Intervertebral Disk Health Following Vertebral Body Tethering for Adolescent Idiopathic Scoliosis: A Preliminary Study
Conclusion:
At 1 year postoperatively, increased degenerative changes in disks spanned by the tether was identifiable on MRI without evidence of adjacent segment disk disease. These changes were not associated with patient-reported outcomes.
Level of Evidence:
Level III. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - July 13, 2022 Category: Orthopaedics Tags: Scoliosis Source Type: research
Complications With Surgical Treatment of Pediatric Supracondylar Humerus Fractures: Does Surgeon Training Matter?
No abstract available (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Letters to the Editor Source Type: research
Do Obese Children Have Poor Patient-reported Outcomes After Closed Reduction and Percutaneous Pin Fixation of Supracondylar Humerus Fractures?
No abstract available (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Letters to the Editor Source Type: research
Interobserver and Intraobserver Agreement are Unsatisfactory When Determining Abstract Study Design and Level of Evidence
Background:
Understanding differences between types of study design (SD) and level of evidence (LOE) are important when selecting research for presentation or publication and determining its potential clinical impact. The purpose of this study was to evaluate interobserver and intraobserver reliability when assigning LOE and SD as well as quantify the impact of a commonly used reference aid on these assessments.
Methods:
Thirty-six accepted abstracts from the Pediatric Orthopaedic Society of North America (POSNA) 2021 annual meeting were selected for this study. Thirteen reviewers from the POSNA Evidence-Based P...
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Selected Topics Source Type: research
Sociodemographic Missed-care Predictors for Pediatric Orthopaedic Telemedicine During COVID-19
We examined differences in pediatric orthopaedic telemedicine MCOs during the COVID-19 pandemic, compared with MCOs of in-person visits in a prepandemic time frame. We hypothesized that groups with known health disparities would experience higher rates of pediatric orthopedic telemedicine MCOs.
Methods:
We retrospectively analyzed pediatric orthopaedic telemedicine MCOs during the COVID-19 pandemic lockdown (March-May 2020) and in-person pediatric orthopaedic visit MCOs during a nonpandemic timeframe (March-May 2019). We examined predictors of MCOs including race, ethnicity, language, insurance status, and other soc...
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Selected Topics Source Type: research
Quality Measures for Pediatric Orthopaedic Surgery: A Systematic Review
Conclusions:
There are few quality measures and candidate quality measures to assess pediatric orthopaedic surgery. Of the quality measure available, process measures are relatively over-represented. Pediatric orthopaedic surgeons can lead the development of outcome (eg, patient-reported outcomes after surgery) and structure measures (eg, subspecialty training certification) to assess quality of care in pediatric orthopaedic surgery.
Level of Evidence:
Level II—systematic review. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Selected Topics Source Type: research
Clinical Scores Predict Acute and Chronic Complications in Pediatric Osteomyelitis: An External Validation
Conclusions:
These novel composite clinical scores, in combination with clinical judgment, could help guide early care decisions. The A-SCORE and C-SCORE are useful risk stratification tools in the management of pediatric AHO and in predicting acute complicated courses or chronic sequelae of AHO, respectively. These scoring systems, if integrated into standardized pediatric AHO guidelines, can allow clinicians to stratify the AHO population and guide clinical decision making.
Level of Evidence:
Level III (prognostic study, retrospective chart review). (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Selected Topics Source Type: research
Intramedullary Fixation of Double-Barrel Vascularised Fibula Grafts With Subsequent Lengthening for Reconstruction of the Distal Femur in Patients With Osteosarcoma
Conclusions:
A-frame vascularised fibula reconstructions showed encouraging results with respect to defect reconstruction, length as well as function and should therefore be considered a valuable option for reconstruction of the distal femur after osteosarcoma resection. The surgical implementation is demanding though, which is emphasized by the considerable high number of complications requiring surgical intervention, even though most were not serious.
Level of Evidence:
Level IV—case series. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Tumors Source Type: research
Neuromonitoring for Proximal Fibular Osteochondroma Excision
Conclusions:
Neuromonitoring during PFO excision demonstrated a high number of alerts, all of which resolved following timely corrective action. The use of neuromonitoring may help decrease the risk of iatrogenic postoperative neurological deficits following fibular osteochondroma surgery.
Level of Evidence:
Level IV. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Tumors Source Type: research
Treatments and Sequelae of Pediatric Pathologic Proximal Femur Fractures Due to Benign Bone Cyst
Background:
The proximal femur is a common location for pathologic fractures in children, yet there is little published information regarding this injury. The purpose of this study was to investigate the outcomes of pediatric pathologic proximal femur fractures due to benign bone tumors.
Methods:
A retrospective review of patients treated for pathologic proximal femur fractures from 2004 to 2018 was conducted. Inclusion criteria were age below 18 years and pathologic proximal femur fracture secondary to a benign bone tumor. Patients were excluded if they had (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Tumors Source Type: research
Multicenter Series of Deformity Correction Using Guided Growth in the Setting of Osteogenesis Imperfecta
Conclusion:
Guided growth may be used as an effective means of angular deformity correction with dysplastic OI bone. Having an intramedullary rod did not preclude the use of a guided growth technique. One procedure demonstrated screw backout. Given the short stature associated with OI, performing a guided growth procedure at an early enough age to allow time for correction should be considered.
Level of Evidence:
Level IV—case series. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Metabolic Source Type: research
Comparison of the Healing Outcomes of Conservative Treatment for Stable Juvenile Osteochondritis Dissecans of the Lateral Femoral Condyle With Normal Lateral Meniscus and Incomplete Discoid Lateral Meniscus
Conclusion:
No significant differences in the OCD healing rate or time to healing were found between the normal and incomplete DLM type. Therefore, treatment strategy for OCD with stable and asymptomatic incomplete DLM should be the same as that for those occurring with a normal meniscus. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Sports Medicine Source Type: research
Establishing Clinically Significant Outcomes After Anterior Cruciate Ligament Reconstruction in Pediatric Patients
Conclusion:
Clinically meaningful outcomes including MCID and PASS were established for pediatric ACLR surgery using selected PRO measures, IKDC, and KOOS. Patient age, sex, graft type, and graft size were not associated with greater achievement of these outcomes. In contrast, collision sports, fixed-object high-impact rotational landing sports, and concomitant meniscectomy surgery were associated with a decreased likelihood of achieving clinically significant improvement. However, findings must be interpreted with caution due to limitations in follow-up and sample size.
Level of Evidence:
Level IV: case series....
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Sports Medicine Source Type: research
Modified Bilhaut-Cloquet Procedure for the Reconstruction of Wassel Type III Radial Polydactyly
Conclusion:
Our modification of Bihaut-Cloquet procedure is an effective way to provide a well-functioning thumb for Wassel type III radial polydactyly thumbs.
Level of Evidence:
Level IV. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Hand Source Type: research
Characterization of the Epidemiology and Risk Factors for Hand Fractures in Patients Aged 1 to 19 Presenting to United States Emergency Departments: A Retrospective Study of 21,031 Cases
Conclusion:
This study determined the incidence of pediatric hand fractures presenting to EDs across the United States. In addition, it identified risk factors for common hand fracture etiologies (sports-related, falling, crush, punching) and demonstrated the change in rates of different etiologies of pediatric hand fractures that presented to US EDs during the COVID-19 pandemic.
Level of Evidence:
Level III—retrospective comparative study. (Source: Journal of Pediatric Orthopaedics)
Source: Journal of Pediatric Orthopaedics - June 7, 2022 Category: Orthopaedics Tags: Hand Source Type: research
