14 research outputs found
Close reduction and intramedullary flexible titanium nails fixation of femoral shaft fractures in children under 5 years of age
Sonographic Detection of Radiographically Occult Fractures in Pediatric Ankle and Wrist Injuries
Divergent Elbow Dislocation in the Very Young Child: Easily Treated If Correctly Diagnosed
Floating Community Manila: The design of a floating module for a resilient community in the flood-risk context of Manila, Philippines.
Urban populations in coastal contexts suffer increasingly from both environmental and spatial risks. Major flooding events, storms, fires, landslides and earthquakes coupled with the unorganized urban fabric located at the locations most at-risk to these hazards render millions of people extremely vulnerable. The externalities in terms of economic opportunity, environmental safety and infrastructural stability are particularly evident in major urban agglomerations where the urban poor suffer from lack of housing, sanitation, clean water, and legal status. Specifically in Manila, a third of the city’s inhabitants are considered urban poor and live either in slums or in informal housing conditions. The city is an exemplary case of a developing metropolis with multiple water features and geographical conditions which faces the mentioned urban failures and risks in parallel with natural hazards on a yearly basis.New typologies and solutions need to be sought to understand how to deal with issues of urban land, infrastructure, housing and sanitation, and improved resilience. As land and flooding are the two core elements which effect all other conditions faced by the urban poor, the design asks how can new land that does not flood be designed as a floating module for a self-sufficient community in the flood-risk context of Manila, Philippines, in order to provide the urban poor population with the means to improve their lives through a more resilient spatial environment.The design needs to include strategies both constructional and typological, as well as infrastructure of waste and water management and energy production, so that it will offer an economically and feasibly comparable and sufficiently developed alternative to current practices
CT-Guided Radiofrequency Ablation of Pediatric Osteoid Osteoma Utilizing a Water-Cooled Tip
Correction of Femoral Torsional Deformities by Rotational Guided Growth
Background: Femoral torsional malalignment is a common cause of in-toeing and out-toeing in children, often leading to gait disturbances, functional limitations, and increased risk of falls. Traditionally, osteotomy was the only surgical option for correction. A minimally invasive technique known as rotational guided growth (RGG) has recently been introduced to address these malalignments. This study aims to assess the effectiveness of rotational femoral malalignment correction by rotational epiphysiodesis with tension band 8-plates (Orthofix, Verona, Italy). Methods: Eleven patients with in-toeing and out-toeing (19 femurs) were treated using RGG with 8-plates. The 8-plates were applied laterally and medially, with screws placed above and below the growth plate of the distal femur, angled obliquely to the long axis of the bone in opposite directions. Changes in foot progression angle (FPA), femoral version, the alteration in the angle between the 8-plates, and the rate of correction were recorded. Results: All patients reported functional gait improvement. The FPA was corrected from a mean of 32 degrees to 7 degrees, the femoral version improved from a mean of 60 degrees to 22 degrees. The angle between the 8-plates changed from a mean of 75 degrees to 28 degrees, with a correction rate of 4.1 degrees per month. The average time for correction was 11 months. No complications were observed during the treatment. Conclusions: RGG using 8-plates is a novel, minimally invasive surgical technique that effectively corrects rotational femoral deformities and may serve as a preferred alternative to derotational osteotomy in growing patients
