Journal of Pediatric Orthopaedics B This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Diagnosis and treatment of flexible flatfoot: results of 2019 flexible flatfoot survey from the European Paediatric Orthopedic Society
The aim of the study was to evaluate flexible flatfoot (FFF) diagnostic and current therapeutic modalities, as well as treatment expectations, among members of the European Paediatric Orthopaedic Society (EPOS). A 59-questions survey on FFF diagnosis and treatment preferences was distributed to EPOS members. The survey consisted of six sections (1) general clinical parameters; (2) foot aspects; (3) X-ray angles (or lines); (4) expectations; (5) standard clinical assessment; and (6) management options. Descriptive statistics were performed. A total of 93 responses were analysed. In general, clinical parameters, age (91.4% o...
Source: Journal of Pediatric Orthopaedics B - August 5, 2021 Category: Orthopaedics Tags: Foot & Ankle Source Type: research

Comparison of K-wire versus screw fixation after open reduction of transitional (Tillaux and triplane) distal tibia fractures
Our study aimed to compare the clinical and radiographic outcomes of transitional distal tibia fractures treated with K-wire fixation versus screw fixation after open reduction. A retrospective study was performed on all displaced transitional distal tibia fractures that underwent operative fixation. Following open reduction, surgical fixation was performed using either percutaneously inserted 2.0 mm K-wires, or 4.0 mm partially-threaded cannulated cancellous screws. Clinical and radiographic outcomes between the two groups were assessed using the modified Weber score. Other outcome measures assessed were surgical time, ca...
Source: Journal of Pediatric Orthopaedics B - August 5, 2021 Category: Orthopaedics Tags: Trauma Lower Limb Source Type: research

The midterm outcomes of ankle Dias-Tachdjian pronation-eversion external rotation physeal fracture in children treated by open reduction internal fixation with one-stage medial-lateral combined incision
The objective of this study was to report the midterm outcomes and complications of ankle Dias-Tachdjian pronation-eversion external rotation (PEER) physeal fracture in children treated by ORIF with combined medial and lateral incision. A total of 21 children with ankle Dias-Tachdjian PEER physeal fracture underwent open reduction internal fixation treatment with combined medial and lateral incision between January 2015 and October 2017. The lateral distal tibia angle (LDTA) was measured to evaluate angular deformity and the X-rays were taken to evaluate the premature physeal arrest. All patients were followed up for an av...
Source: Journal of Pediatric Orthopaedics B - August 5, 2021 Category: Orthopaedics Tags: Trauma Lower Limb Source Type: research

Displaced diaphyseal tibia fractures managed by elastic stable intramedullary nailing with or without the use of intraoperative traction table during nail insertion: a comparative analysis of 160 patients
The use of an orthopedic traction table (OTT) during elastic stable intramedullary nailing (ESIN) in the management of displaced diaphyseal tibia fractures (DTFs) is controversial. The aim of this study was to evaluate the clinical and radiological outcome of children with displaced DTF managed by ESIN with and without the use of an OTT. Medical records were retrospectively reviewed for all pediatric patients sustaining DTF managed by ESIN from 2011 to 2019 at two different institutions. In all, 160 consecutive children with displaced DTF were recorded, of whom 80 underwent operative treatment by ESIN without OTT (group A)...
Source: Journal of Pediatric Orthopaedics B - August 5, 2021 Category: Orthopaedics Tags: Trauma Lower Limb Source Type: research

The association of socioeconomic deprivation and paediatric open tibia fractures
The primary aim of this study is to test the association of open tibial fractures (OTF), in a paediatric age group, with socioeconomic deprivation. The secondary objectives are to more clearly define the epidemiological characteristics of these high-energy injuries. A consecutive series of patients with OTF presenting to a major trauma centre at a children’s hospital in Liverpool had age, gender, fracture pattern, mechanism, timing of the injury and their postcode of residence recorded. Those cases outside Liverpool, Sefton and Knowsley local authorities were excluded from incidence calculations. Postcodes were used to g...
Source: Journal of Pediatric Orthopaedics B - August 5, 2021 Category: Orthopaedics Tags: Trauma Lower Limb Source Type: research

Displaced distal femur metaphyseal fractures: clinical and radiographic outcome in children aged 6–16 years treated by elastic stable intramedullary nailing
Fractures of the distal femur metaphysis (DFM) are rare. The main objective of this study was to retrospectively evaluate the clinical and radiographic outcomes of displaced DFM fractures in children treated by elastic stable intramedullary nailing (ESIN). We retrospectively reviewed 24 DFM fractures, including five pathological fractures secondary to non-ossifying fibroma (mean age, 10.9 years; range, 6-16) who underwent surgical treatment by ESIN. The patients were followed radiographically and clinically on a regular basis. Sixteen boys and eight girls were included in the study. Radiographically, all fractures healed, ...
Source: Journal of Pediatric Orthopaedics B - August 5, 2021 Category: Orthopaedics Tags: Trauma Lower Limb Source Type: research

Instructional Video did not reduce anxiety during pediatric cast removal: a prospective cohort study
The aim of the study was to determine if the use of an Instructional Video will decrease anxiety during cast removal. We enrolled 60 healthy children undergoing their first cast removal following conservative fracture treatment. Patients were divided into one of three groups (1) No Video (control group), (2) watching a video of a well-tolerated pediatric cast removal (Instructional Video), or (3) watching a nonmedical Children’s Video during cast removal. We assessed anxiety to the cast saw by recording heart rate in the waiting room, during the procedure, and 1–2 min after the procedure. There were no significant di...
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Miscellaneous Source Type: research

A quality improvement initiative to reduce cast transitions in a pediatric hospital
In conclusion, implementation of a multidisciplinary quality improvement protocol resulted in a more than 50% reduction in the transition rate of ED-applied casts in the clinic. Furthermore, healthcare charges to families were reduced by nearly $130 000 annually after implementation of this protocol. (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Miscellaneous Source Type: research

Current use of patient-reported outcomes in pediatric limb deformity surgery
Patient-reported outcome (PRO) instruments are critical to evaluate the natural history of conditions and treatment effects, but have not been well studied in pediatric limb deformity. The goal of this study was to identify and assess the most commonly used PROs in pediatric limb deformity surgery across a representative sample of the recent orthopedic literature. A review was performed from 1 January 2016 to 31 December 2018 in five orthopedic journals previously identified as having the greatest impact: Journal of Pediatric Orthopaedics, Journal of Pediatric Orthopaedics B, Journal of Children’s Orthopaedics, The Journ...
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Miscellaneous Source Type: research

Determinants of caregiver satisfaction in pediatric orthopedics
This study investigates determinants of pediatric orthopedic surgery patients’ parent or guardian (caregiver) satisfaction with the physician in an outpatient office setting. This was a cross-sectional survey study of 200 English-speaking caregivers of pediatric patients that checked into the pediatric orthopedic clinic at the authors’ institution from 1 March 2017 to 1 November 2018. Questionnaires given in clinic include the Newest Vital Sign and The Literacy in Musculoskeletal Problems survey to measure general and musculoskeletal health literacy, respectively, demographic information, expected/estimated wait time, ...
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Miscellaneous Source Type: research

Muscle elasticity in patients with neonatal brachial plexus palsy using shear-wave ultrasound elastography. Preliminary results
Ultrasound shear wave elastography (SWE) is a noninvasive, reliable and reproducible method, used for the qualitative and quantitative evaluation of tissues. The aim of this study was to compare muscle elasticity between the healthy and the involved sides in children with neonatal brachial plexus palsy (NBPP) using the elastography tool and to assess whether the difference was correlated with the Mallet grading system. We repeatedly measured the shear modulus coefficient of several muscles around the shoulder in stretched or passively relaxed positions on 14 patients. We evaluated the abductor muscles (supraspinatus and de...
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Normal values and ranges of the lateral capitello-humeral angle in healthy children
The lateral capitello-humeral angle (LCHA), which is an index of sagittal alignment of the elbow, has gradually been adopted for the postoperative assessment of radiographic results. However, the normal values and ranges of the LCHA remain unclear. A retrospective cohort study was performed to evaluate the normal values and ranges of the LCHA in a sample of healthy children with even distributions of age, sex and laterality. A total of 168 radiographs of the elbows of healthy children (age range, 0–11 years) with even distributions of age, sex and laterality were reviewed. The primary aim was to analyze the normal values...
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

An insight of how multiple skeletal maturity indices can be used for growth assessment: relationship between the simplified olecranon, simplified digital, and distal radius and ulna classifications
This cross-sectional study aims to investigate the relationship between the simplified olecranon, simplified digital, and distal radius and ulna (DRU) classifications, and whether they can aid in more comprehensive maturity assessment together. Left hand and wrist and lateral elbow radiographs from pediatric patients were assessed using the three skeletal maturity indices. The association between maturity indices was investigated using Goodman and Kruskal’s gamma, and by mapping of individual grades based on chronological age. Specific maturity grades, at which peak height velocity (PHV) occurs as previously identified, ...
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

One-year prospective analysis of hand and forearm injuries in children
The primary aim of this study was to assess the epidemiological evaluation of acute pediatric hand injuries frequently encountered in emergency department units. Its secondary aim was to identify the risk factors associated with such injuries. Out of the 1547 acute hand and forearm injury cases admitted to emergency trauma department between March 2017 and March 2018, the 129 injuries pertaining to children were included in the study. Mechanism, time, etiology, injured structures, anatomical regions, cut structures, and occupational accident status were determined in addition to demographic information. The injuries were e...
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research

Fractures of the base of the proximal phalanx in children: comparison between cast immobilization and Kirschner wire fixation
To retrospectively evaluate the clinical and radiographic outcomes of fractures of the base of the proximal phalanx (FBPP) in children by closed reduction and cast immobilization (CRCI) and closed reduction and percutaneous pinning (CRPP). Thirty-four consecutive children with FBPP were treated by CRCI (group A) and CRPP (group B). The diaphyseal axis-metacarpal head angle (DHA) was measured in anteroposterior radiographs before and after treatment. At the last follow-up visit, the range of motion of the injured finger was evaluated by the Total Active Flexion Scale. One year and more after the index procedure, patients we...
Source: Journal of Pediatric Orthopaedics B - June 3, 2021 Category: Orthopaedics Tags: Upper Limb Source Type: research