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By Thamer Alhussainan Pediatric orthopedic surgeon, King Faisal Specialist Hospital & Research center, Riyadh, Saudi Arabia
Elodie Gaum├ętou, Cindy Mallet, Philippe Souchet, Keyvan Mazda, Brice Ilharreborde
BACKGROUND: Among the numerous existing epiphysiodesis procedures, the eight-plate-guided growth technique, initially described for angular deformities correction, has progressively gained popularity among pediatric orthopaedic surgeons to treat lower limb discrepancy (LLD). The goal of this study was to assess the efficacy of eight-plates in LLD. METHODS: All children treated for LLD with eight-plates were prospectively included and followed until skeletal maturity...
October 2016: Journal of Pediatric Orthopedics
Abdelsalam Hegazy, Mohamed Kenawey, Etienne Sochett, Lianne Tile, Angela M Cheung, Andrew W Howard
In this report, we describe 6 children with osteogenesis imperfecta with unusual stress femoral fractures. All children were on long-term cyclic pamidronate treatment. All fractures occurred without trauma or with minimal trauma and were located in the subtrochanteric or the diaphyseal regions of the femur over preexisting intramedullary rods. These fractures have very similar features to the reported minimal trauma atypical femoral fractures in adults on long-term bisphosphonate treatment. These fractures raise concerns about the role of prolonged remodeling suppression and microdamage accumulation and the risk of increased bone fragility...
October 2016: Journal of Pediatric Orthopedics
Federico Canavese, Alexei Botnari, Antonio Andreacchio, Lorenza Marengo, Antoine Samba, Alain Dimeglio, Bruno Pereira, Mounira Mansour, Marie Rousset
BACKGROUND: The main objective of this study was to retrospectively evaluate the clinical and radiographic outcomes of displaced tibial shaft fractures with intact fibula in children after nonoperative management and operative treatment by elastic stable intramedullary nailing. METHODS: A study was performed on 80 consecutive children, 56 males, 24 females from 2 Institutions, with displaced and closed tibial shaft fracture with intact fibula. All patients underwent regular clinical and radiographic follow-up visits for at least 2 years after injury...
October 2016: Journal of Pediatric Orthopedics
Kelly A Jeans, Ashley L Erdman, Lori A Karol
INTRODUCTION: Worldwide, a nonoperative approach in the treatment of idiopathic clubfoot has been taken in an attempt to reduce the incidence of surgical outcomes. Although both the Ponseti casting (Ponseti) and the French physiotherapy (PT) methods have shown gait and pedobarograph differences at age 2 years, improved gait results have been reported by age 5 years. The purpose of this study was to assess plantar pressures in feet treated with the Ponseti versus the PT methods at this intermediate stage...
January 2017: Journal of Pediatric Orthopedics
Julio J Jauregui, Shirin Zamani, Hummira H Abawi, John E Herzenberg
INTRODUCTION: Posterior capsulotomy can correct residual clubfoot deformity, but has been associated with ankle stiffness. The purpose of this study was to evaluate clinical ankle range of motion (ROM) following posterior capsulotomy immediately postsurgery and during long-term follow-up. METHODS: A retrospective clinical and radiographic review of 257 patients (398 feet) was performed to evaluate all patients who required a posterior capsulotomy as part of their clubfoot management...
April 2017: Journal of Pediatric Orthopedics
Hui Taek Kim, Tae Hoon Lee, Tae Young Ahn, Jae Hoon Jang
BACKGROUND: Because the use of magnetic resonance imaging is still not universal for the patients with developmental dysplasia of the hip patients, orthopaedists do not generally distinguish widened joint spaces which are "empty" after primary treatment (and therefore still reducible), from those which are filled and much more difficult to treat. To date no studies have focused on the latter hips. We treated and observed the outcomes for 19 hips which showed filled joint spaces after primary treatment...
April 2017: Journal of Pediatric Orthopedics
Seungcheol Kang, Jae Young Kim, Soo-Sung Park
BACKGROUND: Patients with multiple hereditary exostoses (MHE) frequently present with a genu valgum deformity. Temporary hemiepiphysiodesis, such as hemiepiphyseal stapling, is a relatively safe surgical method to correct angular deformities in skeletally immature patients, but its outcomes for genu valgum deformity in MHE patients have not been extensively reported. We investigated the outcomes of hemiepiphyseal stapling in MHE patients (MHE group) and compared those with the outcomes in patients with idiopathic deformities (idiopathic group) after adjusting for potential bias...
June 2017: Journal of Pediatric Orthopedics
Jenna Godfrey, Jessica McGraw, Antony Kallur, Selina Silva, Elizabeth Szalay
BACKGROUND: Treatment of symptomatic spastic hip dislocations in adolescent patients with cerebral palsy includes a variety of described salvage type procedures. In 1990, McHale and colleagues described a technique involving a femoral head resection, valgus-producing proximal femoral osteotomy, and advancement of the lesser trochanter into the acetabulum. We have modified this technique in 3 ways by: performing it in the lateral position with a more posterior approach, not advancing the lesser trochanter into the acetabulum, and closing the capsule over the acetabulum...
December 2016: Journal of Pediatric Orthopedics
Julio Javier Masquijo, Ignacio Vazquez, Victoria Allende, Lucas Lanfranchi, Armando Torres-Gomez, Matthew B Dobbs
INTRODUCTION: Coalition resection can restore motion, and improve pain in patients with talocalcaneal coalitions (TCCs) and an aligned foot. However, there is some debate regarding appropriate treatment of patients with associated valgus deformity. The purpose of this study was to present the outcomes and complications following surgical reconstruction, with or without coalition resection, in a series of patients with TCC and severe hindfoot valgus. METHODS: Thirteen consecutive patients (14 feet) were evaluated...
June 2017: Journal of Pediatric Orthopedics
Jason M Cage, Sheena R Black, Robert L Wimberly, Jay B Cook, William T Gheen, ChanHee Jo, Anthony I Riccio
BACKGROUND: Multiple techniques for flexible intramedullary nailing (FIMN) of pediatric femur fractures have been described. To our knowledge, no study has compared combined medial-lateral (ML) entry versus all-lateral (AL) entry retrograde nailing. This study compares surgical outcomes, radiographic outcomes, and complication rates between these 2 techniques. METHODS: A retrospective review of a consecutive series of patients treated by retrograde, dual FIMN of femur fractures was performed from 2005 to 2012...
July 2017: Journal of Pediatric Orthopedics
Bryce A Basques, Adam M Lukasiewicz, Andre M Samuel, Matthew L Webb, Daniel D Bohl, Brian G Smith, Jonathan N Grauer
BACKGROUND: Quality improvement in orthopaedic surgery has received increasing attention; however, there is insufficient information available about the perioperative safety of many common pediatric orthopaedic procedures. This study aimed to characterize the incidence of adverse events in a national pediatric patient sample to understand the risk profiles of common pediatric orthopaedic procedures, and to identify patients and operations that are associated with increased rates of adverse outcomes...
September 2017: Journal of Pediatric Orthopedics
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