography
Humans
Male
Mass Screening
Preventive Health Services
Program Evaluation
Registries
Research Support, Non-U.S. Gov't
Severity of Illness Index
Abstract
In 1994, a register for cerebral palsy and a health-care programme were started in southern Sweden with the aim of preventing dislocation of the hip in children with cerebral palsy. It involved all children with cerebral palsy born in 1992 or later. None of the 206 affected children born between 1992 and 1997 has developed a dislocation following the introduction of the prevention programme. Another 48 children moved into the area and none developed any further dislocation. Of the 251 children with cerebral palsy, aged between five and 11 years, living in the area on January 1, 2003, only two had a dislocated hip. One boy had moved into the area at age of nine with a dislocation and a girl whose parents chose not to participate in the programme developed bilateral dislocation. One boy, whose condition was considered to be too poor for preventative surgery, developed a painful dislocation of the hip at the age of five years and died three years later. Eight of 103 children in a control group, consisting of all children with cerebral palsy living in the area between 1994 and 2002, and born between 1990 and 1991, developed a dislocation of the hip before the age of six years. The decreased incidence of dislocation after the introduction of the prevention programme was significant (p
PubMed ID
15686244 View in PubMed
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Slipped capital femoral epiphysis in southern Sweden. Long-term results after femoral neck osteotomy.

https://arctichealth.org/en/permalink/ahliterature39145
Source
Clin Orthop Relat Res. 1986 Sep;(210):152-9
Publication Type
Article
Date
Sep-1986
Author
G. Hägglund
L I Hansson
G. Ordeberg
S. Sandström
Source
Clin Orthop Relat Res. 1986 Sep;(210):152-9
Date
Sep-1986
Language
English
Publication Type
Article
Keywords
Adolescent
Child
Epiphyses, Slipped - surgery
Female
Femur Neck - surgery
Follow-Up Studies
Humans
Locomotion
Male
Osteotomy
Pain
Postoperative Complications
Abstract
Opinions differ concerning the treatment of choice for severe slipped capital femoral epiphysis, probably due to the lack of long-term follow-up evaluations on the different methods of treatment. A series of 33 patients with severe slipped capital femoral epiphysis, treated per primam with wedge osteotomy of the femoral neck, were radiographically and clinically reexamined an average of 28 years (range, 16-32 years) after the operation. Segmental collapse and/or chondrolysis developed in ten patients. Nine of these patients were available for reexamination and all had severe arthrosis with poor function. Arthrosis developed in nine of the 19 patients without signs of segmental collapse or chondrolysis; these patients had a satisfactory joint function. This series was compared with another series (from the same orthopedic departments) of patients with severe slip without any primary treatment. The long-term results in these two groups were similar; consequently, the value of realignment by wedge osteotomy of the femoral neck is questionable.
PubMed ID
3757355 View in PubMed
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Slipped capital femoral epiphysis in southern Sweden. Long-term results after nailing/pinning.

https://arctichealth.org/en/permalink/ahliterature38898
Source
Clin Orthop Relat Res. 1987 Apr;(217):190-200
Publication Type
Article
Date
Apr-1987
Author
G. Hägglund
L I Hannson
S. Sandström
Source
Clin Orthop Relat Res. 1987 Apr;(217):190-200
Date
Apr-1987
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Bone Nails
Child
Child, Preschool
Comparative Study
Epiphyses, Slipped - radiography - surgery
Female
Femur Head - injuries - radiography - surgery
Follow-Up Studies
Humans
Male
Postoperative Complications - epidemiology - radiography
Questionnaires
Reoperation
Sweden
Abstract
One hundred seventy-two patients with 204 slipped capital femoral epiphyses treated with nailing or pinning were evaluated an average of 28 years after surgery. Follow-up evaluation was obtained by questionnaire in 153 cases (181 hips) and by clinical and radiographic reexamination in 132 cases (157 hips). Segmental collapse was seen in four of 179 hips nailed/pinned in situ and in four of 25 hips operated after reduction. This was the only early complication associated with problems at reexamination. Arthrosis was twice as frequent after reduction (53%) than after fixation in situ (24%). The clinical and radiographic results were better than those from the same region after other methods of treatment. Nailing or pinning in situ is the method of choice when possible, regardless of the degree of slipping. Bilateral slipping was found in 67% of the hips; therefore, prophylactic pinning of the contralateral hip is indicated in cases with unilateral slipping.
PubMed ID
3829499 View in PubMed
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[Swedish long-term follow-up of hip physiolysis. Best results with in situ nailing].

https://arctichealth.org/en/permalink/ahliterature211022
Source
Lakartidningen. 1996 Sep 25;93(39):3356-8
Publication Type
Article
Date
Sep-25-1996
Author
G. Hägglund
Author Affiliation
Ortopedkliniken, Universitetssjukhuset i Lund.
Source
Lakartidningen. 1996 Sep 25;93(39):3356-8
Date
Sep-25-1996
Language
Swedish
Publication Type
Article
Keywords
Bone Nails
Epiphyses, Slipped - radiography - surgery
Femur Head - radiography - surgery
Femur Neck - radiography - surgery
Follow-Up Studies
Humans
Prognosis
Sweden
PubMed ID
8926804 View in PubMed
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