journal
https://read.qxmd.com/read/38831861/associated-injuries-and-complications-in-pediatric-pelvic-fractures-requiring-hospitalization-a-series-of-315-cases
#1
JOURNAL ARTICLE
Baojian Song, Qiang Wang, Wei Feng, Danjiang Zhu, Ziming Yao, Xuejun Zhang
PURPOSE: Pediatric pelvic fractures are uncommon. This study aimed to investigate the clinical characteristics of pediatric pelvic fractures requiring hospitalization and analyze their correlation with associated injuries and complications. METHODS: Data from 315 pediatric pelvic fracture patients admitted to our hospital from January 2006 to December 2021 were retrospectively analyzed. Sex, age, modified Torode-Zieg classification, abbreviated injury scale score, injury severity score, mortality, and concomitant injuries were analyzed...
June 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38831860/nusinersen-therapy-changed-the-natural-course-of-spinal-muscular-atrophy-type-1-what-about-spine-and-hip
#2
JOURNAL ARTICLE
Niyazi Erdem Yasar, Guzelali Ozdemir, Elif Uzun Ata, Mustafa Okan Ayvali, Naim Ata, Mahir Ulgu, Ebru Dumlupınar, Suayip Birinci, Izzet Bingol, Senol Bekmez
PURPOSE: Spinal muscular atrophy type 1 has a devastating natural course and presents a severe course marked by scoliosis and hip subluxation in nonambulatory patients. Nusinersen, Food and Drug Administration-approved spinal muscular atrophy therapy, extends survival and enhances motor function. However, its influence on spinal and hip deformities remains unclear. METHODS: In a retrospective study, 29 spinal muscular atrophy type 1 patients born between 2017 and 2021, confirmed by genetic testing, treated with intrathecal nusinersen, and had registered to the national electronic health database were included...
June 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38831859/single-versus-double-retrograde-intramedullary-nail-technique-for-treatment-of-displaced-proximal-humeral-fractures-in-children-a-retrospective-cohort-study
#3
JOURNAL ARTICLE
Eleftheria Samara, Isabella Locatelli, Benjamin Tschopp, Nicolas Lutz, Pierre-Yves Zambelli
BACKGROUND: Highly displaced proximal humeral fractures in children with low remodeling potential need to be reduced and fixed. The use of two flexible retrograde nails became the most popular fixation technique due to the excellent functional outcome, the low complication rates, and the possibility of early mobilization. A modified single retrograde technique has been suggested by the authors to address the main disadvantage of this technique, the long operative duration. The aim of this study was to compare these techniques in terms of efficacy, and clinical and radiological outcomes...
June 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38831858/maternal-risk-factors-for-congenital-vertebral-formation-and-mixed-defects-a-population-based-case-control-study
#4
JOURNAL ARTICLE
Susanna Heiskanen, Ilkka Helenius, Johanna Syvänen, Teemu Kemppainen, Eliisa Löyttyniemi, Matti Ahonen, Mika Gissler, Arimatias Raitio
BACKGROUND: The etiology and risk factors of congenital vertebral anomalies are mainly unclear in isolated cases. Also, there are no reports on the risk factors for different subgroups of vertebral anomalies. Therefore, we assessed and identified potential maternal risk factors for these anomalies and hypothesized that diabetes, other chronic diseases, smoking, obesity, and medication in early pregnancy would increase the risk of congenital vertebral anomalies. METHODS: All cases with congenital vertebral anomalies were identified in the Finnish Register of Congenital Malformations from 1997 to 2016 for this nationwide register-based case-control study...
June 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38831857/comparison-of-elastic-stable-intramedullary-nailing-versus-kirschner-wires-in-treatment-of-pediatric-radial-neck-fractures
#5
JOURNAL ARTICLE
Kaixuan Tian, Jinchao Cao, Xinjian Pei, Yuchang Liu, Tianyou Li, Yazhou Li
PURPOSE: The aim of the study was to compare the different internal fixations between elastic stable intramedullary nailing and Kirschner wires in treatment of angulated radial neck fractures. METHODS: We retrospectively reviewed the patients with radial neck fracture without associated injuries who underwent surgery approach in our department during April 2011-March 2020. There were 62 patients meeting all the criteria with complete clinical data, with median age of 7...
June 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38831856/long-term-outcomes-of-reconstructive-treatment-for-painful-dislocations-in-patients-with-cerebral-palsy
#6
JOURNAL ARTICLE
Aleksander Koch, Maciej Kasprzyk, Bartosz Musielak, Marek Jóźwiak
PURPOSE: This report presents the long-term results of the hip joint reconstruction in patients with spastic hip disease through open reduction, proximal femur varus derotation osteotomy, and Dega transiliac osteotomy. METHODS: We analyzed retrospectively patients diagnosed with a spastic form of bilateral cerebral palsy with painful hip subluxation or dislocation. All patients underwent the same surgical procedure. The minimum follow-up time was 15 years...
June 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38831855/outcomes-of-treatment-of-patella-fractures-in-children-and-adolescents
#7
JOURNAL ARTICLE
Evan W Beatty, Mathilde Hupin, Dennis E Kramer, Benjamin J Shore, Benton E Heyworth
PURPOSE: The purpose of this study is to assess clinical and functional outcomes in separate cohorts of operatively and nonoperatively managed pediatric patella fractures. METHODS: A retrospective review was completed for patients aged 5-19 years treated for a unilateral patella fracture at a single pediatric level-1 trauma center. Patients were excluded for osteochondral fracture associated with patellar dislocation, polytrauma presentation with additional fractures, or <3 months of clinical follow-up...
June 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38831854/modified-elastic-intramedullary-nail-internal-fixation-for-distal-tibial-metaphyseal-junction-fracture
#8
JOURNAL ARTICLE
Wanlin Liu, Zhenqun Zhao, Rui Bai, Chenyang Meng
OBJECTIVE: To investigate the application of modified elastic intramedullary nail and the outcomes between modified elastic stable intramedullary nailing and traditional elastic stable intramedullary nailing in children with distal tibial metaphyseal junction fracture. METHODS: A retrospective study was conducted. From January 2018 to January 2021, a total of 36 children with distal tibial metaphyseal junction fracture were treated in our hospital. All of them were treated with closed reduction and elastic stable intramedullary nailing internal fixation...
June 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38831853/online-video-resources-pertaining-to-cerebral-palsy-a-youtube-based-quality-control-study
#9
JOURNAL ARTICLE
Nicholas D Thomas, Julian Melchor, Rachel Carr, Sarah Ripps, Nicole Pham, Roei Golan, Nakul Talathi, Rachel M Thompson, David Spence, Hank Chambers
AIM: To assess the content and quality of YouTube videos related to cerebral palsy to provide insights into the online video resources available for individuals affected by cerebral palsy and suggest strategies for improvement. METHODS: YouTube videos were analyzed based on interaction parameters, content characteristics/category, and video source. Video reliability and quality were assessed using the Journal of American Medical Association benchmark, Global Quality Scale, and cerebral palsy-specific score...
June 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38831852/arthroscopic-repair-of-proximal-anterior-cruciate-ligament-tears-in-children-and-adolescents-a-systematic-review
#10
REVIEW
Marco Turati, Filippo Maria Anghilieri, Simone Daniel Gatti, Aurelien Courvoisier, Luca Rigamonti, Giovanni Zatti, Nicolas Nicolaou, Marco Bigoni
PURPOSE: Anterior cruciate ligament repair techniques are of growing interest because they allow for minimally invasive surgery that avoids harvesting of the transplant, without risking growth deficiencies in young patients. The aim of this study is to summarize the published evidence about arthroscopic repair of anterior cruciate ligament proximal tears in skeletally immature patients. METHODS: In total, four studies were included and processed for data extraction after screening for eligibility for this systematic review: one retrospective cohort study and three retrospective case series...
June 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38831851/surgical-treatment-for-congenital-vertebral-anomalies-with-bilateral-bifid-intrathoracic-rib-in-association-a-series-of-five-cases
#11
JOURNAL ARTICLE
Hanwen Zhang, Lining Zhu, Jiahao Jiao, Dong Guo, Xuejun Zhang, Ziming Yao
BACKGROUND: Congenital scoliosis is often associated with costal deformities, of which a bilateral bifid intrathoracic rib is very rare. The aim of this study was to retrospectively summarize the clinical manifestations, imaging characteristics, treatment strategies, and postoperative outcomes of five patients with bilateral bifid intrathoracic rib. METHODS: We retrospectively reviewed the imaging findings and medical records of five pediatric patients (two girls, three boys) with bilateral bifid intrathoracic rib who were surgically treated for congenital kyphoscoliosis (mean age = 8 years)...
June 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38831850/a-comparison-of-screw-and-suture-button-fixation-in-the-management-of-adolescent-ankle-syndesmotic-injuries
#12
JOURNAL ARTICLE
Luke Verlinsky, David M Heath, David A Momtaz, Boris Christopher, Aaron Singh, Steven D Gibbons
PURPOSE: Ankle injuries involving the tibiofibular syndesmosis often necessitate operative fixation to restore stability to the ankle. Recent literature in the adult population has suggested that suture button fixation may be superior to screw fixation. There is little evidence as to which construct is preferable in the pediatric and adolescent population. This study investigates outcomes of suture button and screw fixation in adolescent ankle syndesmotic injuries. METHODS: A retrospective matched cohort study over 10 years of pediatric patients who underwent ankle syndesmotic fixation at a large Level 1 Trauma Center was conducted...
June 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38567049/preoperative-gallows-traction-as-an-adjunct-to-hip-open-reduction-surgery-is-it-safe-and-is-it-effective
#13
JOURNAL ARTICLE
Nicholas C Uren, Julia Judd, Edward A Lindisfarne, Kirsten G Elliott, Alexander Aarvold
BACKGROUND: Traction is used at our hospital before open reduction in infants with developmental dysplasia of the hip. Theoretically, it reduces soft-tissue tension, allowing an easier surgical reduction and therefore lower surgical complications. Owing to extended hospital stays, potential complications, and lack of evidence, the use of traction has decreased. This study aims to quantify whether traction is safe and whether it has any demonstrable effect. METHODS: The perioperative course of 80 patients undergoing preoperative traction and hip open reduction were reviewed...
April 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38567048/does-the-addition-of-convex-uniplanar-screws-in-hybrid-constructs-improve-3d-surgical-correction-in-thoracic-adolescent-idiopathic-scoliosis-posterior-fusion
#14
JOURNAL ARTICLE
Laurie Simon, Mikael Finoco, Florence Julien-Marsollier, Adèle Happiette, Anne-Laure Simon, Brice Ilharreborde
PURPOSE: Hybrid techniques using thoracic sublaminar bands have proved their efficacy in adolescent idiopathic scoliosis posterior fusion, but clinical axial correction sometimes remained disappointing. One solution found was "the frame technique" and the second alternative was the replacement of the convex sublaminar bands by periapical uniplanar screws. The goal of this study was to compare clinical and radiological outcomes of both techniques in a consecutive cohort of adolescent idiopathic scoliosis patients...
April 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38567047/preventing-of-nonunion-in-congenital-pseudarthrosis-of-the-tibia-cases-of-crawford-type-i-and-ii-through-the-use-of-allograft-bypass-and-a-brace-midterm-findings
#15
JOURNAL ARTICLE
Chao Dong, Chengxiang Li, Ute Brückner, Hermann Hellmich, Andreas H Krieg
BACKGROUND: Congenital pseudarthrosis of the tibia is a limb deformity, which can be distressing for the affected patients and the pediatric orthopedic surgeons involved. We hypothesized that the modified McFarland procedure would avoid fractures and even have a corrective effect on the affected tibia in congenital pseudarthrosis of the tibia patients. Toward this end, we evaluated the midterm results of treating congenital pseudarthrosis of the tibia patients of Crawford Type I and II with allograft bypass combined with long-term bracing...
April 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38567046/total-hip-arthroplasty-in-patients-with-common-pediatric-hip-orthopedic-pathology
#16
REVIEW
Sara De Salvo, Ricardo Sacco, Nicolas Mainard, Ludovico Lucenti, Marco Sapienza, Alain Dimeglio, Antonio Andreacchio, Federico Canavese
PURPOSE: Literature regarding total hip arthroplasty for pediatric hip diseases is scarce. This review aims to portray the various orthopedic conditions of childhood that can lead to significant impairment of the hip joint and, ultimately, to total hip arthroplasty in adolescence and adulthood. METHODS: In total, 61 out of 3666 articles were selected according to (1) the diagnosis of one of the 12 pediatric hip pathologies (Legg-Perthes-Calvé disease, developmental dysplasia of the hip, slipped capital femoral epiphysis, neuromuscular hip dysplasia, post-traumatic avascular necrosis of the proximal femur, juvenile rheumatoid arthritis, achondroplasia, spondyloepiphyseal dysplasia, mucopolysaccharidosis, mucolipidosis, hip infections, and tumors) that required total hip arthroplasty; (2) minimum follow-up of 16 months; (3) assessed outcome with a clinical or radiologic score; (4) Methodological Items for Non-Randomized Studies quality score of 9 or higher...
April 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38567045/management-and-subsequent-outcomes-of-patellar-sleeve-injuries-a-retrospective-case-series-of-90-pediatric-and-adolescent-patients
#17
JOURNAL ARTICLE
Joseph L Yellin, Aliya G Feroe, Ian T Watkins, Helena Franco, Borna Guevel, Daniel B Haber, Mininder S Kocher
PURPOSE: This study aims to report the epidemiology of patellar sleeve injuries, describe diagnostic findings and treatment, and assess functional outcomes following different treatments. METHODS: A medical database was queried from 1990 to 2016 to identify patients ≤18 years presenting to a single pediatric institution with a patellar sleeve injury. Patients with significant comorbidities or previously operatively treated for ipsilateral knee injuries were excluded...
April 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38567044/optimizing-calibration-of-modern-skeletal-maturity-systems
#18
JOURNAL ARTICLE
Ryan J Furdock, Andrew J Moyal, Alexander Benedick, Feng-Chang Lin, Yajing Hao, Daniel R Cooperman, James O Sanders, Raymond W Liu
PURPOSE: Greulich and Pyle is the most used system to estimate skeletal maturity but has significant drawbacks, prompting the development of newer skeletal maturity systems, such as the modified Fels skeletal maturity systems based on knee radiographs. To create a new skeletal maturity system, an outcome variable, termed a "skeletal maturity standard," must be selected for calibration of the system. Peak height velocity and 90% of final height are both considered reasonable skeletal maturity standards for skeletal maturity system development...
April 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38567043/diagnostic-and-therapeutic-strategies-in-early-onset-scoliosis-a-current-concept-review
#19
REVIEW
Daniel Studer, Carol Claudius Hasler
Substantial advances in the treatment of early onset scoliosis (EOS) over the past two to three decades have resulted in significant improvements in health-related quality of life of affected children. In addition to classifications that address the marked heterogeneity of this patient population, increasing understanding of the natural history of the disease, and new implants and treatment techniques have resulted in innovations unlike any other area of pediatric orthopedics. The growing understanding of the interaction between spinal and thoracic growth, as well as dependent lung maturation, has had a lasting impact on the treatment strategy of this potentially life-threatening disease...
April 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38567042/radiographic-outcome-after-greater-trochanteric-epiphysiodesis-in-patients-with-perthes-disease
#20
JOURNAL ARTICLE
Ann-Carolin Osterholt, Bernd Bittersohl, Bettina Westhoff
PURPOSE: Legg-Calvé-Perthes disease often leads to greater trochanteric overgrowth, which negatively affects the biomechanics of the hip joint. This study aimed to evaluate the physiologic growth of the greater trochanter and the effectiveness of greater trochanteric epiphysiodesis radiographically. METHODS: Retrospectively, 46 children (33 male, average age at greater trochanteric epiphysiodesis 8 ± 1.3 years) with unilateral Legg-Calvé-Perthes disease undergoing greater trochanteric epiphysiodesis with screws and curettage of the epiphysis were included...
April 2024: Journal of Children's Orthopaedics
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