Management of the Knee in Spastic Diplegia: What is the Dose?
This article discusses the sagittal gait patterns in children with spastic diplegia, with an emphasis on the knee, as well as the concept of the “dose” of surgery that is…
ORTHOPEDIC
Management of Hip Deformities in Cerebral Palsy
Hip abnormalities affect most children with cerebral palsy. Dedicated surveillance programs have been shown to be effective means of identifying hips at risk and preventing pathologic dislocation. Patients who are…
Examination of the Child with Cerebral Palsy
This article describes the balanced combination of medical history, detailed physical examination, functional assessment, imaging, observational gait analysis, computerized gait analysis, and assessment of patient and family goals that are…
Classification Systems in Cerebral Palsy
Because of increasing interest in conducting large-scale, multicenter investigations into the epidemiology of cerebral palsy and its prevention and treatment, efforts have been made to establish a standard definition and…
Epidemiology of the Cerebral Palsies
Half of the most severe cases of cerebral palsy (CP) survive to adulthood, but because this longevity is relatively recent, there is no empirical experience of their life expectancy past…
Open Treatment of Pelvic and Acetabular Fractures
The open operative management of pelvic and acetabular fractures in the obese is technically demanding, with a significantly higher rate of complications compared with patients who are nonobese. The decision…
Financial Implications of Obesity
The obesity epidemic continues to grow. As the number of obese people increases, it is logical to expect an increasing number of obese patients and increasing costs to care for…
Hip Disease and Hip Arthroplasty
There has been a significant increase in the prevalence of obesity in the United States over the last 20 years, with the highest percentage in Mississippi. The percentage of obese…
Obesity in Pediatric Orthopaedics
Obesity is a rapidly expanding health problem in children and adolescents and is the most prevalent nutritional problem for children in the United States. Some believe that obesity has become…
Treatment of Knee Arthrosis in the Morbidly Obese Patient
The purpose of this article is to present the challenges of dealing with the morbidly obese patient suffering from degenerative knee arthrosis. Surgery should only be undertaken when conservative management…
