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Journal of Pediatric Orthopedics. Part B

Khaled M Zaghloul, Ahmed Mostafa Saied, Bassam A Abouelnas, Wael Ali M Al Adl
A structural graft is often used to maintain correction and achieve union after anterior calcaneal lengthening osteotomy for treatment of flexible flatfoot. Autograft, the current gold standard, is limited in availability and configuration and is associated with donor site morbidity in as much as 48%, whereas the alternative allograft carries risks of disease transmission and collapse. Polyaryletherketone cage, with a healing rate similar to that of autograft, high stability, and no donor-site morbidity, has been used in spine surgery...
July 29, 2019: Journal of Pediatric Orthopedics. Part B
Emrah Caliskan, Ali Bicimoglu
No abstract text is available yet for this article.
July 29, 2019: Journal of Pediatric Orthopedics. Part B
Yosif Mansor, Amir Givon, Nir Sherr-Lurie, Anna Seltser, Amos Schindler, Uri Givon
OBJECTIVE: Displaced supracondylar fractures of the humerus (SCFH) require surgical treatment, most commonly closed reduction with pin fixation. Postoperative displacement following pin fixation is uncommon. Routinely, an early follow-up visit with a radiograph was recommended after fixation of SCFH. The aim of this study was to examine the rate of displacement of SCHF treated with pin fixation using objective radiologic measurements and to determine the need for the early follow-up radiographs...
July 29, 2019: Journal of Pediatric Orthopedics. Part B
Jin A Yoon, Da Hwi Jung, Je Sang Lee, Soo-Yeon Kim, Yong Beom Shin
The aim of this study was to assess the angular components of the affected foot associated with valgus deformity of the unaffected foot and to redefine the actual leg-length inequality in unilateral cerebral palsy. We retrospectively reviewed the medical records and radiologic images of 76 patients with unilateral cerebral palsy. Weight-bearing plain radiography of both feet of each subject was obtained. Angular measurements focused on the collapse of the longitudinal arch, hind foot valgus and forefoot abduction...
July 29, 2019: Journal of Pediatric Orthopedics. Part B
Alexander Nazareth, Michael J Gyorfi, Susan A Rethlefsen, Benjamin Wiseley, Kenneth Noonan, Robert M Kay
The study aim was to compare methods of anterior distal femoral hemiepiphysiodesis (ADFH) for treatment of fixed knee flexion deformities in ambulatory children with neuromuscular conditions and flexed knee gait. This is a retrospective review of 47 children (14 female, 33 male, age at surgery: 12.1 ± 2.7 years) who underwent ADFH between 2009 and 2016. Subjects were grouped by ADFH construct: one transphyseal screw (N = 11), two transphyseal screws (N = 28) or plates and screws (P/S group, N = 8). Clinical/radiographic variables were analyzed using paired t tests, χ tests, multiple regression and analysis of covariance...
July 29, 2019: Journal of Pediatric Orthopedics. Part B
Naji S Madi, Karim Z Masrouha, Rachid K Haidar, Said S Saghieh
No abstract text is available yet for this article.
July 24, 2019: Journal of Pediatric Orthopedics. Part B
Pooya Hosseinzadeh, Naveen Pokala, Zachary Meyer, Arya Minaie, Christina Brea, Derek Gonzalez, Gary M Kiebzak
There has been minimal research regarding the clavicle's growth and its clinical implications in the late adolescent and early adult population. Previous studies have evaluated postnatal clavicle growth to age 18 without analysing growth through the age of secondary ossification center closure. The purpose of this study was (1) to determine clavicle length and age-related growth in males and females from age 12 to 25 years and (2) to specifically analyse clavicle growth in late adolescence. This was a retrospective analysis of chest radiographs in patients aged 12-25 years...
July 24, 2019: Journal of Pediatric Orthopedics. Part B
Ilaria Sanzarello, Matteo Nanni, Fabrizio Perna, Francesco Traina, Cesare Faldini
Congenital vertical talus is an uncommon rigid flatfoot deformity present at birth, producing pain and disability if untreated. This study reports results and complications in a series of walking children affected by neglected congenital vertical talus treated by one-stage release through a double surgical approach in a hospital sited in the Tanzanian rural outback. Between 2009 and 2014, nine consecutive congenital vertical talus were observed in five patients (three males and two females) aged between 2 and 4 years...
July 24, 2019: Journal of Pediatric Orthopedics. Part B
Luiz Antônio Munhoz da Cunha, Luiz Muller Ávila, João Rodolfo Radtke Gonçalves, Suelin Pereira, Carmen Mayanna Jamur, Bruna Medeiros de Souza
The supracondylar humerus fracture is the most common elbow fracture in children, corresponding to 58% of these cases. The objective of this study is to report a rare postoperative complication, the pseudoaneurysm of the brachial artery. A 9-year-old girl with was admitted with a Gartland III supracondylar fracture of the right humerus, presenting normal neurological and vascular exams. The patient underwent a surgical treatment with percutaneous fixation and immobilization and was re-evaluated after 2 and 4 weeks...
July 24, 2019: Journal of Pediatric Orthopedics. Part B
Tamer A El-Sobky, Shady Samir, Shady Mahmoud
Congenital vertical talus is a rare and complex foot anomaly. Serial casting with or without minimally invasive surgery is a universal management strategy especially for children in the first year of life. Nevertheless, extensive surgical treatment of late-presenting, neglected and multiple operated children with congenital vertical talus may be required with guarded results. The results of naviculectomy as a more conservative intervention and directed exclusively at ambulatory children with intractable congenital vertical talus have not been reported...
July 24, 2019: Journal of Pediatric Orthopedics. Part B
Neeraj M Patel, Christopher R Gajewski, Anthony M Ascoli, J Todd R Lawrence
The use of a washer to supplement screw fixation can prevent fragmentation and penetration during the surgical treatment of pediatric medial epicondyle fractures. However, concerns may arise regarding screw prominence and the need for subsequent implant removal. The purpose of this study is to evaluate the impact of washer utilization on the need for hardware removal and elbow range of motion (ROM). All pediatric medial epicondyle fractures treated with a single screw over a 7-year period were queried for this retrospective case-control study...
July 24, 2019: Journal of Pediatric Orthopedics. Part B
Luis Riera-Álvarez, Juan Pons-Villanueva
No abstract text is available yet for this article.
July 11, 2019: Journal of Pediatric Orthopedics. Part B
Ajay Puri, Ashish Gulia, Vineet John Kurisunkal, Vivek Sukumar, Bharat Rekhi
OBJECTIVES: To evaluate the characteristics and oncologic outcomes of a single institution series of chondrosarcoma of pelvis and extremities in patients who were 21 years or younger. METHODS: Between January 2006 and December 2016, we operated on 249 chondrosarcomas of the pelvis and extremities. Eleven (4%) of these were 21 years or younger. RESULTS: The mean age was 18 years (range 14-21 years). There were eight males and three females...
July 11, 2019: Journal of Pediatric Orthopedics. Part B
Daniel A Maranho, Patricia Miller, Young-Jo Kim, Eduardo N Novais
Overcoverage of the femoral head by the acetabulum, increased acetabular depth and retroversion have been associated with the etiology of slipped capital femoral epiphysis (SCFE). However, limited evidence exists about the impact of the acetabular morphology on the development of a contralateral slip following an initial presentation of unilateral SCFE. We aimed to investigate whether acetabular overcoverage as assessed by an increased lateral center-edge angle (LCEA) and low Tönnis angle, increased acetabular depth assessed by the acetabular depth-width ratio (ADR) and the presence of coxa profunda; and acetabular retroversion assessed by the presence of the crossover sign were associated with a contralateral slip in patients presenting with unilateral SCFE...
July 11, 2019: Journal of Pediatric Orthopedics. Part B
Noppachart Limpaphayom, Sara Stewart, Lin Wang, Jenny Liu, Tae S Park, Matthew B Dobbs
Many surgical options have been proposed to improve the ambulatory status of children with spastic cerebral palsy (CP), but none have focused on addressing both spasticity and lower extremity tendon contractures. The purpose of this study is to evaluate the results of selective dorsal rhizotomy (SDR) followed by minimally invasive tendon lengthening allowing immediate return to ambulation. Two hundred fifty-five spastic CP patients (who received SDR procedure at an average age of 6.9±2.6 years and tendon lengthening procedure at an average age of 7...
July 11, 2019: Journal of Pediatric Orthopedics. Part B
Peter J Wilton, Corey A Burke, Serkan Inceoglu, Scott C Nelson, Martin J Morrison
To test the compressive strength and torsional stiffness provided by the addition of a two-pin external fixator to an unstable pediatric femoral shaft fracture model after being instrumented with flexible intramedullary nailing (FIMN), and to compare this to bridge plating and FIMN alone. A length-unstable oblique diaphyseal fracture was created in 15 pediatric sized small femur models. Fracture stabilization was achieved by three constructs: standard retrograde FIMN with two 3.5-mm titanium (Ti) nails (Group 1), FIMN augmented with a two-pin external fixator (Group 2), and a 4...
July 11, 2019: Journal of Pediatric Orthopedics. Part B
Geovanny Oleas-Santillán, James Richard Bowen
Knee-flexion deformity in arthrogryposis multiplex congenita is treated by serial casting into extension, distal femoral osteotomies, distal femoral-guided growth, hemiepiphysiodesis, external fixation, capsulotomy, and soft-tissue releases. We are aware of four cases treated by distal anterior femoral-guided growth with tension band plates in which an unreported complication occurred: the screws of the tension band plates penetrated the posterior cortex of the femur during remodeling with metaphyseal funnelization risking the neurovascular bundle...
July 11, 2019: Journal of Pediatric Orthopedics. Part B
Neeraj M Patel, David H Mai, Austin J Ramme, Mara S Karamitopoulos, Pablo Castañeda, Alice Chu
The purpose of this study is to analyze trends in the epidemiology of paediatric stress fractures. The New York Statewide Planning and Research Cooperative System database was queried for stress fractures in children between the ages of 6 and 18 years. After checking for monotonicity of the data, Spearman's correlation coefficient was calculated. Multivariate regressions were used to test for associations between demographic variables and risk of stress fracture. Analysis of 11 475 386 outpatient visits between 2000 and 2015 showed that the annual incidence of paediatric stress fractures increased from 1...
July 11, 2019: Journal of Pediatric Orthopedics. Part B
Hakan Atalar, Cuneyd Gunay, Sacit Turanli, Aslı Koktener
Currently, hip sonography is used for early diagnosis and for monitoring developmental dysplasia of the hip (DDH) treatment in many countries. An early pioneer of ultrasonography for early diagnosis of DDH was Graf. Based on the Graf approach, hip ultrasonography is more sensitive and specific than radiography for the diagnosis of DDH, because of its capability to show cartilaginous structures of the hip joint. The aim of this study was to compare radiographic and ultrasonographic findings in patients treated for DDH...
July 11, 2019: Journal of Pediatric Orthopedics. Part B
Zhe Yuan, HongWen Xu, YiQiang Li, JingChun Li, YanHan Liu, Federico Canavese
The aim of this study was to compare the clinical and radiological outcomes in children with acute Monteggia fracture treated by two different surgical techniques. Twenty-six children treated by either closed reduction and external fixation (group A) or elastic stable intramedullary nails (group B) were retrospectively reviewed. Clinical outcome was evaluated with the Quick DASH questionnaire. Overall, both surgical techniques provided similar excellent healing rates and good clinical outcomes (P > 0.05), as well as radiological outcomes (P > 0...
July 11, 2019: Journal of Pediatric Orthopedics. Part B
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