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Journal of Pediatric Orthopedics. Part B | Page 2

Angelo G Aulisa, Marco Giordano, Vincenzo Guzzanti, Francesco Falciglia, Paolo Pizzetti, Renato M Toniolo
Although several procedures for treating scoliosis have been developed, the most effective treatment is still based on early detection. For early diagnosis of idiopathic scoliosis, many authors have proposed methods of school screening; however, there is still no standardized screening program. The aim of this study was to evaluate a school screening method and the prevalence and distribution of scoliosis in Italian school children, aged 9-14 years, and to determine if the screening method can reduce morbidity in an Italian territory...
February 22, 2019: Journal of Pediatric Orthopedics. Part B
Lee S Haruno, J Herman Kan, Michael J Rivlin, Scott B Rosenfeld, Erica K Schallert, Huirong Zhu, Vinitha R Shenava
Spica MRI with intravenous gadolinium contrast after closed reduction for developmental dysplasia of the hip (DDH) helps to determine successful reduction and attempts to identify patients at risk for epiphyseal osteonecrosis. The objective of our study was to evaluate spica MRI predictors for epiphyseal osteonecrosis after closed reduction. Retrospective study for all patients undergoing closed reduction for DDH followed by gadolinium-enhanced spica MRI between July 2011 and November 2014. Patient demographics and clinical follow-up through 2017, including the development of epiphyseal osteonecrosis and need for reintervention after the initial reduction, were recorded...
February 22, 2019: Journal of Pediatric Orthopedics. Part B
Sergey S Leonchuk, Konstantin I Novikov, Koushik N Subramanyam, Natalya G Shikhaleva, Mairbek K Pliev, Abhishek V Mundargi
The aim of this study was to examine the effectiveness of Ilizarov method in severe congenital flexion deformity of the knee. This was a retrospective study of eight consecutive bilateral cases (five girls and three boys, with mean age of 4 years, involving 16 knees) with minimum 2-year follow-up. Four patients had multiple congenital contractures and two patients each had popliteal pterygium syndrome and complete tibial hemimelia. All patients were treated with Ilizarov fixator and gradual correction (additional soft tissue releases in three knees)...
February 21, 2019: Journal of Pediatric Orthopedics. Part B
Hannes Kubo, Hakan Pilge, Jan-Philipp Holthoff, Bettina Westhoff, Ruediger Krauspe
We evaluated the success of treatment of unstable hip joints with the Fettweis plaster followed by MRI to detect potential treatment failures. A total of 132 ultrasound-detected unstable hips of type D, III, or IV according to Graf were treated with closed reduction and Fettweis plaster, followed by MRI. We examined 19 type D, 55 type III, and 58 type IV. Mean age at diagnosis was 84.5 days (SD: ±55.4). Treatment period was 63.2 days (SD: ±22.2). In 13 cases, the MRI showed a poor reduction. After repetition of this treatment, all 13 showed a concentric reduction...
February 21, 2019: Journal of Pediatric Orthopedics. Part B
Wei Xiang Ng, Chung Yuan Kau, Vivienne Chien Lin Ho, Jordan Wei Peng Ng, Beatrice Jia Ying Lee, Nicole Kim Luan Lee, Kevin Boon Leong Lim
To investigate whether the timing of surgery and surgical technique affect the rate of osteonecrosis in unstable slipped capital femoral epiphysis (SCFE). This is a retrospective review of all unstable slips that were treated at our institution over 8.5 years with a minimum follow-up period of 12 months. Patients with stable slips were excluded from this analysis. Demographic data, time to surgery, and surgical technique were analyzed. Twenty-three unstable slips were included for study after excluding 40 stable slips...
February 21, 2019: Journal of Pediatric Orthopedics. Part B
Lorenza Marengo, Mattia Cravino, Carlo Origo
The purpose of this study was to investigate the current practice among Italian pediatric orthopedic surgeons concerning management of Gartland type III supracondylar humerus fractures (SHFs). A total of 17 Italian pediatric orthopedic surgeons were asked to complete a questionnaire about their attitudes and practices concerning Gartland type III SHF treatment in 2015. Overall, 67% of the fractures were treated in a delayed fashion (>6 h after patient presentation to the emergency department). Moreover, the method of fixation was lateral-only pinning (64% of the cases)...
May 2019: Journal of Pediatric Orthopedics. Part B
Antonio Andreacchio, Federico Canavese, Pasquale Farsetti
No abstract text is available yet for this article.
May 2019: Journal of Pediatric Orthopedics. Part B
Giovanni Gallone, Giovanni Trisolino, Stefano Stilli, Giovanni L Di Gennaro
The treatment of a missed Monteggia (MM) fracture dislocation is still controversial. We describe our initial experience with ulnar osteotomy and progressive correction with unilateral external fixator in MM. We retrospectively evaluated 20 children undergoing ulnar osteotomy and progressive distraction angulation by unilateral external fixator to treat MM. Nine patients had closed reduction, whereas 11 patients had simultaneous open reduction, repair, or reconstruction of the annular ligament and K-wire stabilization of the radiocapitellar joint...
May 2019: Journal of Pediatric Orthopedics. Part B
Avi Shah, Rujuta Mehta, Alaric Aroojis
The Ponseti method is well-established for the treatment of clubfoot in younger babies; however, its effectiveness in older children is still unclear. The aim of our study was to report our results of the 'traditional' Ponseti method in the management of clubfoot in children of walking age. A total of 56 (81 clubfeet) children with a mean age of 3.16±2.35 years (1-10 years) were divided into two groups: group I consisted of 12 (18 clubfeet) patients with a mean age of 3.36±2.7 years (range: 1-8.4 years) who presented with an untreated clubfoot whereas group II consisted of 44 (63 clubfeet) patients with a mean age of 3...
March 2019: Journal of Pediatric Orthopedics. Part B
Yasmin D Hailer, Eva Penno
It is unclear how patient-reported outcome in patients with Legg-Calvé-Perthes disease (LCPD) is correlated with radiographic outcome. It was therefore the aim of our long-term follow-up to evaluate the agreement of patient-reported outcome measures (PROM) with radiographic outcome in patients with a history of unilateral LCPD and a femoral head involvement of more than 50%. We further investigated to what extent the functional outcome (range of motion and Trendelenburg sign) correlates with PROM and radiographic outcome...
March 2019: Journal of Pediatric Orthopedics. Part B
Sarah J Wordie, Mark S Gaston, Gunnar Hägglund, Tomasz Czuba, James E Robb
This laboratory study evaluates head shaft angle (HSA) reliability using ranges of simulated femoral orientation often seen in children with cerebral palsy. A dry femur was mounted in a jig that enabled the bone to be positioned in a range of internal and external rotation (-40° to +40°) and flexion (0°-60°), alone or in combination. A metal wire was placed as a surrogate physis to give two HSA angles of 140° and 160°. Radiographs were taken of the femur in differing combinations of rotation, flexion and the two HSA angles...
February 15, 2019: Journal of Pediatric Orthopedics. Part B
Elizabeth B Gausden, Christopher M Brusalis, Rameez A Qudsi, Ishaan Swarup, Michael Fu, Emily Dodwell, Peter D Fabricant
Antifibrinolytics (AFs) stabilize blood clot formation and reduce bleeding. The purpose of this systematic review and meta-analysis was to determine the impact of AF use on intraoperative blood loss and the need for blood transfusion in pediatric orthopedic surgery. A systematic review was performed using Medline and Embase to identify studies that utilized AFs during pediatric orthopedic surgery. The primary outcome measure was intraoperative blood loss in ml. Secondary outcomes included blood transfusion and thromboembolic events...
February 15, 2019: Journal of Pediatric Orthopedics. Part B
Ryan D Snowden, Vincent W Prusick, Donna J Oeffinger, Henry J Iwinski, Ryan D Muchow
This study assessed the rate of adverse wound events in individuals with adolescent idiopathic scoliosis who underwent a posterior spinal fusion and sought to determine if obesity was related to the rate of adverse wound events. A retrospective review of patients with adolescent idiopathic scoliosis that underwent posterior spinal fusion between 2001 and 2013 was performed. Preoperative, perioperative, and postoperative data, including wound adverse events, were obtained through medical record review. Using the Center for Disease Control BMI criteria, participants were grouped into overweight/obese (BMI%≥85 percentile) or healthy/underweight (BMI%<85 percentile) groups...
February 13, 2019: Journal of Pediatric Orthopedics. Part B
Eva Pontén, Ferdinand von Walden, Catarina Lenke-Ekholm, Britt-Marie Zethraeus, Ann-Christin Eliasson
To evaluate whether short-term positive effects on bimanual function after surgery of the paretic arm in cerebral palsy are maintained long term. Assisting Hand Assessment (AHA) and active range of motion was tested before surgery and at 7 month and 9-year follow-up (n=18). AHA improved significantly from 50 to 52 U at 7 months, but was not different from before surgery at the 9-year follow-up, 49 U. Surgery of wrist and elbow flexors significantly improved active extension. Improvement in wrist and elbow extension was maintained at the 9-year follow-up, but usefulness of the hand measured with AHA had returned to the same level as before surgery...
February 12, 2019: Journal of Pediatric Orthopedics. Part B
Gloria Hui Min Cheng, Claris Jia-Yi Shi, Beatrice Jia Ying Lee, Kevin Boon Leong Lim
Cast immobilization is a noninvasive and effective option in the treatment of fractures in children. However, its use can be associated with complications, such as pressure sores, skin infections, thermal injuries, and joint stiffness. In clinical practice, retained foreign objects in casts are not uncommon. This study aims to ascertain reasons for foreign objects being retained in casts and their effects on the skin. Eighteen children with retained foreign objects in their casts were identified and interviewed...
February 12, 2019: Journal of Pediatric Orthopedics. Part B
Pasquale Guida, Antonio Casaburi, Teresa Busiello, Daniela Lamberti, Antonio Sorrentino, Luigi Iuppariello, Marietta D'Albore, Francesco Colella, Fabrizio Clemente
The aim of this study is to implement the clinical use of the three-dimensional (3D) design and printing technology in pediatric pathologies requiring immobilization. We describe the manufacturing process of the 3D device in place of the plaster cast usually applied to a child 48/72 h after the access to the Trauma Center Traumatology Hub. This procedure had already been performed at Level II, Trauma Center, Campania Region, Orthopaedic Division of Santobono Children's Hospital, Naples, Italy. The operative phase was performed by two 3D printers and a scanner in the bioengineering laboratory of the hospital's outpatient area...
February 12, 2019: Journal of Pediatric Orthopedics. Part B
Bensen Fan, Caixia Zhao, Sanjeev Sabharwal
There is limited information regarding the use of temporary hemiepiphysiodesis for Blount disease. We performed a systematic review of patients treated for Blount disease using either extraperiosteal staples or plates to identify characteristics affecting clinical outcome, including the need for unplanned procedures. A total of 53 patients (63 bone segments) underwent temporary hemiepiphysiodesis at a mean age of 8.8 years (1.8-14.7 years). Overall, 32/63 (51%) segments achieved neutral mechanical axis and 31/63 (49%) underwent unplanned subsequent procedures, with or without a subsequent osteotomy...
February 6, 2019: Journal of Pediatric Orthopedics. Part B
Rahul Ranjan, Alok Sud, Debashis Adhikary, Abhinav Sinha, Suresh Chand
The incidence and risk factors of distal tibia/fibula fracture, an uncommon complication during Ponseti manipulation, are unknown. We evaluated 222 virgin clubfeet of patients aged less than 3 years for fractures of distal tibia/fibula. Incidence rate was found to be 1.3% per year. Associated risk factors were identified as neglected, syndromic clubfeet, feet requiring greater than 10 casts, post-tenotomy dorsiflexion less than 10° and casting by physician with less than 3 years of casting experience, with odds ratios of 14, 28, 4...
February 6, 2019: Journal of Pediatric Orthopedics. Part B
Gauri A Oka, Ashish S Ranade, Aditi A Kulkarni
Back pain in children is a complex phenomenon, which has been shown to be associated with physical and psychosocial factors. None of the studies on Indian children have investigated the possible association between back pain and psychosocial factors. We decided to determine the prevalence of back pain in students and association with both physical and psychosocial factors. A cross-sectional study was conducted on 163 students from two city schools. Physical factors were evaluated using a structured questionnaire...
February 4, 2019: Journal of Pediatric Orthopedics. Part B
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