Our aim was to investigate the predictive factors for the development
of a rebound phenomenon after temporary hemiepiphysiodesis in children
with genu valgum. We studied 37 limbs with idiopathic genu valgum who were treated
with hemiepiphyseal stapling, and with more than six months remaining
growth at removal of the staples. All children were followed until
skeletal maturity or for more than two years after removal of the
staples.Aims
Patients and Methods
Ion implantation with a high kinetic energy has advantages in controlling the size and distribution of coating materials, helping to overcome the limitations of conventional methods. This method resulted in uniformly and homogeneously distributed in a CoCr alloy even without a further annealing process. The study was to investigate the wear rate of UHMWPE on CoCr alloy for metal head by plasma immersion ion implantation (PIII) treatments. Commercially CoCr alloy (ISO 5832-12, ASTM F1537, alloy 1) were used as the substrate. PIII surface treatments were performed in a high-vacuum chamber with a radio frequency plasma source. We divided with two groups: PIII CoCr alloy, CoCr ally as control. Wear amount of UHMWPE (ISO 5834-2, ASTM F648, Type 1) on CoCr alloy specimens (three samples per group) was evaluated after 500,000 and 1,000,000 cycles using pin-on disk wear tester. After test, surface morthology was examined by SEM, and surface roughness was calculated in both groups.Purpose
MATERIALS AND METHODS
We treated 32 displaced mallet finger fractures by a two extension block Kirschner-wire technique. The clinical and radiological outcomes were evaluated at a mean follow-up of 49 months (25 to 84). The mean joint surface involvement was 38.4% (33% to 50%) and 18 patients (56%) had accompanying joint subluxation. All 32 fractures united with a mean time to union of 6.2 weeks (5.1 to 8.2). Congruent joint surfaces and anatomical reduction were seen in all cases. The mean flexion of the distal interphalangeal joints was 83.1° (75° to 90°) and the mean extension loss was 0.9° (0° to 7°). No digit had a prominent dorsal bump or a recurrent mallet deformity. We believe that this technique, when properly applied, produces satisfactory results both clinically and radiologically.
