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

Intramalleolar triplane ankle fractures in adolescents. 青少年踝内三平面踝关节骨折。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-05-01 Epub Date: 2025-01-08 DOI: 10.1097/BPB.0000000000001230

Heloisa Z Faggion, Javier Masquijo, Weverley R Valenza, Jamil F Soni, Gabriel J S Lange

{"title":"Intramalleolar triplane ankle fractures in adolescents.","authors":"Heloisa Z Faggion, Javier Masquijo, Weverley R Valenza, Jamil F Soni, Gabriel J S Lange","doi":"10.1097/BPB.0000000000001230","DOIUrl":"10.1097/BPB.0000000000001230","url":null,"abstract":"This article aims to describe a multicenter cohort of atypical triplane ankle fractures with intramalleolar involvement of the epiphysis, providing insights into the affected population, treatment outcomes, and complications. In addition, we propose a treatment strategy for such fractures based on our findings. A retrospective analysis was conducted on adolescent patients diagnosed with triplane ankle fractures. Data from three participating centers in Brazil and Argentina were collected and analyzed. Treatment strategies, including surgical and nonsurgical approaches, were evaluated. Clinical outcomes such as pain levels, functional scores (AOFAS), and return to normal activities were assessed. Radiographic evaluations were performed to evaluate fracture healing and alignment. Data were collected from seven patients with an average age of 13 years. The sample consisted predominantly of male patients (6/7), with the left side affected (6/7) and Shin type 3 fractures. Two cases were treated conservatively, with consolidation within the expected period without subsequent displacements or negative functional repercussions (AOFAS score, 100). In surgical cases, starting fixation from the metaphysis made it possible to avoid fixation of the epiphyseal fragment in all cases, except one. All surgically treated cases had consolidation within the expected time, without subsequent deviations or complications. This multicenter evaluation offers valuable insights into the presentation of fractures, diverse treatment approaches employed, and their respective clinical and radiographic outcomes. However, further prospective studies with larger sample sizes are necessary to validate these findings and to establish evidence-based treatment guidelines for this specific fracture pattern in the adolescent population.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"224-230"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958071","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

Surgical management of post-traumatic distal tibiofibular synostosis: a technical note. 创伤后胫腓骨远端关节闭锁的外科治疗：技术说明。

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.0000000000001218

Saral Patel, Ria S Parikh, Shital N Parikh

引用次数: 0

Pediatric orthopedic all-terrain vehicle injury patterns, surgeries, and complications: appreciating the true morbidity and impact. 儿童骨科全地形车辆损伤模式、手术和并发症：了解真实发病率和影响。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-05-01 Epub Date: 2024-12-12 DOI: 10.1097/BPB.0000000000001222

Chad B Willis, Brien M Rabenhorst, Kirsten Johnston, David B Bumpass

{"title":"Pediatric orthopedic all-terrain vehicle injury patterns, surgeries, and complications: appreciating the true morbidity and impact.","authors":"Chad B Willis, Brien M Rabenhorst, Kirsten Johnston, David B Bumpass","doi":"10.1097/BPB.0000000000001222","DOIUrl":"10.1097/BPB.0000000000001222","url":null,"abstract":"All-terrain vehicle (ATV) accidents frequently cause orthopedic injuries. Previous studies have reported the frequency of fractures in ATV injuries. No studies have provided detailed assessments of fracture patterns, types of operative intervention, or risks for multiple surgeries. A total of 489 patients with ATV-related injuries were treated at one tertiary Level 1 pediatric hospital from January 2011 to December 2016. Medical records were retrospectively reviewed to define orthopedic injuries and treatment. Data were organized to identify fracture patterns, surgeries, and complications. Three age groups were utilized (0-6, 7-12, and ≥13 years). A total of 270 pelvic and extremity fractures occurred in 215 patients (44%); 136 patients (63%) required surgical intervention; 47 patients (22%) required multiple trips to the operating room; 16% of fractures (43/270) were open, and seven developed deep infections. Three patients required amputations, and one death was recorded. No significant differences were found between age and fracture frequency or need for surgery. Surgical rates of supracondylar humerus (97%) and tibial shaft fractures (87%) were higher than historical norms (16-24% and 5-74%, respectively). To date, this is one of the largest single-institution cohorts of ATV-related pediatric orthopedic injuries. Nearly half of ATV-related pediatric trauma patients sustained orthopedic injuries. The majority required surgical treatment, and nearly 1/4 of patients required multiple surgeries. Younger patients were as likely to require surgery as older patients. Supracondylar humerus fractures and tibial shaft fractures from ATVs required surgery at a higher rate than historical norms. The surgical morbidity of pediatric ATV fractures is substantial and should influence safety and prevention education.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"218-223"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883377","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

Does rickets carry an increased risk of osteomyelitis and septic arthritis? An aggregated electronic health record data study. 佝偻病会增加骨髓炎和化脓性关节炎的风险吗？电子健康记录数据汇总研究。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-05-01 Epub Date: 2024-02-19 DOI: 10.1097/BPB.0000000000001168

Monish S Lavu, Chloe Van Dorn, Lukas Bobak, Robert J Burkhart, David C Kaelber, R Justin Mistovich

{"title":"Does rickets carry an increased risk of osteomyelitis and septic arthritis? An aggregated electronic health record data study.","authors":"Monish S Lavu, Chloe Van Dorn, Lukas Bobak, Robert J Burkhart, David C Kaelber, R Justin Mistovich","doi":"10.1097/BPB.0000000000001168","DOIUrl":"10.1097/BPB.0000000000001168","url":null,"abstract":"To investigate the prevalence of osteomyelitis and septic arthritis in pediatric patients with rickets, compared to the general population. A retrospective cohort study was conducted using the TriNetX analytics network, which aggregates deidentified electronic health record data from over 105 million US patients. We queried pediatric patients with rickets, based on ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) encounter diagnoses. Patients with any ICD-10-CM encounter diagnoses of osteomyelitis or septic arthritis were reported. We established a control cohort of pediatric patients without rickets. Of 7337 pediatric patients (≤18 years old) with a rickets diagnosis, 96 [1.31%, 95% confidence interval (CI): 1.05%-1.57%] had a diagnosis of osteomyelitis and 28 (0.38%, 95% CI: 0.24%-0.52%) had a diagnosis of septic arthritis. In comparison, of the 17 240 604 pediatric patients without a rickets diagnosis, 16 995 (0.10%, 95% CI: 0.10%-0.10%) had a diagnosis of osteomyelitis and 8521 (0.05%, 95% CI: 0.05%-0.05%) had a diagnosis of septic arthritis. The relative risk for an osteomyelitis diagnosis in pediatric patients with a rickets diagnosis was 13.27 (95% CI: 10.86-16.23), while the relative risk for a septic arthritis diagnosis was 7.72 (95% CI: 5.33-11.18). Pediatric patients with a diagnosis of rickets have over 10- and 5-times higher relative risks for having a diagnosis of osteomyelitis and septic arthritis, respectively, compared to those without a diagnosis of rickets. This is the first study to explore musculoskeletal infections in rickets patients, highlighting the importance of clinicians being vigilant about these conditions.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"288-293"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence, number of fractures, and hospital characteristics among the pediatric population with osteogenesis imperfecta: results from the nationwide registry of Türkiye. 小儿成骨不全症患者的发病率、骨折数量和医院特征：土耳其全国登记处的结果。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-05-01 Epub Date: 2024-06-17 DOI: 10.1097/BPB.0000000000001192

Bariş Görgün, Niyazi Erdem Yaşar, İzzet Bingöl, Ebru Dumlupinar, Naim Ata, M Mahir Ülgü, Şuayip Birinci, Sinem Bayram, Güzelali Özdemir

{"title":"Prevalence, number of fractures, and hospital characteristics among the pediatric population with osteogenesis imperfecta: results from the nationwide registry of Türkiye.","authors":"Bariş Görgün, Niyazi Erdem Yaşar, İzzet Bingöl, Ebru Dumlupinar, Naim Ata, M Mahir Ülgü, Şuayip Birinci, Sinem Bayram, Güzelali Özdemir","doi":"10.1097/BPB.0000000000001192","DOIUrl":"10.1097/BPB.0000000000001192","url":null,"abstract":"Objective: Osteogenesis imperfecta is a rare connective tissue disorder with an estimated number of 4-20 cases per 100 000 inhabitants. Although the prevalence differs among regions, there are only a few number of national registry studies published previously. The aim of this study was to determine the prevalence of osteogenesis imperfecta among the pediatric age group in Türkiye, together with the patient and hospital characteristics.Methods: Via the e-health database of the Turkish Ministry of Health, we collected and retrospectively evaluated the medical records of the patients who were under 18 years of age with the diagnosis of osteogenesis imperfecta between 2016 and 2022. Total number of fractures, treatment modalities, and the hospital characteristics were also recorded. Two thousand seven hundred forty patients were extracted with a mean age of 9.77 ± 4.81 years.Results: The prevalence of osteogenesis imperfecta in Türkiye among the pediatric population was calculated as 11.6 per 100 000 individuals. The median annual incidence was 31.5 per 100 000 live births between 2016 and 2022. There were 17.4 hospital admissions per patient per year. The mean age at the time of in-hospital mortality was 4.08 ± 5.03 years. The fracture rate per patient per year was 0.56 and conservative treatment was the most commonly preferred modality for all ages.Conclusion: This is the first registry-based nationwide study of osteogenesis imperfecta patients in Türkiye, providing important characteristics of the disease. Together with the help of the ongoing development of national health database systems, precision in patient identification would yield substantial benefits in terms of management of osteogenesis imperfecta.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"249-256"},"PeriodicalIF":0.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428136","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 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