-
Logistic regression analysis of multiple rapid admission hematological indicators to determine the risk of osteomyelitis in infected children. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-10-31 Hua Zhu,Chen Wang,Yan Zou,Kang Wang,Xiangchao Yin,Wenzi Li,Xiaokang Zhou,Lei Zhen
To analyze the differences of multiple rapid admission hematological indicators between children with acute osteomyelitis (AO) and children with other orthopedic infectious diseases and clarify the characteristics of admission inspection hematological indicators of children with AO. Retrospective analysis of this pilot study was proceeded on 144 children with limbs infectious diseases, who were treated
-
Fate of acetabular dysplasia after closed and open reduction of hips in children with developmental hip dislocation. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-10-31 Abhishek Tippabhatla,Beltran Torres-Izquierdo,Jason L Cummings,Scott Rosenfeld,Megan Johnson,Rachel Goldstein,Gaia Georgopoulos,Lindsay Stephenson,Pooya Hosseinzadeh
Acetabular underdevelopment (acetabular dysplasia) is a common finding in children with hip dislocation, and residual acetabular dysplasia can remain after hip reduction. Residual dysplasia leads to unsatisfactory long-term outcomes and osteoarthritis. Dynamics of acetabular dysplasia [measured as Acetabular Index (AI)] in a pediatric cohort that underwent open (OR) or closed reduction are reported
-
Femoral fractures and abuse in children under 36 months old: a Swiss case series. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-10-31 Giacomo de Marco,Raimonda Valaikaite,Moez Chargui,Benoit Coulin,Oscar Vazquez,Anne Tabard-Fougère,Christina N Steiger,Romain Dayer,Dimitri Ceroni
Abuse should be suspected in infant femoral fractures without significant trauma, especially if the child is non-ambulatory. Review the epidemiological and radiological characteristics of femoral fractures in children under 36 months old to identify those potentially related to child abuse. Cases involving 102 patients presenting with 103 femoral fractures between January 1990 and December 2020 were
-
Interference screw versus suture button fixation for tibialis anterior tendon transfer: a biomechanical analysis. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-10-31 Zachary Meyer,Daniel Bohl,Jacob Zide,William Pierce,Brad Niese,Claire Shivers,Jordan Polk,Yassine Kannan,Anthony I Riccio
Tibialis anterior tendon (TAT) transfer to the lateral cuneiform is commonly utilized to treat dynamic supination for relapsed clubfoot deformity. Traditional suture button fixation (SBF) may lead to skin necrosis at the button/skin interface. While interference screw fixation (ISF) would mitigate this concern, this fixation method has not been investigated in clubfoot patients. This study aims to
-
Ultrasound evaluation of the femoral trochlea in newborns: incidence of trochlear dysplasia and associated risk factors. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-10-31 Javier Masquijo,Angeles Bruno,Agustina Warde,Carola Mónico,Florencia Turazza
This study aimed to describe the femoral groove morphology using ultrasound in children under 6 months, estimate the incidence of trochlear dysplasia, and evaluate associated risk factors. A prospective study included 298 patients who underwent universal ultrasound screening for hip dysplasia [developmental dysplasia of the hip (DDH)] and knee ultrasound. Measurements of sulcus angle (SA), trochlear
-
Reply to letter to editor regarding the article: 'Use of lateral-exit crossed-pin fixation for pediatric supracondylar humeral fractures: a retrospective case series'. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-10-09 Yeo-Hon Yun,Mi Hyun Song
-
Subject matter predicts where top pediatric spine articles are shared: citations vs. social media. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-10-09 Daniel Farivar,Kenneth D Illingworth,Adrian J Lin,Evan D Nigh,Ryan Finkel,David L Skaggs
Systematic review. The purpose of this study was to compare the top 25 articles on pediatric spine surgery by number of citations and Altmetric score. All published articles pertaining to pediatric spine surgery from 2010 to 2021 were assessed for: Altmetric scores, Altmetric score breakdown (e.g. Twitter, News), citation counts, and article topics. The top 25 Altmetric articles and top 25 cited articles
-
Preliminary fracture reduction in children with type III supracondylar humerus fractures during the COVID-19 pandemic. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-10-09 Chengda Zou,Wendong Liu,Yunfang Zhen,Fuyong Zhang,Yao Liu,Zhixiong Guo,Xiaodong Wang,Ya Liu
During the COVID-19 pandemic, the time elapsed from injury to definitive surgery necessitated delay in type III pediatric supracondylar humerus fractures. Preliminary fracture reduction was recommended in these fractures while waiting for operative treatment. The purpose of this study was to evaluate whether preliminary reduction afforded a better treatment experience and improved outcomes. A retrospective
-
Temporal trends in surgical implants for in situ fixation of stable slipped capital femoral epiphysis. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-10-09 Ethan Chervonski,Taylor Wingo,Carlos Pargas-Colina,Pablo Castañeda
Stable slipped capital femoral epiphysis (SCFE) is a pediatric hip disorder managed with in situ fixation of the proximal femoral epiphysis, otherwise known as 'pinning the hip'. The objective of this study was to characterize how the choice of implant for in situ fixation of stable SCFE has changed over time. A systematic review of publications concerning in situ fixation of stable SCFE from January
-
Bado III Monteggia in children - treatment options and outcome: an ultrasound control study. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-10-09 Isabelle Nuiding,Christian Knorr,Dorien Schneidmüller,Miriam Adrian,Peter Schmittenbecher,Michael A Kertai
The Bado III Monteggia lesion is an uncommon fracture in children. Radial head dislocation can occur due to intra- or extra-articular fractures of the olecranon. In extra-articular ulnar fractures, heterogeneous operative methods are proposed in different case reports. The objective of this study is to determine if closed reduction of the ulnar fracture, either without osteosynthesis or by using TEN
-
Bone alterations of pamidronate therapy in children with cerebral palsy complicating orthopedic management. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-10-09 Luiz Carlos Almeida Da Silva,Burak Kaymaz,Yusuke Hori,Parma E Montufar Wright,Kenneth J Rogers,Arianna Trionfo,Jason J Howard,J Richard Bowen,M Wade Shrader,Freeman Miller
Cerebral palsy (CP) is a heterogeneous group of disorders with different clinical types and underlying genetic variants. Children with CP are at risk for fragility fractures secondary to low bone mineral density, and although bisphosphonates are prescribed for the treatment of children with bone fragility, there is limited information on long-term bone impact and safety. Children with CP usually present
-
Letter to the Editor regarding Liu et al.: 'Ulnar osteotomy and monolateral external fixator for the treatment of chronic Monteggia fractures in children: comparison between gradual and acute radial head reduction'. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-09-26 Naveen Kumar,Anil Regmi,Vivek Singh
-
Comment on 'Which pediatric supracondylar humerus fractures are high risk for conversion to open reduction?' J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-09-26 Aman Kumar,Sitanshu Barik,Vikash Raj,Vishal Kumar
-
Psychostimulants prescribed to children for ADHD following distal radius fractures significantly reduce bone density as a function of duration. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-09-22 Layla M Ortiz,Natasha O'Malley,Kenneth Blum,Michael Hadjiargyrou,David E Komatsu,Panayotis K Thanos
Methylphenidate and mixed amphetamine salts (MAS) are psychostimulant medications widely prescribed for various psychiatric disorders. Although these medications are known to adversely impact bone mineral content and density, as well as biomechanical integrity during skeletal development in rats, their effect on bone density in children remains largely unknown. The primary aim of this work was to investigate
-
Drop landing analysis of rotational osteotomies. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-09-22 Peter M Stevens,Olivia F Grothaus,Bruce A MacWilliams
Pathomechanics resulting from rotational deformities of the long bones in an idiopathic population have not been extensively studied, and are chiefly limited to level over ground walking. Thirty-five adolescents with excessive idiopathic outward tibial torsion (TT), femoral rotation, or both (pan genu) were studied both before and after corrective surgery. Data collected included computational motion
-
Management of limb length discrepancy after bone sarcoma resection about the knee in the skeletally immature. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-09-11 Sean P Kelly,Dipak B Ramkumar,Brooke Crawford,Santiago A Lozano-Calderon,Mark C Gebhardt,Megan E Anderson
Patients with bone sarcomas increasingly choose limb salvage. This can lead to issues with limb length discrepancy (LLD) for the skeletally immature. We synthesize management options into an algorithm and report our results. Patients with bone sarcomas involving any location from the femoral diaphysis to the tibial diaphysis 12 years or younger were reviewed. Our clinical pathway prescribed patients
-
Surgical prophylaxis in pediatric orthopedic patients with penicillin allergy: a multicentered retrospective prognostic study. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-09-11 Ahmed S Khokhar,Brian D Batko,Gabriel Hanna,Courtney Cleary,Morgan Rousseau,Lindsay Crawford,Folorunsho Edobor-Osula
Up to 20% of orthopedic surgeons still avoid the use of cephalosporins in patients with penicillin allergies despite its reported safety in the adult and general surgery pediatric population. The primary objective is to determine the incidence of adverse effects and allergic reactions when using cephalosporins in pediatric orthopedic patients labeled as penicillin-allergic as compared to those without
-
Epidemiology and demographics of pediatric proximal femur fractures in Türkiye: results from a government-based health registry. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-09-07 Mehmet Salih Söylemez,İzzet Bingöl,Niyazi Erdem Yaşar,Ebru Dumlupinar,Mustafa Okan Ayvali,Naim Ata,M Mahir Ülgü,Şuayip Birinci,Güzelali Özdemir,Okan Aslantürk
We evaluate the epidemiology and incidence of pediatric proximal femur fractures, treatment trends among different hospital levels, and complication rates among different treatment modalities by examining a national health registry in Türkiye. The health records of individuals aged ≤16 years admitted to public, private, and university hospitals were collected via the e-health database of the Turkish
-
Severity of hip dysplasia as the major factor affecting outcome of closed reduction in children with hip dysplasia. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-09-05 Jason L Cummings,Afolayan K Oladeji,Scott Rosenfeld,Megan Johnson,Rachel Goldstein,Gaia Georgopoulos,Lindsay Stephenson,Nathan W White,Pooya Hosseinzadeh
The objective of this study was to analyze a multicenter cohort of children with developmental dysplasia of the hip (DDH) who underwent treatment with closed reduction. We sought to report the effects that severity of hip dysplasia and age have on the development of femoral head avascular necrosis (AVN) and the need for additional procedures. All patients with DDH and minimum 2 years of follow-up who
-
Use of cryotherapy in the postoperative management of paediatric anterior cruciate ligament reconstruction: a prospective randomised controlled trial. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-08-25 Joel Yat Seng Wong,Mohammad Bin Zainuddin Ashik,Neeraj Mishra,Nicole Kim Luan Lee,Arjandas Mahadev,Kai Yet Lam
To investigate the efficacy of cryotherapy in relieving postoperative pain and restoring knee range-of-motion (ROM) after paediatric anterior cruciate ligament reconstruction (ACLR). Patients undergoing primary ACLR were randomised into cryotherapy or non-cryotherapy groups. Those receiving cryotherapy were subjected to a standardised icing protocol. Icing schedules were used to assess compliance.
-
Increased risk of osteomyelitis and septic arthritis in osteogenesis imperfecta. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-08-25 Lukas Bobak,Ian Dorney,Monish S Lavu,R Justin Mistovich,David C Kaelber
We investigated the prevalence of osteomyelitis and septic arthritis in individuals with osteogenesis imperfecta (OI) as compared to the general population. We performed a retrospective cohort study utilizing the TriNetX Analytics platform, a federated, aggregated electronic health record (EHR) research network containing national, deidentified EHR data. We queried patients with OI, based on encounter
-
Epiphyseal-entry cannulated screws for temporary guided growth of the knees: a retrospective review of 89 cases. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-08-15 Kevin M Neal,Gary M Kiebzak
Guided growth affects the physis in children to produce a desired effect. Several devices achieve alteration of growth, including staples, plates, and screws. Complications can include device failures, failure to modulate growth as expected, and unintended physeal arrest. We present the results of a unique technique designed to minimize these complications. This was a retrospective review of guided
-
Mid-term outcomes of temporary medial distal femoral hemiepiphysiodesis with and without medial patellofemoral ligament repair for recurrent patellar instability in skeletally immature patients with genu valgum. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-08-15 Kelly M Tomasevich,Adam H Kantor,Allan K Metz,Indiana T Hanson,Devin L Froerer,Reece M Rosenthal,Stephen K Aoki
Genu valgum contributes to patellar instability, though outcomes following temporary hemiepiphysiodesis via eight plating are less understood. The purpose of this study was to evaluate the outcomes and need for additional procedures following temporary hemiepiphysiodesis for the treatment of pediatric genu valgum and patellar instability, as well as evaluating the utility of a concurrent medial patellofemoral
-
Risk of repeated drainage in pediatric septic arthritis: patient or method? J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-08-15 Julia Royer,Louis-Charles Castel,Yan Lefevre,Clémence Pfirrmann,Abdelfetah Lalioui,Luke Harper,Audrey Angelliaume
How drainage of septic arthritis should be performed remains controversial. The aim of the present study was to compare arthrocentesis (Ac) using double intra-articular needle lavage to arthrotomy (At) as first-line drainage treatment for pediatric hip and knee septic arthritis. The secondary objective was to identify risk factors of second articular drainage. A retrospective review of medical records
-
Factors influencing outcomes of pelvic osteotomy for residual acetabular dysplasia following closed reduction in patients with developmental dysplasia of the hip. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-08-15 YiQiang Li,Hang Liu,YueMing Guo,ShunYou Chen,Federico Canavese,YanHan Liu,JingChun Li,HongWen Xu,HuiMin Xia,
To investigate the factors influencing outcome of pelvic osteotomy (PO) for residual acetabular dysplasia (RAD) following closed reduction (CR) in patients with developmental dysplasia of the hip (DDH). We retrospectively reviewed 91 patients (95 hips) with DDH who underwent PO for RAD. Tönnis grade, Acetabular index, Center Edge Angle, Reimer's Index (RI), and avascular necrosis of the femoral head
-
Minimal differences in acute postoperative pain after anterior cruciate ligament reconstruction with quadriceps versus hamstring autograft. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-08-15 Shing Varakitsomboon,Erica L Holland,Gregory A Schmale,Michael G Saper
Studies are lacking that evaluate early postoperative pain after all-soft-tissue quadriceps tendon anterior cruciate ligament reconstruction (ACLR), particularly in young patients. The purpose of this study was to investigate differences in early postoperative pain between adolescent patients undergoing ACLR with quadriceps tendon versus hamstring autograft. A retrospective review was performed of
-
Prevalence and radiological definitions of acetabular dysplasia after the age of 2 years: a systematic review. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-08-07 Suzanne de Vos-Jakobs,Fleur Boel,Wichor M Bramer,Sita M A Bierma-Zeinstra,Rintje Agricola
Acetabular dysplasia is one of the most common causes of early hip osteoarthritis and hip replacement surgery. Recent literature suggests that acetabular dysplasia does not always originate at infancy, but can also develop later during childhood. This systematic review aims to appraise the literature on prevalence numbers of acetabular dysplasia in children after the age of 2 years. A systematic search
-
Study on the efficacy of brace therapy for developmental dysplasia of the hip with Graf IIc and greater severity. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-08-07 Jingnan He,Xuemin Lyu,Tao Chen
To assess changes in the α and β angle with brace treatment in DDH classified as Type Graf IIc, D, III, and IV; to study the α angle threshold that can predict the treatment effect; to analyze the effective rate in different groups. A retrospective study was conducted on children from 2013 to 2018 with Graf type IIc and greater diagnosed with ultrasound (US). Brace therapy was applied to 356 patients
-
Normal values of scapholunate distance in Turkish children aged 5-14 years. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-08-07 Mustafa Yerli,Tahsin Olgun Bayraktar,Ali Yüce,Nazim Erkurt,Mehmet Selçuk Saygili,Olcayto Ocak
Wrist kinematic indices and scapholunate distance play an essential role in diagnosing and treating injury and disease of the carpus. It can be challenging to measure and diagnose scapholunate ligament injury in the immature skeleton. The aim of this study was to measure the normal ranges of the carpal indices on radiographs in the Turkish population aged 5-14 years. This retrospective study examined
-
Six years of experience with the nationwide newborn ultrasonographic hip screening program in Turkey: a considerable change in the type of surgical interventions in developmental dysplasia of the hip. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-08-07 Mehmet Ismail Safa Kapicioğlu,Ali Fuat Karataş,Mustafa Akkaya,Feza Korkusuz,Hakan Ömeroğlu
This study aims to assess whether the nationwide newborn ultrasonographic hip screening program has influenced the rate of different types of surgical interventions performed in developmental dysplasia of the hip (DDH) in children in Turkey. A retrospective analysis of the nationwide data obtained from the National Registry System between January 1, 2015, and December 31, 2020, was carried out. The
-
Limb length deceleration or coronal plane deformity correction using tension band plates: does plate configurations determine the intraarticular deformity of proximal tibia? J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-08-07 Ankit Jain,Anil Agarwal,Yogesh Patel,Lokesh Sharma
We studied whether the two-plate tension band configuration is more prone for intraarticular deformations than the single plate application used for coronal plane deformities (CPD). The study was based on radiological chart review (retrospective cross-sectional) of records of children [15 patients (30 plates) with limb length discrepancies (LLD) and 20 patients (36 plates) with CPD]. Interscrew angle
-
Outcomes of ankle joint distraction in a paediatric and young adult cohort presenting with symptomatic ankle arthritis. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-08-07 Beth Lineham,Rebecca Maggs,Hemant Pandit,Hemant Sharma,Patrick Foster
Ankle arthritis in paediatric and young adult patients causes significant morbidity; therefore, joint-preserving procedures are preferable. Ankle joint distraction (AJD) is a technique that preserves the native joint. However, only short-term outcomes are reported in paediatric patients. Therefore, this study reports on intermediate-term outcomes in a paediatric cohort. Demographics for all patients
-
Author response to comment on Cummings JL et al.: 'Untreated congenital vertical talus deformity in walking age: minimally invasive method works'. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-07-25 Jason L Cummings,Pooya Hosseinzadeh
-
Comment on Cummings JL et al.: 'Untreated congenital vertical talus deformity in walking age: minimally invasive method works'. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-07-25 Anil Regmi,Naveen Kumar,Vivek Singh
-
Femoral head reduction osteotomy for the treatment of late sequela of Legg-Calvé-Perthes disease and Perthes-like femoral head deformities. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-07-19 Hady H Eltayeby,Khaled Loutfy El-Adwar,Amin Abdelrazek Ahmed,Mena Micheal Mosa,Shawn C Standard
Femoral head reduction osteotomy (FHRO) was described to treat misshapen femoral head that is causing intraarticular hip pain. The published literature showed discrepancies in patient selection, surgical techniques, and decision to perform concurrent acetabular osteotomy. Very few studies used Standardized Outcome Measures (SOMs). This study aims to describe the technique of FHRO and report the results
-
Comparison of splinting immobilization and K-wire fixation in children with type II phalange neck fracture. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-07-03 Huaikeng Wang,Dahui Wang,Shaomin Huang,Wanting Li,Lujian Tan,Haiyi Wu,Xinhong Pei
To compare outcomes of type II phalangeal neck fractures in children who received closed reduction followed by splinting immobilization or by K-wire fixation. Furthermore, we analyzed the remodeling potential of residual deformities and the relationship between age and outcomes. Patients in Children's Hospital of Fudan University, Xiamen Hospital were included in the study from October 2015 to October
-
Achilles tenotomy during Ponseti's clubfoot treatment: better early than late. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-07-03 Ismat Ghanem,Diane Ghanem,Joe Rassi,Ibrahim Saliba
To evaluate the outcome of Achilles tenotomy at first cast in neonates with stiff clubfoot undergoing Ponseti's method of treatment. One hundred forty stiff clubfeet (Dimeglio grades III and IV) scheduled for Ponseti's method were prospectively randomized into two groups of 70 each: (1) early, tenotomy at first cast; (2) late, tenotomy at fourth to sixth casts (conventional). The procedure was performed
-
Modification to the placement of the navigation reference frame in posterior corrective fusion of spinal deformity with myelomeningocele: a series of 6 cases. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-07-03 Shimei Tanida,Kazutaka Masamoto,Masako Tsukanaka,Toru Futami
To show a modified placement of the navigation reference frame in posterior corrective fusion of spinal deformity with myelomeningocele. This was a retrospective, single-surgeon case series, and IRB-approved study. Six consecutive patients (one male and five females) who were diagnosed with spinal deformity with myelomeningocele underwent posterior corrective fusion surgery from the upper thoracic
-
Short-term outcomes of an enhanced recovery after surgery pathway for children with congenital scoliosis undergoing posterior spinal fusion: a case-control study of 70 patients. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-06-20 Hanwen Zhang,Haonan Liu,Xuejun Zhang,Mengqi Zhao,Dong Guo,Yunsong Bai,Xinyu Qi,Haixia Shi,Duoyi Li
Increasing evidence demonstrates the advantages of an enhanced recovery after surgery (ERAS) protocol; however, few studies have evaluated ERAS in pediatric patients. This study aimed to evaluate the effect of ERAS in pediatric patients with congenital scoliosis. Seventy pediatric patients with congenital scoliosis underwent posterior hemivertebra resection and fusion with pedicle screws and were prospectively
-
Is spinal height gain associated with rod orientation and the use of cross-links in magnetically controlled growing rods in early-onset scoliosis? J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-06-05 Pooria Hosseini,Behrooz A Akbarnia,Jeff B Pawelek,Stacie Tran,Justin Zhang,Charles E Johnston,Suken A Shah,John B Emans,Gregory M Mundis,Burt Yaszay,Amer F Samdani,Paul D Sponseller,Peter F Sturm,
Optimal orientation for magnetically controlled growing rods (MCGRs) is unclear. The objective of this study was to investigate associations of rod orientation with implant-related complications (IRCs) and spinal height gains. Using an international early-onset scoliosis (EOS) database, we retrospectively reviewed 57 patients treated with dual MCGRs from May 2013 to July 2015 with minimum 2-year follow-up
-
Accuracy of the hexapod external fixator in treating tibial angular deformities with or without limb length discrepancy: a retrospective study. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-06-05 Murat Danişman,Engin Türkay Yilmaz,Erdi Özdemir,Ozan Tuncay,Güney Yilmaz
OBJECTIVE Hexapod external fixator systems allow simultaneous deformity correction in multiple planes as well as limb lengthening. The aim of this study is to evaluate the accuracy of a hexapod frame (smart correction frame) in different types of tibial deformities requiring correction with or without lengthening. METHODS A total of 54 tibial angular deformities and limb length discrepancies operated
-
Quantifying the impact of the coronavirus 2019 pandemic on youth sports-related injuries in the USA. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-06-05 Karina Oganezova,Nathan Houlihan,Kathleen J Maguire,John T Lawrence,Theodore J Ganley,Brendan A Williams
The purpose of this study was to estimate monthly and annual trends in youth sports-related injury over the years 2016-2020 using the National Electronic Injury Surveillance System (NEISS) database to measure the impact of COVID-19 on overall and sport-specific rates of injury. Children and adolescents (0-19 years) presenting to USA emergency departments with sport participation injury from 2016 to
-
Presentation, treatment, and outcomes of unifocal and multifocal osseous vertebral Langerhans cell histiocytosis lesions in patients under 18 years old. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-06-05 Ekene U Ezeokoli,Tyler Smith,Parker Mitchell,Eva Schlehr,Neritan Borici,Nicole Montgomery
This study aims to (1) clinically and radiographically characterize a series of unifocal (single-system single-site) and multifocal (single-system multiple-site) langerhans cell histiocytosis (LCH) lesions in the vertebra and (2) determine the success and recurrence rates with different treatment modalities in a pediatric population at a tertiary children's hospital. Patients younger than 18 years
-
Technical aspects that may affect the outcomes of pediatric patients with both-bone forearm diaphyseal fractures treated using elastic stable intramedullary nails. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-05-29 İdris Demirtaş,Zeynel Mert Asfuroğlu,Mehmet Çolak
We assessed the radiological and functional results of pediatric both-bone forearm diaphyseal fractures treated using elastic stable intramedullary nails (ESINs), as well as factors affecting the results. In total, 36 patients (33 males and three females; mean age, 11.6 years) were included. The mean follow-up time was 41.5 (18-96) months. Patient demographic characteristics and the details of the
-
The John Hopkins classification system used in pediatric supracondylar humerus fractures requires more experience than the Gartland system. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-05-22 Yavuz Şahbat,Gülnaz Nural Bekiroğlu,Görkem Çat,Mert Gündoğdu,Yücel Ağirdil,Tolga Onay,Ahmet Hamdi Akgülle
The Gartland classification is used to decide on surgery. In contrast, the John Hopkins classification system predicts clinical outcomes for patients undergoing surgery and determines the risk of reduction loss. This study aims to investigate the usability of the Gartland and the John Hopkins classification systems by pediatric and general orthopedic surgeons. The preoperative images of 200 patients
-
Effects of bone marrow-derived mesenchymal stem cell transplantation in piglet Legg-Calve-Perthes disease models: a pilot study. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-05-22 Yohei Tomaru,Hisashi Sugaya,Tomokazu Yoshioka,Norihito Arai,Tomoyuki Abe,Yuta Tsukagoshi,Hiroshi Kamada,Masashi Yamazaki,Hajime Mishima
This preliminary study investigated the efficacy and safety of bone marrow-derived mesenchymal stem cell transplantation in a piglet Legg-Calve-Perthes disease (LCPD) model. The LCPD model was induced in two Landrace piglets (6- and 7-week-old, weighing 12 and 17 kg, respectively) by ligaturing the femoral neck. In the first piglet, the natural LCPD course was observed. In the second piglet, 4 weeks
-
Intra- and inter-observer reliability of Dias-Tachdjian classification in pediatric ankle fractures: do clinical experience and expertise matter? J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-05-22 Mehmet Demirel,Mehmet Yağiz Yenigün,Lezgin Mert,Alper Şükrü Kendirci,Taha Furkan Yağci,Taha Bedir Demir,Yavuz Sağlam,Yiğit Cirdi,Burak Yağdiran,Bora Korkmazer
The Dias-Tachdjian classification is the most commonly used system for the classification of pediatric ankle fractures, but its inter- and intra-observer reliability has not been studied in detail. Also, the impact of the clinician's experience and expertise on the reliability of this system is unknown. This study aimed: (1) to determine the intra- and inter-observer reliability of the Dias-Tachdjian
-
Surgical correction of cubitus varus in children with a lateral closing-wedge osteotomy: a comparison between two different techniques J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-05-08 Javier Masquijo, Cristian Artigas, Juan Carlos Hernández Bueno, Matías Sepúlveda, Jamil Soni, Weverley Valenza, Faris Fazal, Apurva S Shah
Objectives The primary objective of the present study is to compare the radiographic outcomes and complications of two different techniques for lateral closing-wedge osteotomy in pediatric patients with cubitus varus. Methods We retrospectively identified patients treated at five tertiary care institutions: 17 underwent the Kirschner-wire (KW) technique, and 15 patients were treated with the mini
-
Hip reconstruction in children with cerebral palsy: does magnitude of surgery influence complications and outcomes? J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-05-01 David E. Westberry, Lisa Carson, Emily R. Shull, Lauren C. Hyer
Children with cerebral palsy (CP) and neuromuscular hip dysplasia (NMHD) frequently require hip reconstruction including femoral and pelvic osteotomies. Outcomes and complications in CP patients with NMHD who underwent varying degrees of hip reconstruction surgeries were examined. Ninety-nine patients with a diagnosis of CP who underwent surgical management of NMHD over a 15-year period (2005–2020)
-
Telehealth follow-up in the postoperative care of surgically treated pediatric supracondylar humerus fractures J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-05-01 Christopher A. Makarewich, Jenna R. Cheminant, Nicholas C. Biddle, Jayden N. Brennan, Angielyn San Juan
Supracondylar humerus fractures are a common pediatric orthopedic injury requiring surgery. These patients are typically seen 4 weeks post-op for cast and pin removal followed by an 8–12-week post-op motion check. Our study aimed to limit the number of in-office visits by conducting this last motion check by telehealth. This was a single-surgeon series of consecutive surgically treated supracondylar
-
Epidemiological characteristics and distribution of pediatric supracondylar fractures in South China: a retrospective analysis of 760 cases J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-05-01 Jian Ping Wu, Yang Tao Lu, Xing Xing Wei, Pan Xin Zou, Yi Qiang Li, Yuan Zhong Liu, Federico Canavese, Hong Wen Xu
To evaluate demographic characteristics and distribution of pediatric supracondylar fractures (SCFs) at a tertiary hospital in South China. A retrospective observational study was conducted on children aged 15 years or younger with a diagnosis of SCFs during the period from January 2016 to December 2018. Patients’ medical records and radiographs were retrospectively analyzed for age at the time of
-
Double joystick technique – a modified method facilitates operation of Gartlend type-Ⅲ supracondylar humeral fractures in children J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-04-25 Guangyao Li, Xiqing Cheng, Jingye Zhang, Yun Sun, Zhiyuan Cao, Yourao Liu
Gartland type-Ⅲ supracondylar humerus fracture (SCHF) is a severe lesion with the feature of difficult reduction. Due to the high failure rate of traditional reduction, a more practical and safer method is needed. This retrospective study aimed to explore the effectiveness of the double joystick technique during the closed reduction of children with type-III fractures. Forty-one children with Gartland
-
Double joystick technique - a modified method facilitates operation of Gartlend type-Ⅲ supracondylar humeral fractures in children. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-04-25 Guangyao Li,Xiqing Cheng,Jingye Zhang,Yun Sun,Zhiyuan Cao,Yourao Liu
Gartland type-Ⅲ supracondylar humerus fracture (SCHF) is a severe lesion with the feature of difficult reduction. Due to the high failure rate of traditional reduction, a more practical and safer method is needed. This retrospective study aimed to explore the effectiveness of the double joystick technique during the closed reduction of children with type-III fractures. Forty-one children with Gartland
-
Less common than expected: late displacement after minimally displaced pediatric lateral condyle fractures of the elbow J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-04-11 Robert J. Burkhart, David A. Kolin, Peter D. Fabricant, Raymond W. Liu, R. Justin Mistovich
The incidence of late displacement among pediatric lateral condyle fractures has been described as 1.3–26%. However, prior studies are limited by small cohort sizes. The aim of this study was to determine the rate of late displacement and delayed union among lateral condyle fractures following immobilization in a large cohort and to establish additional radiographic criteria to help surgeons choose
-
External fixator as a safe method in the treatment of distal tibial fractures in children J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-04-11 Yuwei Wen, Danjiang Zhu, Qiang Wang, Baojian Song, Wei Feng
Objective The objective of this study is to evaluate the functional and radiological results of external fixator application in the treatment of distal tibial metaphyseal diaphyseal junction (MDJ) fractures in children and to analyze differences between stable and unstable fractures. Methods Medical records of children with distal tibial MDJ fracture confirmed by imaging from January 2015 to November
-
Use of lateral-exit crossed-pin fixation for pediatric supracondylar humeral fractures: a retrospective case series J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-04-11 Yeo-Hon Yun, Ho Won Kang, Chaemoon Lim, Kwang Ryeol Lee, Mi Hyun Song
Surgeons have been reluctant to perform crossed-pin fixation for displaced pediatric supracondylar humeral (SCH) fractures because it carries a risk of iatrogenic ulnar nerve injury. This study aimed to introduce lateral-exit crossed-pin fixation for displaced pediatric SCH fractures and to evaluate its clinical and radiological outcomes, with a particular focus on iatrogenic ulnar nerve injuries.
-
Treatment of pediatric femur supracondylar fractures: comparison of K-wire fixation versus plate-screw fixation J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-04-11 Sezgin Bahadir Tekin, Çağri Karabulut, Bahri Bozgeyik, H. Bahadir Gökçen
This study aims to compare the clinical and radiological results of patients who underwent plate-screw fixation and K-wire fixation in supracondylar femur fractures in the pediatric population. Patients aged 5–14 years suffering from supracondylar femoral fractures who underwent K-wire and plate-screw fixation were included in the study. Of all patients, follow-up period, age, fracture union time,
-
Use of lateral-exit crossed-pin fixation for pediatric supracondylar humeral fractures: a retrospective case series. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-04-11 Yeo-Hon Yun,Ho Won Kang,Chaemoon Lim,Kwang Ryeol Lee,Mi Hyun Song
Surgeons have been reluctant to perform crossed-pin fixation for displaced pediatric supracondylar humeral (SCH) fractures because it carries a risk of iatrogenic ulnar nerve injury. This study aimed to introduce lateral-exit crossed-pin fixation for displaced pediatric SCH fractures and to evaluate its clinical and radiological outcomes, with a particular focus on iatrogenic ulnar nerve injuries.
-
External fixator as a safe method in the treatment of distal tibial fractures in children. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-04-11 Yuwei Wen,Danjiang Zhu,Qiang Wang,Baojian Song,Wei Feng
OBJECTIVE The objective of this study is to evaluate the functional and radiological results of external fixator application in the treatment of distal tibial metaphyseal diaphyseal junction (MDJ) fractures in children and to analyze differences between stable and unstable fractures. METHODS Medical records of children with distal tibial MDJ fracture confirmed by imaging from January 2015 to November
-
Less common than expected: late displacement after minimally displaced pediatric lateral condyle fractures of the elbow. J. Pediatr. Orthop. B (IF 1.1) Pub Date : 2023-04-11 Robert J Burkhart,David A Kolin,Peter D Fabricant,Raymond W Liu,R Justin Mistovich
The incidence of late displacement among pediatric lateral condyle fractures has been described as 1.3-26%. However, prior studies are limited by small cohort sizes. The aim of this study was to determine the rate of late displacement and delayed union among lateral condyle fractures following immobilization in a large cohort and to establish additional radiographic criteria to help surgeons choose