John E. (Jack) Handelsman, MD, FRCS, MCh Orth
is Chief Emeritus of Pediatric Orthopaedic Surgery
at the Children’s Hospital of the North Shore/Long Island Jewish Medical Center and Chairman Emeritus of the Orthopaedic Department. With over 40 years of experience, he serves as a Clinical Professor of Orthopaedic Surgery and Pediatrics at the School of Medicine at Hofstra University, Hempstead, New York.
Dr. Handelsman is presently in private practice. He is a member of the attending staff of Cohen Children’s Medical Center of North Shore/LIJ, New Hyde Park, Hospital for Joint diseases, NYU Langone Medical Center, Manhattan and Nassau University Medical Center, Hempstead, New York. He is available to review medical records, perform IME's, and provide Expert Witness Testimony
on behalf of both Plaintiff and Defense.
Areas of Expertise
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- Pediatric Orthopaedic Surgery
- Orthopaedics in Adolescents
- Pediatric Trauma - Fractures, Growth Plate Injuries, Dislocations
- Child Abuse – Fractures, Fragile Bones (Osteogenesis Imperfecta
- Pediatric Neuromuscular Diseases - Cerebral Palsy, Spina Bifida, Muscular Dystrophy, Peripheral Neuropathies
- Hip Diseases in Children - Hip Dislocation, Perthes Disease, Slipped Capital Femoral Epiphysis
- Peripheral Deformities - Club Foot, Rocker Bottom Foot, Pes Cavus, Pes Planus, Leg Length Discrepancy, Missing Bones
- Lower Limb Deformities – Club Foot, Flat Foot, Rocker Bottom Foot, Leg Length Discrepancy, Missing Bones
Torsional problems of the femur have been traditionally treated by a proximal osteotomy with internal fixation. We elected to perform femoral derotational osteotomies distally. Between September 1994 and April 2001, supracondylar osteotomies were performed on 38 femora in 21 children with torsional and angular deformities. The average age was 9 years (range 5-15 years). Twenty-three femora had excessive anteversion and fifteen, retroversion. All osteotomies were maintained by the small AO external fixator.
Patients with fixed equinus and associated angular and rotational deformities, who have had multiple previous surgeries, present a significant challenge to the orthopaedic surgeon. We chose to correct these deformities with supramalleolar extension wedge osteotomies in 21 feet in 13 patients between 1991 and 2002. The median age at presentation was 11 years (range: 2-17 years). An average correction of 20" of extension (range: 10-33") was required to achieve a plantigrade foot. Fourteen of 20 feet (70%) remained plantigrade at a mean follow-up of 6 years.
Traditional methods of correcting malunited distal humeral fractures in children involve complex wedge osteotomies held with pins or internal fixation devices.