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

A novel sliding double flexible intramedullary nail technique for the management of lower extremity long bone fractures and deformities in osteogenesis imperfecta. 治疗成骨不全症下肢长骨骨折和畸形的新型滑动双柔性髓内钉技术。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-05-01 Epub Date: 2024-03-20 DOI: 10.1097/BPB.0000000000001178

Mohsen Karami, Mohammadreza Minator Sajjadi, Mina Fakhrzadegan, Akbar Ehsani

{"title":"A novel sliding double flexible intramedullary nail technique for the management of lower extremity long bone fractures and deformities in osteogenesis imperfecta.","authors":"Mohsen Karami, Mohammadreza Minator Sajjadi, Mina Fakhrzadegan, Akbar Ehsani","doi":"10.1097/BPB.0000000000001178","DOIUrl":"10.1097/BPB.0000000000001178","url":null,"abstract":"This study aimed to investigate the effectiveness of the sliding double flexible intramedullary nail technique (SDFIN) in managing lower extremity long bone fractures and deformities in patients with osteogenesis imperfecta (OI) based on radiographic measurements. This study was conducted involving type III or IV Silence OI patients who underwent treatment with SDFIN for fractures, deformity correction, or previous device failure. The surgical technique involved the insertion of two straight flexible intramedullary nails in each bone segment, with one inserted from the caudal epiphysis and the other from the proximal region. Clinical and radiological outcomes were evaluated with a mean follow-up of 62.8 ± 20.3 months. Among the 33 lower extremity long bone segments treated with SDFIN, revision was required in 12 segments, resulting in an overall complication rate of 51.5%. Complications included nail migrations observed in 10 cases, decreased joint range of motion in seven, refractures and malrotations in five, nail fracture, and nail extrusion in one case were observed. The femur group had a complication rate of 50%, while the tibia group had a rate of 53.3%. The SDFIN technique demonstrated satisfactory outcomes in managing leg fractures and deformities in OI patients. The technique showed comparable results to newly designed Faisser-Duval rods at a lower cost. Further research and refinement of the technique are necessary to reduce complications and improve patient outcomes.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"257-263"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319735","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

Stickler syndrome: associated musculoskeletal manifestations and first population-based incidence. Stickler综合征：相关的肌肉骨骼表现和首次基于人群的发病率。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-05-01 Epub Date: 2025-03-25 DOI: 10.1097/BPB.0000000000001180

Andreas Rehm, Ayla C Newton, Elizabeth Ashby, Pinelopi Linardatou Novak, Azeem Thahir, Rachael Clegg, Jehan Butt, Katerina Hatzantoni, Albert W T Ngu, Tamás Kobezda, Ramy Shehata, Joshua C Y Ong

{"title":"Stickler syndrome: associated musculoskeletal manifestations and first population-based incidence.","authors":"Andreas Rehm, Ayla C Newton, Elizabeth Ashby, Pinelopi Linardatou Novak, Azeem Thahir, Rachael Clegg, Jehan Butt, Katerina Hatzantoni, Albert W T Ngu, Tamás Kobezda, Ramy Shehata, Joshua C Y Ong","doi":"10.1097/BPB.0000000000001180","DOIUrl":"10.1097/BPB.0000000000001180","url":null,"abstract":"The objective of this study is to identify musculoskeletal manifestations associated with Stickler syndrome from an inclusive literature review and to perform the first population study to establish its incidence. We reviewed all for us retrievable publications linked to Stickler syndrome listed in PubMed and publications quoted within these publications going back to 1954. From our medical record data bases, we identified all patients with the diagnosis of Stickler syndrome out of a population of consecutive live births born in our maternity hospital between 2000 and 2016. We identified 504 publications of which we managed to obtain and review 487, listing 6182 patients with Stickler syndrome. Musculoskeletal manifestations were recorded in 161 publications (2157 patients: 649 children, 931 adults, unknown 577), providing information on musculoskeletal findings for 1738 patients. There were 237 lower limb-, 233 spinal- and 80 upper limb abnormalities recorded for children. Hyperlaxity was recorded for 100 and unspecified pain for 70 children and for 77 abnormalities it was not specified if upper or lower limbs were affected. Coronal and axial lower limb malalignment was documented 74 times. We identified four patients with Stickler syndrome out of 87 378 consecutive live births, giving an incidence of 1 in 21 844 live births. Patients with Stickler syndrome present with a large variety of musculoskeletal manifestations. Assessment by a paediatric orthopaedic surgeon in childhood would be beneficial to identify spinal abnormalities and alignment problems, such as coxa vara/valga, abnormal femoral version, genu valgum and distal lateral tibial dysplasia, where guided growth or osteotomies might be useful to alleviate future function and symptoms.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":"34 3","pages":"294-304"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722407","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

Assessing nonunion and morbidity in pediatric clavicula pro humero reconstruction with vascularized fibular grafts. 评估带血管腓骨移植重建儿童肱骨前锁骨的骨不连和发病率。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-04-29 DOI: 10.1097/BPB.0000000000001257

Corentin Petitpas, Dominique Barbier, Pierre Journeau

{"title":"Assessing nonunion and morbidity in pediatric clavicula pro humero reconstruction with vascularized fibular grafts.","authors":"Corentin Petitpas, Dominique Barbier, Pierre Journeau","doi":"10.1097/BPB.0000000000001257","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001257","url":null,"abstract":"The proximal humerus is a common site for pediatric malignant bone tumors, often necessitating complex surgical approaches when the tumor extends into the glenohumeral joint. Limb-salvage techniques like clavicula pro humero (CPH) reconstruction aim to balance limb function with oncological safety. However, nonunion and functional limitations remain significant challenges. This study evaluates whether adding a vascularized fibular graft (VFG) reduces nonunion in CPH reconstructions following proximal humeral tumor resection. A retrospective review of six pediatric patients (mean age 12 years) treated between 2006 and 2021 for malignant bone tumors in the proximal humerus was performed. All underwent CPH reconstruction combined with a VFG. Primary outcomes included nonunion rates, time to bone healing, and complications like infections and fractures. Secondary outcomes assessed morbidity related to fibular graft harvesting, including lower limb alignment and peroneal nerve injury. Of the six patients, four (66%) experienced proximal nonunion, all requiring revision surgery. The average time to proximal union (21 months) was significantly longer than distal union (11.5 months; P < 0.05). Fibular graft complications included transient common peroneal nerve deficiency in two cases (33%). No infections or local tumor recurrences were observed during follow-up. VFG improves distal junction consolidation, but provides limited benefit for proximal union. This may be influenced by factors such as the length of the harvested clavicle or the vascularization quality of the clavicular graft.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038589","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

Incidence of slipped capital femoral epiphysis is associated with low childhood opportunity index. 股骨头骨骺滑动的发生率与儿童期机会指数低有关。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-04-29 DOI: 10.1097/BPB.0000000000001258

Amanda J McCoy, Kristin Ray, Samuel Wittman, Michael McClincy

{"title":"Incidence of slipped capital femoral epiphysis is associated with low childhood opportunity index.","authors":"Amanda J McCoy, Kristin Ray, Samuel Wittman, Michael McClincy","doi":"10.1097/BPB.0000000000001258","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001258","url":null,"abstract":"Slipped capital femoral epiphysis (SCFE) has historically been associated with Black race, male gender, and Hispanic ethnicity, obesity, and adverse social determinants of health. The child opportunity index (COI) 2.0 is an aggregate measure by ZIP code of 29 features of communities that can impact the life outcomes of children. We aimed to investigate the relationship between the incidence of SCFE and residential ZIP code COI. We retrospectively queried the surgical database of a tertiary-referral children's hospital in a medium-sized metropolitan area. We identified subjects who underwent index surgical fixation of SCFE over a 12-year period and determined their composite COI. We calculated the incidence rate, stratified by COI, for our metropolitan area. We performed Chi-squared analysis to determine the associations of SCFE chronicity and stability with COI and obesity. We reviewed 426 hips in 389 unique subjects. In the metropolitan area of interest, we identified a total of 244 hips in 220 unique subjects for an annual incidence rate of 4.17 per 100 000 person-years. Communities in the lowest quintile of COI had higher incidence rates (7.1), while communities in the highest quintile of COI had lower incidence rates of SCFE (2.7, P = 0.035), the relative risk of SCFE decreased by 11% (RR = 0.89, 95% confidence interval: 0.76-1.00). We identified a correlation between obesity and chronicity for our general analysis (P = 0.01163) and the metropolitan analysis (P = 0.005143). This study demonstrated an inverse relationship between SCFE incidence and COI at a pediatric tertiary referral center.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025348","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

A comparative randomized-controlled trial of serial casting and exercises on ankle range of motion, toe walking severity, walking balance, and functional health-related quality of life in children with idiopathic toe walking. 一项比较随机对照试验，对特发性脚趾行走儿童的踝关节活动范围、脚趾行走严重程度、行走平衡和功能健康相关生活质量进行系列铸造和锻炼。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-18 DOI: 10.1097/BPB.0000000000001250

Esra Giray, Pinar Akpinar, Ozge Gulsum Illeez, Hamit Cağlayan Kahraman, Merve Koçibar, Ayşegül Kutsal, Nilüfer Eldeş Hacifazlioglu, Emek Uyur, Feyza Ünlü Özkan, İlknur Aktaş, Baris Yilmaz, Evrim Karadağ-Saygi

{"title":"A comparative randomized-controlled trial of serial casting and exercises on ankle range of motion, toe walking severity, walking balance, and functional health-related quality of life in children with idiopathic toe walking.","authors":"Esra Giray, Pinar Akpinar, Ozge Gulsum Illeez, Hamit Cağlayan Kahraman, Merve Koçibar, Ayşegül Kutsal, Nilüfer Eldeş Hacifazlioglu, Emek Uyur, Feyza Ünlü Özkan, İlknur Aktaş, Baris Yilmaz, Evrim Karadağ-Saygi","doi":"10.1097/BPB.0000000000001250","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001250","url":null,"abstract":"Randomized-controlled trials (RCTs) investigating nonoperative interventions for idiopathic toe walking (ITW) are limited. High-quality, parallel-group RCTs comparing treatment with no treatment are needed. This study aimed to assess the effects of serial casting and exercise interventions on ITW, compared with a control group. Children with ITW aged 3-10 years were randomized into the serial casting (n = 10), the exercise (n = 9), and the wait-list control (n = 10) groups. Primary outcomes were ankle dorsiflexion range of motion (ROM) and the Toe Walking Severity Scale (TWSS). The secondary outcomes included pediatric outcomes data collection instrument (PODCI), tandem walk test, and satisfaction from treatment. The patients were assessed before treatment, posttreatment, 1-month posttreatment (MPT), 3 MPT, and 6 MPT. The control group was followed up until the 1 MPT assessment. This trial is registered with Clinicaltrials.gov under the number NCT06010485. No differences were found between the treatment groups in ankle ROM and TWSS at any follow-up points. The control group showed less improvement in the TWSS compared with the intervention groups. Both intervention groups demonstrated significant intragroup improvements over time. All groups improved in ankle ROM, TWSS, and the Tandem Walk Scale, but only the intervention groups showed improvements in PODCI scores. Treatment satisfaction was similar among the intervention groups. Both interventions had comparable rates of side effects and adherence. Both treatment groups demonstrated greater effectiveness than the control group, with no significant differences observed between the treatment groups.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755556","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

The use of proximal fragment transverse Kirschner wire as a joystick to correct rotational displacement in Gartland type III pediatric supracondylar humerus fractures: a novel technique. 使用近端碎片横向克氏针作为操纵杆矫正Gartland III型儿童肱骨髁上骨折的旋转移位：一种新技术。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-13 DOI: 10.1097/BPB.0000000000001248

Mukesh O Phalak, Ajinkya K Chaudhari, Tushar S Chaudhari, Anteshwar Birajdar, Sagar Gurnani

{"title":"The use of proximal fragment transverse Kirschner wire as a joystick to correct rotational displacement in Gartland type III pediatric supracondylar humerus fractures: a novel technique.","authors":"Mukesh O Phalak, Ajinkya K Chaudhari, Tushar S Chaudhari, Anteshwar Birajdar, Sagar Gurnani","doi":"10.1097/BPB.0000000000001248","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001248","url":null,"abstract":"Supracondylar humerus fractures comprise of a major part in pediatric trauma cases. They result from a fall on an outstretched hand. The rotational components of Gartland type III fractures if not corrected appropriately can lead to cubitus varus (gun stock deformity). The surgeon's aim while fixing this fracture is to achieve reduction and stable fixation without a residual deformity. The rotational component is difficult to correct owing to factors like severe swelling, obesity, entrapment of soft tissue, and pull of muscles. This study aimed to demonstrate the use of a proximal fragment Kirschner wire as a joystick to correct the rotational displacement in Gartland type III pediatric supracondylar humerus fractures. We proposed a method of using a lateral 3 mm. Kirschner wire as a joystick by inserting 1-1.5 cm proximal to the fracture and correct the rotational malalignment. The children were followed up for 1 year after surgery and evaluated with Flynn criteria. Amongst 18 type III supracondylar fractures, the average flexion was 146.8° in the 24-week follow-up period. The Flynn criteria showed 14 (77.78%) had excellent outcomes, three (16.66%) had good outcomes, and one (5.56%) had fair outcomes. Patients having obesity, severe edema, rotatory displacement, difficult or inadequate reduction by traction, and manipulation alone using a Kirschner wire in the proximal fragment as a joystick to reduce the fracture is a time-saving, cost-effective, simple, and reproducible technique with an excellent cosmetic and functional outcome without significant complications.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606934","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

Ankle range of motion following surgical correction of early relapse in clubfoot. 畸形足早期复发手术矫正后的踝关节活动范围。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-12 DOI: 10.1097/BPB.0000000000001249

David E Westberry, Emily R Shull, Daphne Lew, Prabhav Saraswat, Emily Waters, Lauren C Hyer

{"title":"Ankle range of motion following surgical correction of early relapse in clubfoot.","authors":"David E Westberry, Emily R Shull, Daphne Lew, Prabhav Saraswat, Emily Waters, Lauren C Hyer","doi":"10.1097/BPB.0000000000001249","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001249","url":null,"abstract":"Surgical options for relapsed clubfoot include repeat heel cord lengthening or posterior release for recurrent equinus, and anterior tibialis tendon transfer (ATT) for residual dynamic supination deformity. Some studies have suggested that these procedures be performed in isolation to allow for early range of motion after intra-articular surgery. This study was performed to examine clinical and radiographic outcomes comparing two surgical methods, simultaneous ATT with posterior release (ATT/PR) vs ATT performed in isolation (ATT(i)), for the management of recurrent clubfoot deformity. Patients who underwent ATT(i) and ATT/PR for relapsed clubfoot deformity after initial Ponseti casting, were 2-20 years old at time of surgery, and had postoperative range of motion (ROM) data, pedobarographic data, and radiographic results with minimal follow-up of 1 year were included. A total of 49 patients (69 feet) were reviewed. Mean age at time of surgery was 4.4 (SD 1.73) years. Of the 69 feet, 27 received ATT(i) and 42 received ATT/PR. No difference in the ROM outcome of ankle dorsiflexion was found between ATT(i) vs ATT/PR at a mean of 5.8 years follow-up. In patients undergoing ATT(i), there was a mild increase in lateral loading of the foot compared to those feet having ATT/PR. Follow up radiographic results for both groups were in the normal range, with less residual radiographic equinus in the ATT/PR group. ATT(i) or ATT performed along with intra-articular posterior capsular release offers comparable short-term outcomes. Level of evidence. This study was a retrospective case series, Level IV.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606930","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

Management of severe, neglected, bilateral congenital knee dislocation. 严重、被忽视的双侧先天性膝关节脱位的治疗。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-07 DOI: 10.1097/BPB.0000000000001246

Rajul Gupta, Premal Naik, Shital N Parikh

{"title":"Management of severe, neglected, bilateral congenital knee dislocation.","authors":"Rajul Gupta, Premal Naik, Shital N Parikh","doi":"10.1097/BPB.0000000000001246","DOIUrl":"10.1097/BPB.0000000000001246","url":null,"abstract":"Congenital dislocation of the knee (CDK) is a rare condition, often associated with syndromes and other limb anomalies. It is typically diagnosed and treated in early infancy. Neglected cases of CDK can present with significant deformities and loss of function. Their treatment is challenging and scarcely reported in the literature. The primary purpose of this study is to report on management of neglected CDK presenting in second decade of life. Four patients (eight knees) with severe, neglected, bilateral CDK who presented in their second decade of life were identified. Their preoperative radiographs were evaluated for presence of distal femoral dysplasia and compared to age-matched controls. Their clinical presentation, surgical treatment, and outcomes were analyzed at minimum 2 year follow-up. All four patients were 11-12 years old and had severe, bilateral, neglected CDK. Three patients had a quadrupedal gait. Preoperative radiographs showed significant distal femoral dysplasia when compared to controls. Surgical interventions included bilateral open reduction with quadricepsplasty in two patients and femoral flexion-shortening osteotomy (FSO) in two patients. At the latest follow-up, all patients had bipedal gait and improved quality of life. Postoperative radiographs showed improvement in distal femoral dysplasia in patients who underwent open reduction and quadricepsplasty. Patients with neglected CDK can present with quadrupedal gait. Compared to femoral FSO, open reduction and quadricepsplasty appears to be a better surgical treatment option as the latter can help restore joint articulation. Once the joint is reduced, distal femoral dysplasia can remodel to a certain extent. Level of evidence: Case series - Level 4.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568758","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

Factors influencing recurrence in clubfoot treatment with the Ponseti method in children under 5 years of age: a scoping review. 影响5岁以下儿童用Ponseti法治疗内翻足复发的因素：一项范围综述

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2025-01-07 DOI: 10.1097/BPB.0000000000001231

Esteban Portilla-Rojas, Gabriela Jovel-Trujillo, Lina Ramírez, Camilo Moreno, Juan Carlos Taborda

{"title":"Factors influencing recurrence in clubfoot treatment with the Ponseti method in children under 5 years of age: a scoping review.","authors":"Esteban Portilla-Rojas, Gabriela Jovel-Trujillo, Lina Ramírez, Camilo Moreno, Juan Carlos Taborda","doi":"10.1097/BPB.0000000000001231","DOIUrl":"10.1097/BPB.0000000000001231","url":null,"abstract":"Clubfoot (CF) is one of the most common musculoskeletal congenital abnormalities. Despite having optimal methods for its treatment, factors associated with the recurrence of CF treatment continue to be a topic of interest. The aim of this study was to perform a scoping review of the existing literature on factors associated with the recurrence of CF following treatment with the Ponseti method in children under 5 years of age. A scoping literature review was conducted in March 2024 using PubMed and Embase databases, and a structured research strategy. Screening of articles was performed by independent reviewers to ensure the inclusion of all pertinent studies. Considering inclusion and exclusion criteria, a final of 18 articles were included which encompassed factors associated with the recurrence of CF after treatment with the Ponseti method. The Ponseti method has demonstrated a high success rate in achieving CF correction. Various factors come into play regarding favorable outcomes and recurrence cases. The identified factors were initial severity scores for CF, age at the beginning of treatment, correct identification of idiopathic CF and complex CF, neuromuscular imbalance, poor nutritional status, noncompliance for the brace use, and the availability of a specialized attention center that ensured proper Ponseti method application and treatment adherence. Our findings highlight the importance of identifying different factors associated with the recurrence of CF following treatment with the Ponseti method, where timely intervention could minimize the risk of recurrence and achieve favorable outcomes.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"177-184"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958063","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

Comparison of radiological, clinical, and functional results of Jakob type-2 lateral condyle fractures treated with closed reduction and percutaneous pinning versus open reduction and K-wire fixation. 封闭复位经皮钉钉与开放复位k针固定治疗Jakob 2型外侧髁骨折的放射学、临床和功能结果比较

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2025-01-28 DOI: 10.1097/BPB.0000000000001227

Andreas Rehm, Hatem Osman, Ayla C Newton, Rachael Clegg, Elizabeth Ashby, Helen E Chase

引用次数: 0