Journal of Pediatric Orthopaedics-Part B最新文献_第5页

Recurrent toe walking in pediatric orthopedic patients: idiopathic versus concomitant sensory processing disorders. 儿科骨科患者复发性脚趾行走：特发性与伴随的感觉处理障碍。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-09-01 Epub Date: 2026-06-05 DOI: 10.1097/BPB.0000000000001361

Taylor K Zak, Anthony Minopoli, Jordan L Polk, Rusty L Hartman, Claire Shivers, Anthony I Riccio

{"title":"Recurrent toe walking in pediatric orthopedic patients: idiopathic versus concomitant sensory processing disorders.","authors":"Taylor K Zak, Anthony Minopoli, Jordan L Polk, Rusty L Hartman, Claire Shivers, Anthony I Riccio","doi":"10.1097/BPB.0000000000001361","DOIUrl":"10.1097/BPB.0000000000001361","url":null,"abstract":"The study aimed to compare rates of recurrent toe walking following operative intervention between idiopathic toe walkers and toe walkers with autism or a similar sensory processing disorder (SPD). A retrospective review of all patients at a single institution who underwent surgical treatment for toe walking over a 12-year period was conducted. Children with neuromuscular disorders, congenital deformities, prior foot/ankle surgery, and those not managed with an isolated triceps surae procedure were excluded. The remaining patients were divided into those with idiopathic toe walking (ITW group) and toe walking associated with autism spectrum/SPDs (SPD group). Toe walking recurrence and need for additional surgery for recurrence were compared between cohorts. A total of 106 patients met inclusion criteria; 29 (27%) had a SPD and 77 comprised the ITW group. There were no differences between groups in follow-up length (average 1.2 years; P = 0.08) or type of index surgery ( P = 0.48). SPD patients had significantly more male patients (76 vs. 48%; P = 0.01) and were younger at their index surgery (8.5 vs. 10 years; P = 0.03). SPD patients had significantly higher rates of recurrence than ITW patients (24 vs. 5%; P = 0.009) at an average of 2.6 years following the index procedure. Multivariate regression analysis revealed that an underlying SPD was an independent predictor of recurrence ( P = 0.018, odds ratio = 7.5, 95% confidence interval: 1.5-45.2). Autism spectrum disorder/SPDs confer over a seven-fold increased risk of recurrence following the surgical treatment of toe walking when compared with idiopathic toe walkers. The level of evidence is therapeutic level III.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"452-456"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nonelongating rod placement after osteosynthesis of congenital pseudarthrosis of the tibia: should an elongating rod have been installed? 先天性胫骨假关节置入术后非延长棒放置：是否应该安装延长棒？

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-09-01 Epub Date: 2026-07-28 DOI: 10.1097/BPB.0000000000001378

Hanbual Yang, Yoon Joo Cho, Wonik Lee, Sangroc Han, Mi Hyun Song, Chang Ho Shin, In Ho Choi, Tae-Joon Cho

{"title":"Nonelongating rod placement after osteosynthesis of congenital pseudarthrosis of the tibia: should an elongating rod have been installed?","authors":"Hanbual Yang, Yoon Joo Cho, Wonik Lee, Sangroc Han, Mi Hyun Song, Chang Ho Shin, In Ho Choi, Tae-Joon Cho","doi":"10.1097/BPB.0000000000001378","DOIUrl":"10.1097/BPB.0000000000001378","url":null,"abstract":"After the osteosynthesis of congenital pseudarthrosis of the tibia (CPT), an intramedullary rod is usually left behind to prevent refracture. However, whether a nonelongating rod may fulfill this goal or an elongating rod has a superior effect is not known. We investigated the outcomes of nonelongating rod installations and attempted to assess potential benefit and disadvantage of an elongating rod installation. A retrospective study was performed on 37 cases of CPT in 29 patients in which a nonelongating rod remained in situ after successful osteosynthesis. The temporal and spatial patterns of refracture after osteosynthesis were analyzed by reviewing serial radiographs and medical records. Elongating rod installation was simulated using preoperative radiographs to determine whether an additional osteotomy was necessary. The mean age of the patients at the index operation was 4.4 ± 2.2 years. Fourteen out of 37 cases sustained refractures at an average of 30.6 months postoperation (range = 7-69). Refractures occurred in areas protected by an indwelling nonelongating rod in all cases. Thirteen of 14 refractures occurred at the previous pseudarthrosis or fracture site. If an elongating rod were to be installed, an additional osteotomy would have been required in 11 out of 37 cases (29.7%) because of proximal segment angular deformity. The findings suggested no clear evidence that an elongating rod would have prevented refracture, while potentially increasing procedural complexity. Hence, the role of elongating rods in the management of CPT warrants further comparative investigation.Level of evidence: Therapeutic studies, Level IV.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"441-446"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter to the editor, concerning Zak et al.: 'Recurrent Toe Walking in Pediatric Orthopedic Patients: Idiopathic Versus Concomitant Sensory Processing Disorders'. 致编辑的信，关于Zak等人：“小儿骨科患者复发性脚趾行走：特发性与伴随的感觉处理障碍”。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-09-01 Epub Date: 2026-07-28 DOI: 10.1097/BPB.0000000000001381

Luiz Renato Agrizzi de Angeli, Bárbara Lívia Corrêa Serafim

引用次数: 0

Comparison of patient- and parent-reported outcome measures in pediatric limb deformity patients as assessed by the Limb Deformity-Scoliosis Research Society Questionnaire. 通过肢体畸形-脊柱侧凸研究协会问卷对儿童肢体畸形患者患者和家长报告的结果进行比较。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-09-01 Epub Date: 2026-07-28 DOI: 10.1097/BPB.0000000000001328

Marlee R Yancey, Numera Sachwani, Emily Canitia, Tyler J Moon, Raymond W Liu, Jill C Flanagan

{"title":"Comparison of patient- and parent-reported outcome measures in pediatric limb deformity patients as assessed by the Limb Deformity-Scoliosis Research Society Questionnaire.","authors":"Marlee R Yancey, Numera Sachwani, Emily Canitia, Tyler J Moon, Raymond W Liu, Jill C Flanagan","doi":"10.1097/BPB.0000000000001328","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001328","url":null,"abstract":"The agreement - or lack thereof - between patient- and parent-reported limb deformity Scoliosis Research Society (LD-SRS) questionnaires has not been described. Proxy accuracy varies depending on the patient-reported outcome measure (PROM) used and patient population, with differences reported in zero, some, or all content subgroups. This prospective study compares patient- and parent-reported scores to understand where the LD-SRS falls on this continuum. We enrolled 24 subjects aged 11-18 years who had lower limb deformity surgery (11 internal nail lengthening, 6 osteotomy, 5 guided growth, and 4 external fixation procedures). Children and their guardians completed the appropriate patient- or parent-reported LD-SRS before surgery, which were compared using established content subgroups. A significant difference ( P < 0.05) was found in the mental health content subgroup (effect size = 0.5). No significant differences were observed in the function/activity, pain, or self-image/appearance content subgroups, and global scores did not vary significantly. Although proxy LD-SRS reports are largely informative, the significant difference between patient- and parent-reported scores in the mental health content subgroup emphasizes the value of obtaining PROMs from the adolescent whenever possible.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":"35 5","pages":"509-513"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical outcomes after surgical treatment of open thigh muscular tears in skeletally immature patients. 骨未成熟患者开放性大腿肌肉撕裂手术治疗后的临床效果。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-08-31 DOI: 10.1097/BPB.0000000000001395

Marco Turati, Angelo Mosca, Marco Crippa, Stéphane Tercier, Giulio Leone, Nicolas Nicolaou, Nicolas Bremond, Barbara Kwiatkowski, Aurelien Courvoisier, Marco Bigoni

{"title":"Clinical outcomes after surgical treatment of open thigh muscular tears in skeletally immature patients.","authors":"Marco Turati, Angelo Mosca, Marco Crippa, Stéphane Tercier, Giulio Leone, Nicolas Nicolaou, Nicolas Bremond, Barbara Kwiatkowski, Aurelien Courvoisier, Marco Bigoni","doi":"10.1097/BPB.0000000000001395","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001395","url":null,"abstract":"Open thigh muscle lacerations in skeletally immature patients are rare, and evidence on optimal management and outcomes is limited. Among sports, skiing represents a frequent mechanism of injury due to sharp ski edges, yet data on pediatric cases remain scarce. We aimed to describe injury patterns, surgical management, and recovery of pediatric patients with open quadriceps tears. In a retrospective two-center cohort, we included skeletally immature patients with open thigh muscular lacerations treated surgically. Mechanism of injury, contamination status, muscle involvement, and complications were recorded. The Euro Quality of Life 5-Dimension, Pediatric International Knee Documentation Committee (Ped-IKDC), Simple Knee Value (SKV) score, and Tegner Activity score were collected at a minimum 1-year follow-up. Eleven patients (mean age: 13.1 years, range: 7-17) were treated. A total of 73% of the patients experienced a sports-related injury, predominantly sharp ski-edge cuts (55%), and 64% (7/11) presented with contaminated wounds. Vastus lateralis was most frequently involved (55%). One patient presented with an associated sciatic nerve injury. No infections, re-ruptures, or neurovascular sequelae were detected. At the final follow-up, the mean SKV was 93.5%, the mean Pedi-IKDC was 97.6%, and the Euro Quality of Life 5-Dimension 5-Level of Severity was 100%. The return to sport was acceptable with a mean Tegner score of 6.8 (range: 4-9), without reinjuries. Open thigh muscle lacerations in skeletally immature patients - most often related to ski accidents - can be effectively treated with prompt operative exploration, layered repair, short immobilization, and early rehabilitation, resulting in excellent function and full return to sport without reinjury.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Femoral anterior distal hemiepiphysiodesis for correction of knee flexion contractures in arthrogryposis. 股骨前远端半骨骺成形术矫正关节挛缩的膝关节屈曲挛缩。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-07-28 DOI: 10.1097/BPB.0000000000001389

Harold J P van Bosse, Solomon P Samuel

{"title":"Femoral anterior distal hemiepiphysiodesis for correction of knee flexion contractures in arthrogryposis.","authors":"Harold J P van Bosse, Solomon P Samuel","doi":"10.1097/BPB.0000000000001389","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001389","url":null,"abstract":"Knee flexion contractures in children with arthrogryposis limit or prevent efficient ambulation. This study assesses the effectiveness of femoral anterior distal hemiepiphysiodesis (FADHE) to treat knee contractures. Over an 8-year period, 57 children with arthrogryposis underwent 90 FADHEs for knee flexion contractures. The mean age at surgery was 7.1 years. Knee range of motion data was recorded preoperatively, postoperatively, and at clinical follow-ups, as was ambulatory ability. The average follow-up was 4.2 years; 65 knees had concomitant posterior releases; eight knees were treated for recurrences after initial correction with distraction arthrodiastasis. The preoperative mean flexion contracture of 35° improved to 7° at hardware removal (<0.0001) an average 17.5 months after implantation, for a correction rate of 2.1°/month. Knees with contractures of less than or equal to 25° corrected well without a posterior release, and most knees with contractures between 30° and 55° corrected well with a concomitant posterior release. The 82 knees undergoing a FADHE as an initial procedure had a 75° mean total arc of motion preoperatively and 62° at final follow-up. The overall recurrence rate was 0.61°/month. Nine patients (14 knees) underwent repeat hemiepiphysiodesis for contracture recurrence at 39 months after plate removal. Sixteen of the 31 patients who were not independent ambulators preoperatively became so by final follow-up. In children with arthrogryposis, FADHE is an appropriate treatment for knee contractures less than or equal to 25°, and for contractures less than or equal to 55° with a concomitant posterior knee release. Recurrence of contracture is common but treatable. Knee-ankle-foot orthoses are essential to obtain and maintain soft tissue stretch.Level of evidence: Therapeutic Level IV.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in the management of type I and type II open forearm fractures in children. 儿童I型和II型开放性前臂骨折的治疗趋势。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-07-24 DOI: 10.1097/BPB.0000000000001387

Kian Niknam, Emma D Grellinger, Nikit Venishetty, Ishaan Swarup

{"title":"Trends in the management of type I and type II open forearm fractures in children.","authors":"Kian Niknam, Emma D Grellinger, Nikit Venishetty, Ishaan Swarup","doi":"10.1097/BPB.0000000000001387","DOIUrl":"10.1097/BPB.0000000000001387","url":null,"abstract":"Open forearm fractures (FFs) are common injuries in pediatric patients with variable management, including operative and nonoperative debridement. In this study, we aim to assess trends in management and determine differences in infection rates and costs between operative and nonoperative management for type I and II open both-bone forearm fractures in pediatric patients. This is a retrospective cohort study utilizing the Pediatric Health Information System database. Patients were included if they were aged 16 or younger and had open forearm fractures between 2018 and 2022. Descriptive statistics, χ2 tests, t -tests, linear regression, and logistic regression were used to assess associations between operative and nonoperative management, infection rates, and costs. A total of 3279 patients were included in this study. Approximately 73% of patients were treated with an operative irrigation and debridement (I&D), and 27% of patients were treated nonoperatively. There was no significant trend in management over the study period ( P = 0.91). Non-White patients and younger patients were more likely to be treated nonoperatively ( P < 0.01). The rate of infection was 2.2% and increased over time ( P = 0.03). There was no difference in infection between operative and nonoperative I&D (odds ratio: 1.10, 95% confidence interval: 0.63-1.94, P = 0.74). However, operative management was significantly more expensive ($13 132 vs. $2930; P < 0.01). There has been no significant change in the management of types I and II open forearm fractures over the past 5 years. While there is no significant difference in the infection rate between patients treated operatively and nonoperatively, operative management is significantly more expensive.Level of evidence: Level III.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Radial nerve palsy following pediatric humeral shaft fractures: a systematic review and pooled analysis. 小儿肱骨干骨折后的桡神经麻痹：一项系统回顾和汇总分析。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-07-22 DOI: 10.1097/BPB.0000000000001376

Adam J Metivier, William T Callahan, Sivashanmugam Raju

{"title":"Radial nerve palsy following pediatric humeral shaft fractures: a systematic review and pooled analysis.","authors":"Adam J Metivier, William T Callahan, Sivashanmugam Raju","doi":"10.1097/BPB.0000000000001376","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001376","url":null,"abstract":"Pediatric humeral shaft fractures associated with radial nerve palsy are rare, with an incidence of 4-4.35%. There exists one study on this topic; this systematic review and pooled analysis aim to shift the focus from incidence to recovery, apply patient-level analyses, reassess previously reported associations, identify discrepancies to inform clinical decision-making, and elucidate possible factors associated with poor recovery using exploratory and hypothesis-generating analyses. PubMed, Cochrane Central, and Google Scholar were searched using the following terms: (radial nerve palsy) AND (humerus fracture) AND (pediatrics OR children). Inclusion criteria included case reports, retrospective or systematic reviews, patients aged 1-18 years, and humeral shaft fractures with radial nerve palsy. Exclusion criteria included non-English studies. This yielded 13 studies; 11 provided sufficient data for analysis (32 patients). Oblique fractures were observed more frequently with delayed recovery (>4 months) or no recovery ( P = 0.040). Neurotmesis and fibrosis surrounding the nerve were observed with delayed recovery ( P = 0.002). Closed reduction and fixation were associated with worse nerve outcomes than conservative treatment ( P = 0.013). Patients undergoing nerve procedures were frequently observed with impaired nerve recovery ( P = 0.017). However, when evaluating for ordinal differences in recovery, there was no significant difference (Kruskal-Wallis H test P = 0.282). This review found that, unlike adults, distal and oblique humeral shaft fractures in children are associated more frequently with poorer outcomes of radial nerve injury. Clinicians may consider careful, early assessment of the radial nerve in displaced, distal, oblique humeral fractures.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical and radiological outcomes of pediatric distal tibial physeal fractures: a retrospective analyses from a single institution. 儿童胫骨远端骨骺骨折的临床和放射学结果：来自单一机构的回顾性分析。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-07-17 DOI: 10.1097/BPB.0000000000001386

İlyas Kar, Murat Taşçi, Mehmet Özer, Deniz Ardali, Mehmet Salih Söylemez

{"title":"Clinical and radiological outcomes of pediatric distal tibial physeal fractures: a retrospective analyses from a single institution.","authors":"İlyas Kar, Murat Taşçi, Mehmet Özer, Deniz Ardali, Mehmet Salih Söylemez","doi":"10.1097/BPB.0000000000001386","DOIUrl":"10.1097/BPB.0000000000001386","url":null,"abstract":"Pediatric physeal fractures of the distal tibia are a complex and clinically significant subset of pediatric orthopedic injuries. In this study, we aimed to determine the incidence of physeal pathologies and their correlation with fracture patterns, treatment methods, and patient age within a substantial patient cohort. Prospectively recorded medical charts of 54 children who were followed for an average of 6.1 (range, 3-11.5) years were retrospectively evaluated. Thirty-one (57%) patients had sustained Salter-Harris type 1 and 2 fractures, seven had type 3 fractures, and 16 (27%) had simple or triplane type 4 fractures. Thirty-eight (70%) of the patients underwent surgery. Premature physeal closure (PPC) was detected in 14 (26%) patients. American Orthopedic Foot and Ankle Society scores were good and excellent in 52 (96%) patients and moderate in 2 (3.8%) patients. The patients who experienced PPC were significantly younger at the time of injury, with a mean age of 10.3 ± 3 years, compared to 11.9 ± 2.3 years for those who did not sustain PPC ( P = 0.04). In addition, the time to union was significantly longer for patients who experienced PPC ( P = 0.03). The mean time to union was 51.7 ± 42.2 days (ranging from 30 to 160 days) for patients with PPC, while it was 36.7 ± 9.9 days (ranging from 25 to 70 days) for those without PPC. Delayed union and younger age at the time of injury are associated with an increased risk of PPC. However, PPC does not significantly impact clinical outcomes during mid-term follow-ups.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Brace non-adherence and relapse after Ponseti treatment for idiopathic clubfoot: a focused updated scoping review. 支架不依从和复发后Ponseti治疗特发性内翻足：一个重点更新的范围审查。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-07-13 DOI: 10.1097/BPB.0000000000001383

Simon Arvati, Hyacinthe Zokou, Francois Luc

{"title":"Brace non-adherence and relapse after Ponseti treatment for idiopathic clubfoot: a focused updated scoping review.","authors":"Simon Arvati, Hyacinthe Zokou, Francois Luc","doi":"10.1097/BPB.0000000000001383","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001383","url":null,"abstract":"Brace non-adherence remains a vulnerable component of Ponseti treatment for idiopathic clubfoot and is closely linked to relapse after correction. This focused, updated scoping review aimed to synthesize recent relapse-relevant evidence and clarify its added value beyond the 2024 scoping review by Paterson et al. Paterson et al. was used as the pre-update anchor through 16 June 16, 2022. A focused update from 17 June 2022 to 1 May 2026 used PubMed/MEDLINE, Europe PMC, PEDro, Cochrane Library checks, ClinicalTrials.gov, citation searching, and accessible grey-literature sources. Searches combined controlled vocabulary and free-text terms for clubfoot/clubfeet, Ponseti treatment, brace terminology, adherence, relapse, cost/access, and care organization. The anchor review included 42 studies. The focused update retained 19 empirical studies and six contextual or grey-literature items. Evidence supported six domains: adherence-relapse association, brace type and tolerance, cost/transport/access, insurance or public-service variables, specialized clubfoot teams, and contextual differences between high-income and lower-resource settings. Missed visits, brace interruption, transportation burden, caregiver understanding, and continuity of care were repeatedly associated with relapse-related outcomes. Brace non-adherence should be approached as a modifiable pathway shaped by families, brace tolerance, access burden, and care organization.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0