Journal of Pediatric Orthopaedics B 
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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.A retrospective study of idiopathic clubfoot managed by Ponseti method using Pirani and Dimeglio scoring, in Indian population: a minimum 3-year follow-up
We present quantitative and qualitative analysis of the results of Ponseti management in early presenting idiopathic clubfoot cases, with a minimum follow-up of three years after correction. We retrospectively analysed the data of 122 children (comprising a total of 191 feet) who were treated for clubfoot by the standard Ponseti method with a minimum 3-year follow-up post-correction at our clinic. All cases were treated under the supervision of a single senior Paediatric Orthopaedic Surgeon. The mean age at onset of treatment was 2.3 months. Mean follow-up period was 4.2 years. The mean number of casts applied was 6.7....
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Foot & Ankle Source Type: research
Does generalized joint hypermobility influence the Ponseti treatment of clubfoot patients?
Previous investigators have suggested a role for generalized joint hypermobility (GJH) in the etiology of clubfoot deformity, while others have suggested its presence may influence treatment outcomes. We sought to determine if GJH was associated with the demographics, treatment, or propensity to relapse of patients whose clubfeet were managed using the Ponseti method. Fifty-seven patients with Ponseti-treated clubfeet comprised the cohort; median age 61 months (range, 38–111 months). A physical therapist evaluated each patient using the nine-point Beighton scale to quantify hypermobility. The scores were then correla...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Foot & Ankle Source Type: research
Variations in arterial pedal circulation in idiopathic congenital talipes equinovarus: a systematic review
Variations in pedal circulation in congenital talipes equinovarus (CTEV) are well documented. There is a reported risk of vascular injury to the posterior tibial artery (PTA) during operative procedures for CTEV, potentially leading to necrosis and amputation. The aim of this systematic review was to identify the most common anomalies in arterial pedal circulation in CTEV and to determine the relevance of these to clinical practice. The systematic review was registered on PROSPERO and was carried out according to Preferred Reporting Items for Systematic Reviews and Meta Analyses guidelines by two independent reviewers. Stu...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Foot & Ankle Source Type: research
Rebound phenomenon after hemiepiphysiodesis: Determination of risk factors after tension band plate removal in coronal plane deformities of lower extremities
Risk factors for rebound phenomenon (ReP) have not been investigated in detail. Aim of this study is to investigate risk factors of ReP in lower extremity deformities after two-hole plate removal. Patients who underwent hemiepiphysiodes were retrospectively reviewed. Joint orientation angles of tibia and femur, deformity type, age of patient at initial surgery and plate removal, deformity correction rate, bone growth rate were noted. An increase of 5° or more in joint orientation angles in the direction of the initial deformity was considered ReP. A relationship between the patient parameters and ReP was evaluated. Ninety...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Knee Source Type: research
Hemiepiphysiodesis: when should it be considered a day-case procedure?
In this study, we assessed the required level of analgesia (LOA) and length of stay (LOS) in patients undergoing hemiepiphysiodesis about the knee joint. We conducted a retrospective cohort study of patients that underwent temporary hemiepiphysiodesis of the distal femur or proximal tibia using hemiepiphysiodesis plates (eight-plates) for coronal plane deformities between January 2012 and October 2019. Demographics, type of procedure, anatomical site, anaesthetic time, preoperative, intraoperative and postoperative analgesia, and time of surgery were collected. Anterior hemiepiphysiodesis and permanent drill epiphysiodesis...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Knee Source Type: research
Middle to long-term results of distal femoral tension band hemiepiphysiodesis in the treatment of idiopathic genu valgum
Idiopathic genu valgum is a common deformity in children. Guided growth is the treatment of choice in severe or symptomatic cases, although long-term results are mostly unknown. The purpose of this study was to determine the middle- to long-term results and complications of tension band plating in the treatment of idiopathic genu valgum, and the association between obesity and idiopathic genu valgum. A retrospective review of patients with idiopathic genu valgum treated by tension band plating between January 2007 and September 2017 was performed. Data from 99 patients (198 limbs) were reviewed. All underwent bilateral med...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Knee Source Type: research
Growth modulation for fixed flexion contracture of the knee: a comparison of two techniques
Growth modulation has become a mainstream treatment for frontal plane angular lower extremity deformities in children. Few articles address the effect of growth modulation on sagittal deformity. Our aim is to compare two anterior distal femoral growth modulation techniques for fixed knee flexion contracture. Electronic medical records were reviewed for patients who underwent anterior femoral growth modulation for fixed flexion contracture. Patients were excluded if adequate preoperative/postoperative radiographs were unavailable. A cohort was subdivided based on surgical technique: screws alone versus dual tension-band pla...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Knee Source Type: research
Parents want to attend pediatric fracture reductions
This study investigates parent experiences during their child’s reduction and provides guidance regarding parental attendance during fracture reductions. Sixty consecutive parents were retrospectively surveyed about their experience during their child’s fracture reduction. Parents were grouped according to presence or absence during the reduction and were compared. Forty parents attended the reduction and 20 parents were absent. All parents attending the reduction were satisfied with their experience. Thirty-nine parents (98%) believed their presence was helpful for their child and 36 (90%) believed it was personally h...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Lower Limb Trauma Source Type: research
Risk of premature physeal closure in fractures of distal tibia
The reported incidence of premature physeal closure (PPC) in fractures of the distal tibia has varied between 5 and 36%, but there is no consensus on the cause. We wanted to determine incidence and predictors of PPC in distal tibia physeal fractures in a population-based patient cohort. Two hundred forty-one patients (195 Peterson type I–V fractures and 46 transitional fractures) treated for a physeal fracture of the distal tibia during a 5-year period in two tertiary-level teaching hospitals. Odds ratios (OR) for developing PPC for different parameters (Peterson fracture type, associated fibula fracture, primary and pos...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Lower Limb Trauma Source Type: research
Paediatric open tibial fractures. Do children require a modified approach to that advised by the British Orthopaedic Association and British Association of Plastic Reconstructive and Aesthetic Surgeons in the UK?
This study reviews the outcomes of paediatric open tibial fractures treated at a level 1 trauma centre using the British Orthopaedic Association/British Association of Plastic Reconstructive and Aesthetic Surgeons standards and compares the results to management in adults. This was a retrospective study of 60 consecutive cases over a 9-year period. The variables recorded include grade of injury, contamination and pattern of fracture. Other data recorded include time at which antibiotics were given, time to index surgery, type of skeletal fixation and time to definitive cover. Outcomes sought were infection rate, time to un...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Lower Limb Trauma Source Type: research
Tibial tubercle fractures in children and adolescents: a large retrospective case series
To report patient characteristics, fracture types, treatment methods, early clinical outcomes and complications of children and adolescents treated for tibial tubercle fractures. Retrospective case series of patients 18 years old and younger treated for tibial tubercle fractures at a single institution from 1995 to 2015. Clinical and radiographic outcomes were reported at minimum six-month follow-up. In 228 patients, 236 tibial tubercle fractures were identified, of whom, 198 (87%) were males. Mean age and BMI was 14.3 years and 25.0, respectively. Pre-existing Osgood-Schlatter disease was identified in 31% cases and w...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Lower Limb Trauma Source Type: research
Evaluation of pediatric distal femoral physeal fractures and the factors impacting poor outcome requiring further corrective surgery
This study examines the risk of needing corrective procedures as a child approaches skeletal maturity. A retrospective analysis of patients treated at a single institution for distal femoral physeal fractures from 2000 to 2015 was performed. Association between sex, age, Salter–Harris (SH) class, and fracture displacement with the risk of physeal arrest were examined. Association between years of growth remaining to skeletal maturity and the risk of needing additional corrective surgery (defined by leg length difference>2 cm or angular deformity (>5°) was examined using a logistic regression model. One hundred one pat...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Lower Limb Trauma Source Type: research
Can titanium elastic nail be safely used for paediatric subtrochanteric femur fractures?
In this study, we aimed to show that subtrochanteric femur fractures, an uncommon type of fracture in the paediatric age group, can be treated with titanium elastic nailing (TEN). We reviewed the patients treated with TEN in the paediatric age group with subtrochanteric femur fractures who had been treated at the Orthopaedics and Traumatology Clinic of Izmir Tepecik Research and Training Hospital between January 2011 and December 2016 retrospectively. All fractures were fixed by retrograde nailing with supracondylar entry following reduction. Patients’ demographics as well as data such as fracture type, fracture level, t...
Source: Journal of Pediatric Orthopaedics B - November 28, 2020 Category: Orthopaedics Tags: Lower Limb Trauma Source Type: research
Editorial comment to accompany ‘Role of Rush rods in proximal femoral osteotomies for cerebral palsy’
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - October 3, 2020 Category: Orthopaedics Tags: Letters to Editor and Commentary/Response by the Authors Source Type: research
Role of Rush rods in proximal femoral osteotomies for cerebral palsy
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - October 3, 2020 Category: Orthopaedics Tags: Letters to Editor and Commentary/Response by the Authors Source Type: research
