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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
|
pubmed:dateCreated |
1976-8-2
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pubmed:abstractText |
Epiphyseal slipping in uraemia differs strikingly from juvenile epiphyseal slipping with respect to pathology and therapy. Based on our own experience with the treatment of 8 uraemic children with epiphyseal slipping, an effort was made to establish the respective indications for conservative and surgical treatment. Mechanical stabilization of slipped epiphyses was achieved within a few weeks without any surgery and usually without parathyreoidectomy by vitamin D3 alone. The initial dose was 10,000 to 30,000 I.U./day, the total curative dose 1.8 to 5.6 millions I.U. Prolonged immobilization was unnecessary. Rising urinary calcium excretion was a valuable indicator of vitamin D intoxication even in advanced renal failure. In one case, pronounced metaphyseal deformations (distal femur, distal tibia) required surgical correction before the ability to walk normally was restored. - The following therapeutical approach is recommended: metabolic bone disease must be cured by vitamin D therapy with or without parathyreoidectomy. Osteotomy to correct metaphyseal deformities or coxa vara epiphysaria never should be performed before metabolic bone disease is healed.
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pubmed:language |
ger
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
May
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pubmed:issn |
0023-2173
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
1
|
pubmed:volume |
54
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
405-13
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:178948-Adolescent,
pubmed-meshheading:178948-Calcium,
pubmed-meshheading:178948-Child,
pubmed-meshheading:178948-Child, Preschool,
pubmed-meshheading:178948-Cholecalciferol,
pubmed-meshheading:178948-Epiphyses, Slipped,
pubmed-meshheading:178948-Female,
pubmed-meshheading:178948-Hip Joint,
pubmed-meshheading:178948-Humans,
pubmed-meshheading:178948-Joint Diseases,
pubmed-meshheading:178948-Male,
pubmed-meshheading:178948-Phosphates,
pubmed-meshheading:178948-Uremia,
pubmed-meshheading:178948-Vitamin D
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pubmed:year |
1976
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pubmed:articleTitle |
[Management of slipped epiphyses in renal osteodystrophy (author's transl)].
|
pubmed:publicationType |
Journal Article,
English Abstract
|