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Keywords Paediatric orthopaedics, pedia...

Paediatric orthopaedics, pediatric orthopedic

https://read.qxmd.com/read/38443716/cast-versus-kirschner-wire-fixation-in-type-ii-paediatric-phalangeal-neck-fractures
#1
JOURNAL ARTICLE
Xin-Wang Zhi, Kang-Ting Luo, Ye-Ya Tan, Hui-Mei Wu, Yang Zhou, Zi-Feng Xu, Jian-Qun Wang, Yi-Qiang Li, Hong-Wen Xu, Federico Canavese, Chun Zeng
PURPOSE: To compare the outcomes of type II pediatric phalangeal neck fractures (PPNFs) treated with closed reduction and cast immobilization (CRCI) versus closed reduction percutaneous pinning (CRPP), and evaluated the clinical efficacy of conservative versus surgical treatment of type II PPNFs via meta-analysis. METHODS: Patients aged ≤ 14 years with type II PPNFs were divided into conservative (CRCI) and operative (CRPP) groups. Radiographs measured angulation and translation; hand function was assessed with total active range of motion (TAM) and Quick-DASH...
March 5, 2024: International Orthopaedics
https://read.qxmd.com/read/38348431/trigger-thumb-treatment-approach-results-of-a-survey-of-epos-members
#2
JOURNAL ARTICLE
Marcos Carvalho, Laura M Perez-Lopez, Sebastian Farr, Nunzio Catena
PURPOSE: The aim of this study is to analyze the clinical reality of pediatric trigger thumb among members of the European Paediatric Orthopaedic Society. METHODS: A 35-question survey was sent to all European Paediatric Orthopaedic Society members, focusing on surgeon's profile and experience, trigger thumb diagnostic and trigger thumb treatment approach. Descriptive statistics were performed. RESULTS: A total of 99 responses were analyzed...
February 2024: Journal of Children's Orthopaedics
https://read.qxmd.com/read/38231205/therapeutic-approaches-of-diametaphyseal-radius-fractures-in-children
#3
JOURNAL ARTICLE
D Stark, M Denzinger, L Ebert, R Brandl, C Knorr
BACKGROUND: There are clear standards for when to operate on both distal epiphyseal and diaphyseal forearm fractures in children. However, paediatric surgeons are often faced with fractures in the transition zone between metaphysis and diaphysis. This aim of the study is to compare different treatment approaches for diametaphyseal forearm fractures, to classify different types of these fractures, and to define further assessment parameters and treatment recommendations. METHODS: This retrospective study included all patients with diametaphyseal radial fractures who were seen at a paediatric surgery clinic between 01...
January 17, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38193578/a-systematic-review-of-tourniquet-use-in-paediatric-orthopaedic-surgery-can-we-extrapolate-from-adult-guidelines
#4
JOURNAL ARTICLE
Valeria Pintar, Charlotte Brookes, Alex Trompeter, Anna Bridgens, Caroline Hing, Yael Gelfer
PURPOSE: Tourniquets are commonly used intraoperatively in orthopaedic surgery to control bleeding and improve visibility in the surgical field. Recent evidence has thrown into question the routine use of tourniquets in the adult population resulting in a British Orthopaedic Association standard for intraoperative use. This systematic review evaluates the evidence on the practice, benefits, and risks of the intraoperative use of tourniquets for trauma and elective orthopaedic surgery in the paediatric population...
January 9, 2024: EFORT Open Reviews
https://read.qxmd.com/read/37730930/outcomes-of-paediatric-septic-arthritis-patients-rates-of-re-admission-re-operation-and-unplanned-emergency-room-visits-after-discharge
#5
JOURNAL ARTICLE
Kelvin Ng, Madeleine Willegger, Maryse Bouchard
PURPOSE: This study is aimed at determining the rates and predictors of re-operation and re-admission in children with septic arthritis treated at an institution without routine clinical practice guidelines. METHODS: This is a retrospective cohort study of patients less than 18 years old who underwent surgery for septic arthritis between January 1, 2009, and January 1, 2019, at a single tertiary-care paediatric institution. Uni- and multivariate analysis was performed to identify any risk factors associated with re-operation or unplanned visits to the emergency department after hospital admission compared to patients who had an uncomplicated post-operative course...
September 21, 2023: International Orthopaedics
https://read.qxmd.com/read/37525738/hip-spica-table-a-technical-note
#6
JOURNAL ARTICLE
Meet Jain, Godhasiri Ponugoti, Sheenam Bhansal, Shalin Shah, Chinmay Sangole, Vikas Bohra, Qaisur Rabbi, Gaurav Gupta, Maulin Shah
INTRODUCTION: Hip spica is a widely used treatment modality in the management of various paediatric orthopaedic conditions. A standardized hip spica table is not universally available and various centerres have devised their own designs. In collaboration with the local engineering team, we have designed a light weight yet sturdy, economical and portable hip spica table. MATERIALS AND METHODS: Components of the spica table and their measurements are described. Technique of mounting and unmounting the patient off the table has been discussed...
August 2023: Indian Journal of Orthopaedics
https://read.qxmd.com/read/37300564/news-in-paediatric-orthopaedic-surgery-an-overview-of-the-latest-advances-in-paediatric-orthopaedics-and-traumatology-2020-2023
#7
JOURNAL ARTICLE
Nicolas Mainard, Federico Canavese
PURPOSE: We propose to survey - even if arbitrarily - the publications in paediatric orthopaedics and traumatology that have had the greatest impact on the specialty during the period extending from the beginning of the COVID-19 pandemic in December 2020 and the end of all health restrictions in March 2023. METHODS: Only studies with a high level of evidence or clinical relevance were selected. We briefly discussed the results and conclusions of these quality articles to situate them in relation to the existing literature and current practice...
June 10, 2023: International Orthopaedics
https://read.qxmd.com/read/37255636/management-and-outcome-of-jeffrey-type-2-fractures-in-paediatric-patients-a-case-series-and-review-of-literature
#8
Rishikesh Tupe, Sameer Desai, Divya Tomer, Nilesh Patil
INTRODUCTION: Fractures of the radial neck are very uncommon in children, accounting for 5-8.5% of all fractures around the elbow in children, and are sometimes found with dislocation of the elbow joint. Jeffery carefully studied and classified these types of radial neck fractures with displaced radial head into several types. Very few cases with Jeffrey fractures are reported in the literature, and most cases were treated by surgery. Only one case of successful closed reduction and cast and two cases of closed reduction and percutaneous pinning have been reported...
May 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/36755552/surgical-techniques-in-the-management-of-pediatric-anterior-cruciate-ligament-tears-current-concepts
#9
REVIEW
Chun Tang, Tariq Adam Kwaees, Franck Accadbled, Marco Turati, Daniel W Green, Nicolas Nicolaou
BACKGROUND: Anterior cruciate ligament injury in the child and adolescent patient remains a controversial topic when considering management, especially regarding surgical choices. Treatment variations are seen not just when comparing different countries but also within nations. This arises partly as contemporary treatment is mostly inferred from the adult population who physiologically and in terms of outcomes differ significantly from children. There is an increasing body of evidence for this cohort of patients who have specific challenges and difficulties when determining the optimum treatment...
February 2023: Journal of Children's Orthopaedics
https://read.qxmd.com/read/36445351/is-subclassification-of-gartland-extension-type-pediatric-supracondylar-fracture-into-types-iia-and-iib-necessary-for-treatment-decision-a-result-of-pediatric-orthopedist-s-survey-and-review-of-literature
#10
JOURNAL ARTICLE
Pasin Tangadulrat, Nath Adulkasem, Kuntalee Suganjanasate, Jidapa Wongcharoenwatana, Thanase Ariyawatkul, Kamolporn Kaewpornsawan, Chatupon Chotigavanichaya, Perajit Eamsobhana
Extension-type pediatric supracondylar humeral fractures are very common. The Gartland classification is typically used to guide treatment. However, there is still no consensus on what factors should be used to subclassify the type II fractures and whether subclassification is needed to guide treatment. Therefore, we aim to explore the opinions of pediatric orthopedists on the treatment method of the Gartland type II supracondylar fracture. Specifically, we ask what factors are considered for their treatment decisions and whether subclassification is needed to guide treatment...
November 14, 2022: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/36238145/management-of-iatrogenic-ulnar-nerve-palsies-after-cross-pinning-of-pediatric-supracondylar-humerus-fractures-a-systematic-review
#11
REVIEW
Christy Graff, George Dennis Dounas, Jonghoo Sung, Medhir Kumawat, Yue Huang, Maya Todd
PURPOSE: Up to 4% of patients who undergo cross pinning of a pediatric supracondylar humerus fracture sustain an iatrogenic ulnar nerve palsy (IUNP). This study aims to summarize the evidence regarding the management of IUNP in this setting, and to identify if early intervention (early wire removal or exploration) leads to faster and/or more complete recovery of the ulnar nerve. METHODS: A formal systematic review was undertaken, with databases searched including Ovid Medline, Embase and Cochrane central...
October 2022: Journal of Children's Orthopaedics
https://read.qxmd.com/read/36182089/orthopaedic-and-trauma-surgery-in-the-time-of-covid-19-in-france-a-nationwide-survey
#12
JOURNAL ARTICLE
Audrey Angelliaume, Yohan Legallois, Edouard Harly, Julien Dartus, Pierre Lavignac, Pierre-Emmanuel Chammas, Pierre Meynard
INTRODUCTION: The year 2020 was marked by the COVID-19 pandemic. The entire French health system was mobilized. Surgical services were asked to reschedule all elective procedures. We wondered about the impact of this pandemic on French orthopaedic surgeons. The main objective of this survey was to assess the impact of COVID-19 on emergency and non-emergency orthopaedic surgical activities. The secondary objectives were: to report how orthopaedic surgeons had mobilized and reorganized, and to assess the physical and psychological consequences on their state of health...
September 28, 2022: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/35800659/treatment-of-paediatric-lisfranc-injuries-a-systematic-review-and-introduction-of-a-novel-treatment-algorithm
#13
REVIEW
Samuel Paek, Michelle Mo, Grant Hogue
Background: Pediatric Lisfranc injuries (PLI) are rare injuries that have few studies published about their occurrence and treatment in pediatric population. Due to this lack of information, the diagnostic criteria and surgical or non-surgical methods for treatment have not been clearly established within the pediatric orthopedic literature. The objective of this study was to review the published literature related to treatment options and develop a concise stepwise treatment algorithm for pediatric patients presenting with Lisfranc injuries...
June 2022: Journal of Children's Orthopaedics
https://read.qxmd.com/read/35669018/paediatric-anterior-cruciate-ligament-acl-injuries-current-concepts-review
#14
REVIEW
Mandeep Singh Dhillon, Karthick Rangasamy, Rajesh Kumar Rajnish, Nirmal Raj Gopinathan
Background: Over the past two decades, there has been a documented increase in paediatric ACL injuries because of a rise in younger age sports participation at the competitive level, awareness about sports-related injuries, and advanced imaging modalities. Methods: A PubMed electronic database search was done, which revealed 1366 hits over the last five years (2016 - 2020). Finally, 37 articles that contributed to new findings were included. This review was conducted based on predefined research questions...
June 2022: Indian Journal of Orthopaedics
https://read.qxmd.com/read/35536366/is-modified-reverse-step-cut-osteotomy-better-than-yun-s-reverse-v-osteotomy-in-paediatric-cubitus-varus-deformity-correction-a-prospective-double-blinded-randomized-controlled-trial
#15
JOURNAL ARTICLE
Ramesh Kumar, Karthick Rangasamy, Nirmal Raj Gopinathan, Pebam Sudesh, Vijay G Goni
BACKGROUND: Various corrective osteotomy techniques have been described in the literature for correcting paediatric cubitus varus. But we are still in search of the perfect technique that gives maximum possible deformity correction and cosmetic appearance that satisfies parents with minimal complications. We compared the outcomes of two technically sound osteotomy techniques having minimal postoperative lateral condyle prominence described in the literature. RESEARCH QUESTION: Is modified reverse step-cut osteotomy (MRSO) better in terms of clinical, radiological, and cosmetic outcomes than Yun's reverse V osteotomy (RVO) in pediatric cubitus varus deformity correction? METHODS: In total, 20 children with unilateral cubitus varus resulting from malunited supracondylar humerus fractures were included...
May 10, 2022: International Orthopaedics
https://read.qxmd.com/read/35470113/trampoline-injuries-in-children-a-prospective-study
#16
JOURNAL ARTICLE
Adrien Runtz, Jérémie Nallet, Victor Font, Mathilde Anriot, Caroline Pechin, Jean Langlais, Benoît de Billy
BACKGROUND: Trampolining is popular and widely practiced among children. A literature review has shown a rise in the incidence of trampoline injuries with a concomitant increase in paediatric emergency department visits. The primary objective of this study was to describe the severity of trampoline injuries in children. The secondary objectives were to assess the epidemiology of the study population and injuries and to describe the treatments. HYPOTHESIS: We hypothesized that over 10% of trampoline injuries were severe...
April 22, 2022: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/35415105/acromioclavicular-joint-pseudo-dislocations-with-lateral-end-clavicle-fracture-a-rare-injury-and-proposed-technique-of-fixation
#17
Mustafa Al-Yaseen, Parisah Seyed-Safi, Daoud Makki, Vivek Dubey
Introduction: Lateral end clavicle fractures are rare injuries in pediatric and adolescent population. Most of these injuries can be managed conservatively. However, in patients with acromioclavicular joint (ACJ) "pseudo-dislocations" associated with significant clinical deformity, some patients will benefit from operative intervention. Case Report: Our reported case is a young adolescent with a Type IV Dameron and Rockwood distal clavicle fracture and ACJ pseudo-dislocation, who underwent surgical fixation for this injury...
October 2021: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/35348125/surveillance-for-developmental-dysplasia-of-the-hip-in-india-consensus-guidelines-from-the-pediatric-orthopaedic-society-of-india-indian-academy-of-pediatrics-national-neonatology-forum-of-india-indian-radiological-and-imaging-association-indian-federation
#18
JOURNAL ARTICLE
Alaric Aroojis, Rajendra Prasad Anne, Jacqueline Li, Emily Schaeffer, T M Ananda Kesavan, Samir Shah, Sandeep Patwardhan, Alka Karnik, Uday Thanawala
JUSTIFICATION: When developmental dysplasia of the hip (DDH) is diagnosed during infancy, conservative management is often successful, with good long-term outcomes. In India, DDH is often not diagnosed until walking age and there are limited guidelines for its screening. PROCESS: A multidisciplinary Expert Group consisting of members of the Paediatric Orthopaedic Society of India, Indian Academy of Pediatrics, National Neonatology Forum of India, Indian Radiological and Imaging Association, Indian Federation of Ultrasound in Medicine and Biology, Federation of Obstetric and Gynaecological Societies of India, and Indian Orthopaedic Association worked collaboratively to develop surveillance guidelines for DDH...
August 15, 2022: Indian Pediatrics
https://read.qxmd.com/read/35144011/s2-alar-iliac-screw-fixation-for-paediatric-neuromuscular-scoliosis-preliminary-results-after-two-years
#19
JOURNAL ARTICLE
Sammy Kassab Hassan, Laurie Simon, Matthieu Campana, Florence Julien-Marsollier, Anne-Laure Simon, Brice Ilharreborde
BACKGROUND: Correcting pelvic obliquity is among the main goals of surgery for neuromuscular scoliosis. Spino-pelvic fixation must be stable and capable of withstanding the considerable mechanical forces applied at the lumbo-sacral junction. Selection of the best anchoring option is therefore crucial. S2-alar-iliac (S2AI) screws, which are used in adults, are less often chosen in the French paediatric spinal-surgery community. The objective of this study was to report our preliminary experience with S2AI screws used in the treatment of paediatric patients with neuromuscular scoliosis...
February 7, 2022: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://read.qxmd.com/read/35125412/art-and-paediatric-orthopaedics-a-sixteenth-century-lie-down-comedian
#20
JOURNAL ARTICLE
Gleeson Rebello, Benjamin Joseph
This outstanding painting, by an unknown artist, of a man with multiple deformities compatible with a diagnosis of arthrogryposis multiplex congenita induces the viewer to think deeply about the artist's portrayal of the subject.
February 4, 2022: Journal of Pediatric Orthopedics
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