Journal of Children's Orthopaedics最新文献

{"title":"Pediatric phalanx fractures: A retrospective study and review of the literature.","authors":"Stephanie Schizas,&nbsp;Nicolas Lutz,&nbsp;Elif Vardar,&nbsp;Sophie Merckaert,&nbsp;Pierre-Yves Zambelli,&nbsp;Eleftheria Samara","doi":"10.1177/18632521221106387","DOIUrl":"https://doi.org/10.1177/18632521221106387","url":null,"abstract":"<p><strong>Purpose: </strong>Conventional radiography is frequently performed in pediatric patients in whom finger fractures are suspected. However, until now, the rate of positive findings of finger radiographic examinations in pediatric patients is unknown. This study aimed to evaluate the number of positive findings in the standard radiographic examinations of finger injuries in pediatric patients in a Level 1 trauma center systematically.</p><p><strong>Methods: </strong>We conducted a retrospective study on all children 0-16 years old admitted for acute finger injury in the Emergency Department of a University Hospital during the first semester of 2019 and received a radiographic examination. Their demographic characteristics, fracture pattern, and treatment were then analyzed and interpreted.</p><p><strong>Results: </strong>Out of 478 finger injuries reviewed in this cohort, 160 X-rays revealed positive for a fracture giving a fracture rate of 33.5%. More than half of them (51.9%) occurred in the age group of adolescents (11-16 years). Among all finger fractures, only 3.8% of them treated surgically.</p><p><strong>Conclusion: </strong>In this study, a relevant amount of standard finger radiographs revealed a low fracture rate and a rare operative indication of 3.8%. Therefore, indications for X-rays should be reviewed properly and alternative procedures should be discussed. Clinical decision rules should be developed and the necessary pathways must be implemented to minimize radiation exposure, waiting time, and costs.Level of evidence: level IV.</p>","PeriodicalId":138259,"journal":{"name":"Journal of Children's Orthopaedics","volume":" ","pages":"256-261"},"PeriodicalIF":1.4,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c4/e7/10.1177_18632521221106387.PMC9382712.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40628748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bone transport in the management of post-osteomyelitis femoral defects in children: A case series with a minimum of 10-year follow-up in Uganda.","authors":"Antonio Loro,&nbsp;Francesca Loro,&nbsp;Fulvio Franceschi,&nbsp;Niall Brown","doi":"10.1177/18632521221106389","DOIUrl":"https://doi.org/10.1177/18632521221106389","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to evaluate the long-term outcomes of the bone transport technique in the management of post-infectious segmental femoral bone defects in children in a low-income country.</p><p><strong>Methods: </strong>Eleven children were included in this case series. All had a femoral defect secondary to osteomyelitis managed with the internal bone transport technique using an external fixator alone. Bone and functional results were evaluated and complications recorded after a minimum follow-up period of 10 years (range: 10-16).</p><p><strong>Results: </strong>The mean age of the patients was 7.8 years, and the average size of the bone defect was 10.8 cm. At the latest follow-up, bone results were excellent in three, good in five, and fair in three, while the functional results were excellent in three, good in four, fair in three, and poor in one. Limb length discrepancy was observed in 10 cases while hip and/or knee joint disorder was recorded in six cases. At the last follow-up, only one patient had a recurrence of infection.</p><p><strong>Conclusion: </strong>The bone transport technique has proven to be a valid option for eradicating infection and filling large bone defects in children. However, it is a technically difficult and lengthy procedure that is prone to unique complications.</p><p><strong>Level of evidence: </strong>IV-Case series.</p>","PeriodicalId":138259,"journal":{"name":"Journal of Children's Orthopaedics","volume":" ","pages":"313-321"},"PeriodicalIF":1.4,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/11/a9/10.1177_18632521221106389.PMC9382704.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40433159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The contralateral hip in slipped capital femoral epiphysis: Is there an easy-to-use algorithm to support a decision for prophylactic fixation?","authors":"Mikael Lindell,&nbsp;Martin Sköldberg,&nbsp;Margaretha Stenmarker,&nbsp;Piotr Michno,&nbsp;Bengt Herngren","doi":"10.1177/18632521221107748","DOIUrl":"https://doi.org/10.1177/18632521221107748","url":null,"abstract":"<p><strong>Purpose: </strong>To identify a specific factor that can support the decision for prophylactic fixation in unilateral slipped capital femoral epiphysis.</p><p><strong>Methods: </strong>This retrospective cohort study included a total national population of 379 children diagnosed with slipped capital femoral epiphysis from 2007 to 2013. Regression analysis used information on slip severity, clinical classification of the index hip, age, sex, age-adjusted body mass index, the difference in epiphyseal-diaphyseal angle, and comorbidity to identify any risk factor for the subsequent development of a slip in the contralateral hip. Four observers evaluated the triradiate cartilage following the modified Oxford bone score grade. The occurrence of later development of a contralateral slip in different stage of physeal closure was used to analyze the sensitivity and specificity for this method.</p><p><strong>Results: </strong>This study's only predictor for a subsequent contralateral slip was chronological age. At age 13 years or older, 1/15 in girls and 3/65 in boys suffered from a slip in the contralateral hip. Thus, when using age <13 years as a test for deciding when to do prophylactic fixation, the sensitivity would be 88% and specificity 51% for preventing contralateral slip. However, the correlation between the four different observers was too low to be considered useful when assessing the triradiate cartilage for skeletal maturity.</p><p><strong>Conclusion: </strong>We would advocate a prophylactic fixation for children <13 years diagnosed with a unilateral slipped capital femoral epiphysis as an easy-to-use algorithm.</p><p><strong>Level of evidence: </strong>level II.</p>","PeriodicalId":138259,"journal":{"name":"Journal of Children's Orthopaedics","volume":" ","pages":"297-305"},"PeriodicalIF":1.4,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2c/c5/10.1177_18632521221107748.PMC9382713.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40628747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes for patients with infantile idiopathic scoliosis by casting table type.","authors":"Majd Marrache,&nbsp;Niyathi Prasad,&nbsp;George H Thompson,&nbsp;Ying Li,&nbsp;Michael Glotzbecker,&nbsp;Paul D Sponseller","doi":"10.1177/18632521221115934","DOIUrl":"https://doi.org/10.1177/18632521221115934","url":null,"abstract":"<p><strong>Purpose: </strong>Serial casting is an effective treatment for infantile idiopathic scoliosis. The most common casting table types are Mehta, Risser, and spica tables. We compared major curve correction between patients with infantile idiopathic scoliosis treated using pediatric hip spica tables versus Risser or Mehta tables.</p><p><strong>Methods: </strong>In this multicenter retrospective study, we included 52 children younger than 3 years (mean ± standard deviation age, 1.6 ± 0.68 years) treated with ≥2 consecutive casts for infantile idiopathic scoliosis between September 2011 and July 2018. We compared major curve angle (measured using the Cobb method) before and after treatment and improvement in curve angle between the spica tables group (<i>n</i> = 12) and the Risser or Mehta tables group (<i>n</i> = 40). The primary outcome was the difference in percentage correction of the major curve according to radiographs taken after first casting and at final follow-up.</p><p><strong>Results: </strong>The mean major curve was 47° ± 18° before casting. A median of six casts (range: 2-14) were applied. Mean follow-up after treatment initiation was 22 months (range: 7-86 months). At baseline, the major curve was significantly larger in the spica tables group (58°) than in the Risser or Mehta tables group (43°) (<i>p</i> = 0.01). We found no differences in the percentage curve correction in the spica tables group versus Risser or Mehta tables group after first casting or at final follow-up.</p><p><strong>Conclusion: </strong>Serial casting was associated with substantial major curve correction in patients with infantile idiopathic scoliosis. Curve correction did not differ between patients treated with a spica table versus a Risser or Mehta table.</p><p><strong>Level of evidence: </strong>Level III, retrospective cohort study.</p>","PeriodicalId":138259,"journal":{"name":"Journal of Children's Orthopaedics","volume":" ","pages":"285-289"},"PeriodicalIF":1.4,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ea/71/10.1177_18632521221115934.PMC9382706.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40628745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound imaging in diagnostics of Monteggia lesion in children.","authors":"Martin Čepelík,&nbsp;Jan Hendrych,&nbsp;Hana Melínová,&nbsp;Petr Havránek,&nbsp;Tomáš Pešl","doi":"10.1177/18632521221108602","DOIUrl":"https://doi.org/10.1177/18632521221108602","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the study is to evaluate the use of ultrasound imaging in diagnostics of Monteggia lesion in children where conventional radiographs and the use of the radiocapitellar line fail to provide an accurate diagnosis.</p><p><strong>Methods: </strong>Prospective diagnostic study of 70 patients treated between May 2018 and July 2021 in a pediatric level 1 trauma center. In 20 patients with the confirmed radiographic diagnosis of Monteggia lesion, an ultrasound of the humeroradial joint was performed to determine signs of both normal and dislocated elbow joint. In 36 patients with suspected humeroradial dislocation on plain radiographs, ultrasound imaging was performed to determine the definitive diagnosis. Overall, 14 patients with elbow joint injury other than humeroradial dislocation were excluded from the study.</p><p><strong>Results: </strong>The \"double-hump sign\" and the \"congruency sign\" were determined as normal findings on ultrasound of the humeroradial joint. These signs were applied to patients with unclear findings on radiographs. In three patients, the dislocation of the humeroradial joint was confirmed by ultrasound. In two patients, \"defect in congruency sign\" was seen during reduction despite normal radiographs, which required re-reduction. In 31 patients, dislocation of the humeroradial joint was refuted. In 34 out of the 36 patients, the diagnosis determined by ultrasound was confirmed in follow-up. Two patients did not attend the follow-up examination.</p><p><strong>Conclusion: </strong>Ultrasound imaging is an accessible, non-invasive, and dynamic point-of-care method that can be applied in children suffering from suspected humeroradial dislocation and/or subluxation.</p><p><strong>Level of evidence: </strong>Level III-diagnostic study.</p>","PeriodicalId":138259,"journal":{"name":"Journal of Children's Orthopaedics","volume":" ","pages":"262-268"},"PeriodicalIF":1.4,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9a/1a/10.1177_18632521221108602.PMC9382707.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40628744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leg length discrepancy after skeletal maturity in patients treated with elastic intramedullary nails after femoral shaft fractures in childhood.","authors":"Marianne Flinck,&nbsp;Johan von Heideken,&nbsp;Ylva Aurell,&nbsp;Jacques Riad","doi":"10.1177/18632521221106388","DOIUrl":"https://doi.org/10.1177/18632521221106388","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose was to study radiographic and perceived leg length discrepancy after skeletal maturity in patients treated for femoral shaft fractures with elastic stable intramedullary nails in childhood.</p><p><strong>Methods: </strong>Thirty-five adults underwent standing radiographs and answered a questionnaire regarding perception of leg length discrepancy. Demographic data, fracture characteristics, angulation, stability of fixation, and callus formation, at time of fracture, were assessed.</p><p><strong>Results: </strong>Mean age at fracture was 10.2 (4.9-16.7) years, and mean follow-up time was 11.1 (3.8-16.8) years. In 8 of 35 participants, the fractured limb was 11-15 mm longer than the non-fractured, and in 16, 1-10 mm longer. In eight participants, the fractured limb was 1-10 mm shorter than the non-fractured, and in three participants, 12-23 mm shorter. The younger the child, the greater the lengthening (R_s = -0.49, p = 0.003). The greater the femoral angulation at time of fracture, the greater the shortening (R_s = 0.42, p = 0.013). There was no significant correlation between stability of fixation or callus formation 1 month postoperatively and radiographic leg length discrepancy after skeletal maturity. Fourteen (40%) had perception of leg length discrepancy at follow-up, of whom eight had a radiographic leg length discrepancy of 10-24 mm.</p><p><strong>Conclusion: </strong>Treatment with elastic stable intramedullary nail of femoral shaft fracture in childhood may result in radiographic leg length discrepancy. Younger children were more prone to lengthening and should possibly be assessed before skeletal maturity. The degree of fracture stability or callus formation at the time of fracture did not significantly affect leg length discrepancy. Perception of leg length discrepancy was not necessarily associated with a radiographic leg length discrepancy (≥10 mm).</p><p><strong>Level of evidence: </strong>level IV, case series.</p>","PeriodicalId":138259,"journal":{"name":"Journal of Children's Orthopaedics","volume":" ","pages":"276-284"},"PeriodicalIF":1.4,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1c/79/10.1177_18632521221106388.PMC9382705.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40433158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-related quality of life outcomes in adolescent Scheuermann's kyphosis patients treated with posterior spinal fusion: A comparison with age- and sex-matched controls.","authors":"Eetu N Suominen,&nbsp;Antti J Saarinen,&nbsp;Johanna Syvänen,&nbsp;Elias Diarbakerli,&nbsp;Linda Helenius,&nbsp;Paul Gerdhem,&nbsp;Ilkka Helenius","doi":"10.1177/18632521221106384","DOIUrl":"https://doi.org/10.1177/18632521221106384","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the health-related quality of life and radiographic outcomes of surgically treated adolescent Scheuermann's kyphosis patients after minimum of 2-year follow-up and to compare the health-related quality of life with age- and sex-matched healthy controls.</p><p><strong>Methods: </strong>Twenty-two consecutive adolescents (mean age = 16.7 years) undergoing posterior spinal fusion for Scheuermann's kyphosis were included and matched by age and sex with two healthy controls. The health-related quality of life was evaluated using the Scoliosis Research Society-24 questionnaire. Radiographic parameters were measured for comparison preoperatively and at 6 months and 2-year follow-ups. The health-related quality of life parameters were compared with healthy controls at 2 years of follow-up.</p><p><strong>Results: </strong>The mean maximal thoracic kyphosis improved from 79° (range = 75°-90°) to 55° (range = 45°-75°) (<i>p</i> < 0.001), and the mean lumbar lordosis was reduced from 71° (range = 51°-107°) to 52° (range = 34°-68°) (<i>p</i> < 0.001) after 2 years postoperatively. Incidence of proximal junctional kyphosis (PJK) was 18%. The scores of the Scoliosis Research Society-24 improved, with statistical significance observed in pain and self-image domains from preoperative to 2-year follow-up (<i>p</i> = 0.002 in both domains). The self-image and function were significantly lower in the operated patients at their 2-year follow-up visit compared to controls (<i>p</i> = 0.023 for self-image and <i>p</i> < 0.001 for function).</p><p><strong>Conclusion: </strong>Instrumented posterior spinal fusion improves the health-related quality of life of Scheuermann's kyphosis patients during the 2-year follow-up. The greatest improvement is observed in pain and self-image domains. The health-related quality of life in pain and activity domains reaches the level of healthy individuals, while function and self-image remain at a statistically lower level.</p>","PeriodicalId":138259,"journal":{"name":"Journal of Children's Orthopaedics","volume":" ","pages":"290-296"},"PeriodicalIF":1.4,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c7/9d/10.1177_18632521221106384.PMC9382711.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40433156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrograde intramedullary nailing of the radius in children: A pilot magnetic resonance imaging study of soft-tissue findings.","authors":"Marja Perhomaa,&nbsp;Antti Kyrö,&nbsp;Jaakko Niinimäki,&nbsp;Juha-Jaakko Sinikumpu","doi":"10.1177/18632521221114553","DOIUrl":"https://doi.org/10.1177/18632521221114553","url":null,"abstract":"<p><strong>Purpose: </strong>Unstable forearm shaft fractures in children are preferably treated surgically using elastic stable intramedullary nails. The radius is nailed retrograde from the distal metaphysis. There is a risk of surgery-related soft-tissue complications during the operation. Close evaluation of occult surgery-related soft-tissue lesions has not been possible previously, due to the titanium alloy hardware used in the process. The aim of the present study was to evaluate the potential findings in the surrounding soft tissues after intramedullary nailing of the radius, by using magnetic resonance imaging.</p><p><strong>Methods: </strong>The study population comprised 15 pediatric patients with forearm shaft fractures treated by polylactide-co-glycolide biodegradable intramedullary nails and postoperatively evaluated via magnetic resonance imaging. The main outcome was signal abnormality in any tendon at the entry point postoperatively. Secondarily, other changes in the soft tissues related to nailing were determined. Furthermore, the precise location of the entry point and the anatomic characteristics of the soft-tissue tunnel were described.</p><p><strong>Results: </strong>In total, 5 of 15 patients (33.3%) had transient signal pathology in a tendon postoperatively. Edema around the superficial radial nerve was detected in 13 of 15 patients (86.7%). The most common surgical approach was between the extensor pollicis brevis and the extensor carpi radialis longus tendons, which was applied in 10 of 15 patients (66.7%).</p><p><strong>Conclusions: </strong>One in three patients exhibited transient and occult surgery-related intraparenchymal signal pathology in a tendon, after forearm intramedullary nailing. Caution with surgical prepare of the soft-tissue cleavage is recommended.</p><p><strong>Level of evidence: </strong><b>IV</b>.</p>","PeriodicalId":138259,"journal":{"name":"Journal of Children's Orthopaedics","volume":" ","pages":"269-275"},"PeriodicalIF":1.4,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/83/10.1177_18632521221114553.PMC9382708.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40433157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hip displacement in relation to age and gross motor function in children with cerebral palsy.","authors":"Per Larnert,&nbsp;Olof Risto,&nbsp;Gunnar Hägglund,&nbsp;Philippe Wagner","doi":"10.1007/s11832-014-0570-7","DOIUrl":"https://doi.org/10.1007/s11832-014-0570-7","url":null,"abstract":"<p><strong>Purpose: </strong>Hip dislocation in cerebral palsy (CP) is a serious complication. By radiographic screening and prophylactic surgery of children at risk most dislocations can be prevented. CPUP, the Swedish CP registry and follow-up program, includes annual radiographic examinations of children at Gross Motor Function Classification System (GMFCS) levels III-V. Data from CPUP were analysed to assess the risk of hip displacement in relation to GMFCS levels and age.</p><p><strong>Methods: </strong>All children at GMFCS levels III-V (N = 353) whose first radiographic screening occurred before 3 years of age were followed between the ages 2-7 years. Migration percentages (MPs) were recorded annually (1,664 pelvic radiographs) and analysed using discrete time survival analysis.</p><p><strong>Results: </strong>The risk of hip displacement between 2 years and 7 years of age was significantly (p < 0.05) higher for children at GMFCS level V during the entire study period. The risk was highest at 2-3 years of age and decreased significantly (p < 0.001) with each year of age (OR = 0.71, 95 % CI 0.60-0.83). The cumulative risk at age 7 years for those at GMFCS V for MP ≥ 40 % was 47 % (95 % CI 37-58). The corresponding risk at GMFCS IV was 24 % (16-34) and at GMFCS III 23 % (12-42).</p><p><strong>Conclusions: </strong>Children at GMFCS V have a significantly higher risk of hip displacement compared with children at GMFCS III-IV. The risk is highest at 2-3 years of age. The results support a surveillance program including radiographic hip examinations as soon as the diagnosis of severe CP is suspected.</p>","PeriodicalId":138259,"journal":{"name":"Journal of Children's Orthopaedics","volume":" ","pages":"129-34"},"PeriodicalIF":1.4,"publicationDate":"2014-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11832-014-0570-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40283491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LCP 140° Pediatric Hip Plate for fixation of proximal femoral valgisation osteotomy.","authors":"Claudia C Sidler-Maier,&nbsp;Kerstin Reidy,&nbsp;Hanspeter Huber,&nbsp;Stefan Dierauer,&nbsp;Leonhard E Ramseier","doi":"10.1007/s11832-014-0550-y","DOIUrl":"https://doi.org/10.1007/s11832-014-0550-y","url":null,"abstract":"<p><strong>Purpose: </strong>Femoral osteotomy is one of the most widely performed reconstructive operations in pediatric orthopedic surgery. Many implants for fixation have been used, but so far there is no literature about the application and outcome of the LCP 140° Pediatric Hip Plate for proximal femoral valgisation in children.</p><p><strong>Methods: </strong>Data of patients with a valgisation of the proximal femur using the LCP 140° Pediatric Hip Plate between February 2011 and July 2012 were retrospectively collected and analyzed.</p><p><strong>Results: </strong>We included 10 patients (11 hips) with a mean follow-up of 15.3 ± 6.3 months (range 5.6-23 months). The mean age was 9.6 ± 1.2 years (range 7.3-11.8 years) with a mean hospital stay of 5.2 ± 1.7 days (range 3-9 days). Callus formation was observed in all cases at 6 weeks postoperative control and consolidation was shown after a mean time of 14.1 ± 2.3 weeks (range 12.1-19.1 weeks). There was no delayed union or any case of non-union in our series. The stability of the operative reduction including the corrected neck-shaft angle (mean 19° ± 7.9°; range 10.5°-38.5°) was maintained during the follow-up period. No cases of recurrence (varisation) or complications requiring further treatment or revision were observed.</p><p><strong>Conclusions: </strong>In our series, the 140° LCP Pediatric Hip Plate was shown to be safe and applicable in the clinical setting with good results. We therefore consider this device to be valuable for the correction of pathologic varus conditions of the proximal femur in children.</p>","PeriodicalId":138259,"journal":{"name":"Journal of Children's Orthopaedics","volume":" ","pages":"29-35"},"PeriodicalIF":1.4,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s11832-014-0550-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32083680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}