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.Reconstructive hip surgery in children with cerebral palsy: factors influencing risk of femoral head avascular necrosis
Femoral head avascular necrosis (AVN) is a complication of hip reconstruction in children with cerebral palsy (CP) with uncertain incidence. The purpose of this study was to establish the rate of AVN in children undergoing hip reconstruction and to identify the factors associated with AVN. Medical records and radiographs of patients aged 1-18 with a diagnosis of CP who have undergone hip reconstruction over a 9-year period (2010–2018) with at least 1-year follow-up were reviewed. Age at time of surgery, sex, Gross Motor Function Classification System (GMFCS), procedure(s), preoperative migration percentage (MP), and sign...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Cerebral Palsy Source Type: research
Blood loss in hip reconstructive surgery in children with cerebral palsy: when do I need to be prepared for blood transfusion?
The hip is the second most common joint involved in pediatric patients with cerebral palsy (CP). Hip reconstructive procedures are performed to improve function and comfort level. Blood loss can occur leading to blood transfusion in close to 1/3 of children with CP undergoing hip reconstruction. The purpose of this study was to report the rate and risk factors for blood transfusion after hip reconstruction in a large cohort of children with CP. We conducted a retrospective chart review of pediatric patients at our tertiary referral children’s hospital who underwent reconstructive hip osteotomy over an 8-year period. Bina...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Cerebral Palsy Source Type: research
3-D acetabular morphology of the neuromuscular hip: implications for preoperative planning
The importance of precisely understanding the pathoanatomy of acetabular dysplasia prior to surgical treatment has long been recognized. Acetabuloplasties for neuromuscular hip dysplasia have typically aimed to improve the acetabulum by increasing posterior-superior coverage, as previous three-dimensional (3-D) computed tomography (CT) studies have shown that acetabular dysplasia in neuromuscular hips is primarily in the direction of posterior-superior subluxation or dislocation. The purpose of this study was to identify differences in 3-D morphology between normal hips and dysplastic neuromuscular hips, specifically to id...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Cerebral Palsy Source Type: research
Effect of positioning error on the Hilgenreiner epiphyseal angle and the head-shaft angle compared to the femoral neck-shaft angle in children with cerebral palsy
This study aimed to determine and compare the effect of rotation, ab/adduction and flexion/extension on HEA/HSA/NSA. Radiographic measurements from 384 patients with Gross Motor Function Classification System (GMFCS) levels I–V were utilized. NSA/HSA for affected hips were used with femoral anteversion averages to create three-dimensional models of 694 hips in children with CP. Each hip was rotated, ab/adducted and flexed/extended to simulate malpositioning. HEA/HSA/NSA of each model were measured in each joint position, and differences from correct positioning were determined. Mean HEA error at 20° of internal/external...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Cerebral Palsy Source Type: research
The spectrum of tibial pseudarthrosis with constriction band syndrome in children
Constriction band syndrome (CBS) may be rarely associated with pseudarthrosis of tibia. Published literature includes only case reports. We evaluated the outcome of children with frank pseudarthrosis of the tibia with CBS and compared our results with other reported cases. We aimed to formulate a clinical classification of tibial involvement in CBS on the basis of the treatment guidelines. Seven patients with the presence of one or more constriction bands and radiological signs of tibial pseudarthrosis were included in the study. Eight reported cases of CBS with tibial involvement with management and follow-up details were...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Knee & Leg Source Type: research
Surgical treatment options for congenital pseudarthrosis of tibia in children: cross-union versus other options: a systematic review
The systematic review aimed to provide a comprehensive update on various surgical treatment options for congenital pseudarthrosis of tibia (CPT) in children and the outcome achieved in terms of union, union time and complications of non-union and refracture. A literature search was performed in PubMed (including Medline) database for broad keywords: ‘Congenital pseudarthrosis of tibia and children’. Studies selected included full-text articles on surgical treatments of CPT following: intra-medullary rod (IMR)/Ilizarov/combined IMR with Ilizarov/vascularized fibular graft (VFG) and cross-union. Out of 719 studies, 57(12...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Knee & Leg Source Type: research
Recurrence in infantile tibia vara (Blount disease) after high tibia and fibula osteotomy
This study recommends performing a high tibia and fibula valgus osteotomy before the age of 4 years in ITV to avoid recurrence. Overcorrection of the high tibia and fibula osteotomy to 15 degrees of valgus should be considered in older patients with high Langenskiöld stages at time of presentation. (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Knee & Leg Source Type: research
Percutaneous hemiepiphysiodesis using transphyseal screws for adolescent tibia vara
Hemiepiphysiodesis around the knee is becoming the mainstay procedure in adolescents for a wide range of aetiological deformities, when considering adolescent tibia vara (ATV), the published series have variable results. The purpose of this study was to review our experience with the percutaneous transphyseal screw (PETS) in these patients followed until bone maturity. We analysed the charts from 13 patients (20 knees) that underwent lateral tibial hemiepiphysiodesis using PETS. The radiographs were accessed before surgery, at implant removal, when occurred, and at the final follow-up. The clinical evaluation noted if ther...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Knee & Leg Source Type: research
Guided growth using a tension-band plate in Blount’s disease
Our observational study’s objective was to determine how effective guided growth with tension-band plates was to correct the deformity in Blount’s disease. We reviewed the records of 14 children (18 limbs) with Blount’s disease who were treated with tension-band plates as the only surgical intervention at a single institution over eight years. Five children (seven limbs) had infantile Blount’s disease with Langenskiöld stage ≤2. Nine children (11 limbs) had late-onset Blount’s disease. The mean age at operation was 7.2 years (SD, 3.1, range, 2.9–11.8). The tension-band plate effectively corrected the varus d...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Knee & Leg Source Type: research
Langenskiöld classification of tibia vara: a multicenter study on interrater reliability
This study concludes that Langenskiöld's classification when used by experts, still has a moderate inter-rater reliability at best. This variability is most at stages 2, 3, and 4; and can cause different treatment approaches. Use of MRI does not have a significant effect on its reliability. Regrouping the stages improved the inter-rater reliability. Level of evidence: III. (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Knee & Leg Source Type: research
Knee measurements among children with normal alignment, physiologic and pathologic bowing aged 0–3 years old: a systematic review
Distinguishing physiologic and pathologic genu varus is challenging among children below age 3. They can be assessed by measuring intercondylar distance (ICD), clinical tibiofemoral angle (cTFA) or radiologic TFA (rTFA). We aim to determine the knee measurement values among three groups of children. Medline (1946–) and EMBase (1947–) were searched until 31 July 2020 using a search strategy. Studies with original data which reported knee measurements among children with normal alignment, physiologic and pathologic bowing between the ages of 0–3 years were included. In total 1897 studies were identified, and 16 studi...
Source: Journal of Pediatric Orthopaedics B - February 1, 2022 Category: Orthopaedics Tags: Knee & Leg Source Type: research
Letter regarding ‘Clinical presentation, imaging findings and arthroscopic features in skeletally immature and mature adolescent hip patients: a comparative double-cohort retrospective study’
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Letter to the Editor Source Type: research
COVID-19 and delay to care in pediatric trauma
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Letter to the Editor Source Type: research
A critical analysis and commentary on Moscona’s ‘Citation analysis of the highest-cited articles on developmental dysplasia of the hip’
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Letter to the Editor Source Type: research
Response to Wei Y-S, Liu W-L, Bai R, Li D-H, Zhao Z-Q, Wang Y, et al. The use of a transolecranon pin joystick technique in the treatment of multidirectionally unstable supracondylar humeral fractures in children. J Pediatr Orthop B 2020; 29:452-457
No abstract available (Source: Journal of Pediatric Orthopaedics B)
Source: Journal of Pediatric Orthopaedics B - December 3, 2021 Category: Orthopaedics Tags: Letter to the Editor Source Type: research
