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Dr. Terebessy Tamás Anatomical problems in orthopaedic surgery

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Presentation on theme: "Dr. Terebessy Tamás Anatomical problems in orthopaedic surgery"— Presentation transcript:

1 Dr. Terebessy Tamás Anatomical problems in orthopaedic surgery
Semmelweis University, Department of Orthopaedics

2 The subjects of pediatric orthopaedics
Developmental disorders Bone dysplasias Infection Metabolic and endocrine diseases Deformities of the bones and joint Neuromuscular diseases Bone tumors and tumorlike lesions

3 Congenital and developmental disorders

4 Torticollis muscularis congenitus

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8 Sprengel deformity

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11 Congenital Dislocation of the Hip CDH
Developmental Dysplasia of the Hip DDH

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19 Coxa vara congenita

20 Congenital knee luxation

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24 Neuromuscular diseases

25 Cerebral Palsy

26 Hemilplegia Ribera ( ) : Le Pied Bot (Louvre)

27 Examination in CP

28 Surgical treatment in CP
Achillotomy

29 Examination in CP Rectus femoris test (Ely test)

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34 Diplegia Subluxation and luxation of the hip in CP

35 Subluxation of the hip in CP

36 Subluxation and luxation of the hip in CP
Luxated hip Luxated hip

37 Subluxation and luxation of the hip in CP
Preventive adductor release combined with iliopsoas release

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39 Open reduction and varisation-derotation femur osteotomy
(with femur shortening + iliopsoas release) Proximal femoral resection

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41 Muscular Dystrophy Gowers sign Child has thoracolumbar lordosis
Calf pseudohypertrophy Child has thoracolumbar lordosis Muscular Dystrophy Gowers sign

42 Epiphyseolysis capitis femoris

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44 Anatómiai és élettani tulajdonságok
Slipped Capital Femoral Epiphysis Anatómiai és élettani tulajdonságok A femur proximális physisének változóan hullámzó jellege Az antilop distalis femur physise.

45 The histologic zone of failure varies with the type of loading
Slipped Capital Femoral Epiphysis The histologic zone of failure varies with the type of loading EPIHYSIS PHYSIS Germinal Columnation TENSION SHEAR Hypertrophic COMPRESSION Ossification METAPHYSIS

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49 Deformities of the bone and joints

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60 Scheuermann disease

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65 Scoliosis

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80 Bone dysplasias Achondroplasia

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92 What is the danger of the deformities ?

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100 Thank you for your attention!


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