keyword
https://read.qxmd.com/read/38412684/anatomical-leg-length-discrepancy-in-children-can-it-be-accurately-determined-using-3-d-motion-capturing
#1
JOURNAL ARTICLE
Harald Böhm, Sophie M Reinhold, Chakravarty U Dussa
BACKGROUND: Leg length discrepancy (LLD) is common in youth and is cause by several conditions. Long leg X-rays is the gold standard technique of measuring LLD. It is highly accurate and reliable compared to clinical method, but expose the subject to radiation. Instrumented Gait Analysis (IGA) serves not only as a means to measure joint kinematics during gait but also as a valuable tool for assessing Leg Length Discrepancy (LLD) while standing. RESEARCH QUESTION: The purpose of this study was to compare different methods of determining the LLD in paediatric population...
February 17, 2024: Gait & Posture
https://read.qxmd.com/read/38333079/the-application-of-custom-3d-printed-prostheses-with-ultra-short-stems-in-the-reconstruction-of-bone-defects-a-single-center-analysis
#2
JOURNAL ARTICLE
Peng Zhang, Wen Tian, Po Li, Fan Zhang, Guoxin Qu, Xinhui Du, Guancong Liu, Xiaoying Niu
Objective: Considering the advantages and widespread presence of 3D-printing technology in surgical treatments, 3D-printed porous structure prostheses have been applied in a wide range of the treatments of bone tumor. In this research, we aimed to assess the application values of the 3D-printed custom prostheses with ultra-short stems for restoring bone defects and maintaining arthrosis in malignant bone tumors of lower extremities in children. Methods: Seven cases of pediatric patients were included in this study...
2024: Frontiers in Bioengineering and Biotechnology
https://read.qxmd.com/read/38324644/are-percutaneous-epiphysiodesis-and-phemister-technique-effective-in-the-treatment-of-leg-length-discrepancy-a-systematic-review
#3
JOURNAL ARTICLE
Maria Tirta, Mette Holm Hjorth, Jette Frost Jepsen, Ole Rahbek, Søren Kold
Epiphysiodesis is considered the preferred treatment for children predicted to have leg length discrepancies (LLDs) 2-5 cm at maturity. The aim of this study was to systematically review the existing literature on the effectiveness of permanent epiphysiodesis for LLD treatment, and secondarily to address the reported complications of permanent epiphysiodesis techniques. This systematic review was performed according to PRISMA guidelines. We searched MEDLINE (PubMed), Embase, Cochrane Library, Web of Science and Scopus for studies on skeletally immature patients with LLD treated with permanent epiphysiodesis...
February 5, 2024: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/38312896/does-combining-drilling-and-curettage-to-percutaneous-trans-epiphyseal-screws-improve-correction-of-limb-length-discrepancy-a-comparative-study
#4
JOURNAL ARTICLE
Manaf H Younis, Regina Hanstein, Kainaat Javed, Eric D Fornari, Jaime A Gomez, Melinda S Sharkey, Jacob F Schulz
OBJECTIVES: Physeal drilling and curettage (PDC) and percutaneous epiphysiodesis using transphyseal screws (PETS) are among the most widely used techniques to treat leg-length discrepancy (LLD). This study compared the efficacy and outcomes between PETS alone and PETS combined with PDC (PETS + PDC). METHODS: Retrospective study of children who underwent epiphysiodesis of the proximal tibia or distal femur with either PETS or PETS + PDC between 2008 and 2018 at a single institution...
February 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38180022/effect-of-solitary-osteochondroma-on-alignment-and-length-in-the-lower-extremities
#5
JOURNAL ARTICLE
Hoon Park, Hyun Woo Kim, Kun-Bo Park, Jae Hong Kim, Won June Chang, Byoung Kyu Park
BACKGROUND: There is a lack of information about the effects of untreated solitary osteochondroma (SO) on longitudinal growth of the lower extremities in children and adolescents. This study aimed to assess the coronal alignment and length of the lower extremity in patients with SO around the knee and to identify the factors related to the development of deformities. METHODS: We retrospectively reviewed 111 patients diagnosed with SO around the knee. The patients were classified into 2 groups depending on the location of the SO: 51 in the distal femur and 60 in the proximal tibia...
January 5, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38107356/the-effects-of-different-degrees-of-leg-length-discrepancy-on-vertical-ground-reaction-force-in-children-and-adults-treatment-implications
#6
JOURNAL ARTICLE
F Mohamed-Saaid, A R Sulaiman, I Munajat, E F Mohd, W N Arifin, R Ghafar
INTRODUCTION: Previous studies on the degree of leg length discrepancy that causes limb biomechanical problems did not differentiate between adults and children. We conducted this study to determine the effects of simulated leg length discrepancy on vertical ground reaction force in children and adults to enable decision-making for intervention in patients with leg length discrepancy for different age groups or heights. MATERIALS AND METHODS: This cross-sectional study involved male volunteers of children 150cm and adults with 170cm in height...
November 2023: Malaysian Orthopaedic Journal
https://read.qxmd.com/read/38078319/role-of-the-ortho-bridge-system-in-the-length-unstable-subtrochanteric-femur-fracture-in-school-going-children-a-retrospective-clinical-study-of-19-cases
#7
JOURNAL ARTICLE
Mingjing Li, Jian Xu, Jiang Xiang, Chunquan Zhu, Zonghui Dai, Fan Li
BACKGROUND: Treating subtrochanteric femur fractures in pediatric patients remains challenging, and an optimal fixation device has yet to be established. This study aimed to asess the clinical and radiological outcomes of Ortho-Bridge System (OBS) treatment for length-unstable subtrochanteric femur fractures in children aged 5-16 years. METHODS: We conducted a retrospective review of pediatric patients with subtrochanteric femur fractures treated with OBS between January 2018 and December 2021...
2023: Frontiers in Pediatrics
https://read.qxmd.com/read/37933061/prediction-of-leg-length-discrepancy-in-pediatric-femoral-shaft-fracture-using-bone-spect-ct-a-case-report
#8
JOURNAL ARTICLE
Sung Il Wang, Hwan-Jeong Jeong, Seok Tae Lim, Yeon-Hee Han
RATIONALE: Children's bones are in the process of growing in both length and width. Therefore, evaluating whether fractures affect the growth plate or not is very crucial. However, even in cases of lower limb fractures where the growth plate remains unaffected, overgrowth or shortening of the affected limb are encountered. PATIENT CONCERNS: An 11-year-old boy was admitted to the emergency department after a passenger car accident. DIAGNOSES: A comminuted fracture of the right femoral shaft was diagnosed by X-ray image...
November 3, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37913664/transport-over-a-flexible-nail-to-treat-a-tibial-defect-caused-by-shelling-injury-a-case-report-of-a-13-year-old-child
#9
Maher Badawi, Abdulrazak Anadani, Maya Sabboh, Ahmad Tawfeek Banna, Hani Alloush
INTRODUCTION: The care of tibial traumatic fractures brought on by shelling injuries is extremely difficult, as these fractures are frequently comminuted, leading to a bone defect, extensive soft tissue damage, and an increased risk of bacterial contamination. CASE PRESENTATION: A 13-year-old male presented with trauma to the right leg following a shelling injury. He had a Gustilo IIIa open fracture with soft tissue destruction and a 7.5 cm bone loss in the distal region of the tibial shaft...
October 26, 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37892249/is-the-high-healing-index-a-complication-of-progressive-long-bone-lengthening-observations-from-a-cohort-of-178-children-treated-with-circular-external-fixation-for-lower-limb-length-discrepancy
#10
JOURNAL ARTICLE
Alessandro Depaoli, Marina Magnani, Agnese Casamenti, Tosca Cerasoli, Marco Ramella, Grazia Chiara Menozzi, Marina Mordenti, Gino Rocca, Giovanni Trisolino
The use of external fixators (EFs) for lower limb lengthening is common for treating lower limb length discrepancy (LLD) in children. The concern at present revolves around extended treatment times, with some suggesting a healing index (HI) > 45 days/cm as a major complication. The aim of this study is to assess the factors affecting bone healing and treatment duration in children who undergo limb lengthening for LLD using circular EFs. A total of 240 lengthening procedures on 178 children affected by congenital or acquired LLDs (mean age at surgery 13...
September 22, 2023: Children
https://read.qxmd.com/read/37850892/-risk-factors-of-adverse-long-term-consequences-of-tibial-shaft-fractures-in-children
#11
JOURNAL ARTICLE
A O Dyutin, R A Shakiryanov, A S Semenova, K D Kyarunts, V A Osipov
OBJECTIVE: To analyze leg length discrepancy and overgrowth after tibial shaft fractures in children. MATERIAL AND METHODS: We analyzed medical records of 103 patients younger 14 years old with tibial shaft fractures between January 2003 and November 2018. Treatment included plastering and insertion of titanium elastic nail. To identify the risk factors of leg length discrepancy ≥1 cm and overgrowth ≥1 cm, we performed logistic regression analysis...
2023: Khirurgiia
https://read.qxmd.com/read/37791633/recovery-of-gait-in-children-and-adolescents-after-pediatric-femoral-shaft-fracture-treated-with-intramedullary-nail-fixation-a-longitudinal-prospective-study
#12
JOURNAL ARTICLE
Marianne Flinck, Jacques Riad
BACKGROUND: Femoral shaft fractures in school-aged children are commonly treated with intramedullary nail fixation. Outcomes such as time to healing, alignment and non-union, leg length discrepancy, and refractures, and other complications are often reported based on radiographic findings. There are limited reports on physical function, including objective quantitative measures. The aim was to study the progress and recovery of gait after femoral shaft fracture in children and adolescents...
October 4, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37757736/a-devastating-complication-from-neonate-knee-septic-arthritis-due-to-conservative-treatment-a-case-report
#13
Hilmi Muhammad, Ardicho Irfantian
INTRODUCTION: Septic arthritis in the neonate is a devastating condition that affects children and causes irreversible limb dysfunction or deformity. Neonatal septic arthritis is harmful and will end with skeletal abnormalities. PRESENTATION OF CASE: Neonate born with ileal atresia and underwent surgical treatment. Postoperatively, the patient experienced sepsis and was accompanied by septic arthritis. The patient was given triple IV antibiotic treatment without surgical debridement...
September 9, 2023: International Journal of Surgery Case Reports
https://read.qxmd.com/read/37692753/chronic-recurrent-multifocal-osteomyelitis-a-comprehensive-literature-review
#14
REVIEW
Mariam Hassan, Heabah Assi, Maha Hassan, Jared J Bies, Swathi Prakash, Ali Hassan, Sara Alhariri, Fatma Dihowm
Chronic recurrent multifocal osteomyelitis (CRMO) is a non-infectious, inflammatory disorder of the bones. CRMO typically affects children, with a predisposition to females. Bone-related pain is often felt in the metaphysis of long bones, particularly of the lower extremities, but it can also target other sites at varied time intervals. Patients are likely to complain of tenderness and swelling that may cause considerable disability and adversely impact quality of life. There are three main pathophysiological mechanisms that have been hypothesized to drive CRMO including imbalanced cytokine expression, increased inflammasome activation, and enhanced osteoclast differentiation...
August 2023: Curēus
https://read.qxmd.com/read/37685785/long-term-outcomes-at-skeletal-maturity-of-combined-pelvic-and-femoral-osteotomy-for-the-treatment-of-legg-calve-perthes-disease
#15
JOURNAL ARTICLE
Christina M Regan, Alvin W Su, Anthony A Stans, Todd A Milbrandt, A Noelle Larson, William J Shaughnessy, Emmanouil Grigoriou
Surgical treatment for Legg-Calve-Perthes disease (LCPD) is recommended for older children with moderate to severe disease. We sought to determine whether double osteotomies lead to improved radiologic outcomes compared to reported non-operative outcomes. Patients older than 6 years of age diagnosed with LCPD lateral pillar B or C who were treated with pelvic and femoral osteotomies were included. Radiologic outcomes and leg-length discrepancies were assessed using the Stulberg classification and were compared with the current literature...
September 1, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37561147/-options-and-limits-of-leg-length-correction-in-paediatric-orthopaedics
#16
REVIEW
Björn Vogt, Jan Duedal Rölfing, Robert Rödl, Henning Tretow
For paediatric orthopaedic surgeons treating leg length discrepancy, knowledge of the available procedures and their options and limits is just as important as mastery of the very different surgical methods and implants, as well as the possible complications, in order to be able to advise and treat the children and adolescents and their parents comprehensively and in the best interests. Both the growth inhibiting procedures and the complex bone lengthening procedures require a great deal of experience to successfully guide patients and families through what is often a lengthy and sometimes complicated treatment process...
August 10, 2023: Orthopadie (Heidelb)
https://read.qxmd.com/read/37529525/leg-length-and-alignment-changes-in-children-and-adolescents-after-transphyseal-anterior-cruciate-ligament-reconstruction-with-soft-tissue-graft-results-at-1-year-follow-up
#17
JOURNAL ARTICLE
Alexander H Seeto, Christopher P Carty, Kylie Bradford, Sheanna Maine, David Bade, Liam Johnson, Ivan P Astori
BACKGROUND: Growth disturbance to leg length or coronal plane alignment are important considerations in pediatric anterior cruciate ligament (ACL) reconstruction (ACLR). PURPOSE/HYPOTHESIS: The purpose of this study was to investigate the lower limb alignment and leg length of pediatric patients preoperatively and at approximately 1 year after transphyseal ACLR. Our hypothesis was that there would be no significant change in leg-length discrepancy (LLD) or operated-side alignment at follow-up...
July 2023: Orthopaedic Journal of Sports Medicine
https://read.qxmd.com/read/37522467/analysis-of-growth-after-transphyseal-anterior-cruciate-ligament-reconstruction-in-children
#18
JOURNAL ARTICLE
Manon Bolzinger, Camille Thevenin Lemoine, Clara Flumian, Nicolas Nicolaou, Jerome Sales de Gauzy, Franck Accadbled
BACKGROUND: Pediatric transphyseal anterior cruciate ligament reconstruction (ACLR) bears several advantages and is widely used. The main concern is the risk of growth disturbance. Our purpose was to investigate the incidence and risk factors of growth disturbance in skeletally immature patients who underwent transphyseal ACLR. We hypothesized that this procedure would generate neither clinically relevant limb length discrepancy (LLD) nor axis deviation. METHODS: This prospective, consecutive, single-center series included skeletally immature patients who underwent primary transphyseal ACLR using semitendinosus tendon autograft, with a 2-year follow-up bone length standing radiograph of both lower limbs from pelvis to ankle in anterior posterior view...
October 1, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37522246/radiographic-reference-values-of-the-central-knee-anatomy-in-8-16-year-old-children
#19
JOURNAL ARTICLE
Bjoern Vogt, Emma Hvidberg, Jan Duedal Rölfing, Georg Gosheger, Bjarne Møller-Madsen, Ahmed A Abood, Veronika Weyer-Elberich, Andrea Laufer, Gregor Toporowski, Robert Roedl, Adrien Frommer
BACKGROUND AND PURPOSE: For correction of leg-length discrepancy or angular deformity of the lower limb in skeletally immature patients temporary or permanent (hemi-)epiphysiodesis can be employed. These are reliable treatments with few complications. Recently, radiographic analysis of treatment-related alterations of the central knee anatomy gained interest among pediatric orthopedic surgeons. To date the comparison and adequate interpretation of potential changes of the central knee anatomy is limited due to the lack of defined standardized radiographic references...
July 31, 2023: Acta Orthopaedica
https://read.qxmd.com/read/37485226/the-novel-use-of-the-lateral-scanogram-to-detect-cruciate-deficiency-in-children-with-congenital-femoral-deficiency
#20
Tristen N Taylor, Callie S Bridges, Benjamin M Martin, Scott McKay, Jaclyn F Hill
Congenital femoral deficiency (CFD) is often associated with cruciate ligament deficiency. The lateral scanogram may be a potential solution to some limitations for detecting instability associated with cruciate ligament deficiency. This qualitative case study identified two children with congenital femoral deficiency who were assessed with a lateral scanogram and had their results correlated to the clinical examination and MRI. Both cases identified a child with congenital femoral deficiency, one with a total leg length discrepancy (LLD) of 12 cm and the next with 6...
June 2023: Curēus
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