Journal of Pediatric Orthopaedics-Part B最新文献_第7页

Six years of experience with the nationwide newborn ultrasonographic hip screening program in Turkey: a considerable change in the type of surgical interventions in developmental dysplasia of the hip. 土耳其全国新生儿超声髋关节筛查项目的六年经验：髋关节发育不良手术干预类型的重大变化。

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.0000000000001207

Mehmet İsmail Safa Kapicioğlu, Ali Fuat Karataş, Mustafa Akkaya, Feza Korkusuz, Hakan Ömeroğlu

引用次数: 0

Evaluating the quality of life in mothers caring for children with congenital clubfoot: prospective sequential evaluation along the course of Ponseti management. 评估照顾先天性内翻足患儿的母亲的生活质量：Ponseti治疗过程中的前瞻性序贯评估。

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.0000000000001229

Anil Agarwal, Prabhat Mittal, Varun Garg, Yogesh Patel, Kishmita Sachdeva, Ankitha Ks, Ashish Upadhyay, Jainam Salot

{"title":"Evaluating the quality of life in mothers caring for children with congenital clubfoot: prospective sequential evaluation along the course of Ponseti management.","authors":"Anil Agarwal, Prabhat Mittal, Varun Garg, Yogesh Patel, Kishmita Sachdeva, Ankitha Ks, Ashish Upadhyay, Jainam Salot","doi":"10.1097/BPB.0000000000001229","DOIUrl":"10.1097/BPB.0000000000001229","url":null,"abstract":"The post birth revelation of child with physical anomaly taxes maternal hopes of a healthy child. However, unlike many other congenital anomalies, the Ponseti method has enabled an early and effective treatment of the clubfoot deformity. Our study aimed to assess the quality of life (QoL) of mothers with child born with idiopathic clubfoot through various stages of its management compared to a healthy infant. The study was conducted on mothers of children born with untreated congenital idiopathic clubfoot presenting within first 3 months after birth and undergoing Ponseti treatment. The WHO Quality of Life Instrument (QoL), Short Form (WHOQOL-BREF) questionnaire was used to capture maternal responses at enrolment of the child at the clubfoot clinic, at percutaneous Achilles tenotomy, 3 weeks post tenotomy, and 1 month after prescription of foot abduction brace. Intertreatment comparison of QoL responses was performed. Baseline values for QoL domains were obtained for mothers born with healthy infants (controls). Responses from 29 affected mothers and 30 controls were available. The QoL responses from affected mothers were significantly lower than those born with healthy children. The domains most affected were psychological health and environment ( P < 0.001). Subsequent responses through various stages of Ponseti management remained comparable. Although the affected mothers' QoL was lower than mothers of healthy child, they were pacified by the available treatment and the counseling for clubfoot. Physical health and social relationship domains were no longer areas of concern for them. Further, there was no change of QoL across sequential Ponseti management.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"185-188"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958149","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

Approach to Gartland type 2 supracondylar humerus fractures: comment on the study by Zhu et al. Gartland 2型肱骨髁上骨折入路：对Zhu等人研究的评论

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.0000000000001225

Sitanshu Barik, Vikash Raj, Vishal Kumar

引用次数: 0

Comparison between unilateral and bilateral clubfoot treated with Ponseti method at walking age: static and dynamic assessment. Ponseti法治疗单侧和双侧畸形足在步行年龄的比较：静态和动态评估。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2024-10-01 DOI: 10.1097/BPB.0000000000001212

Marco Sapienza, Gianluca Testa, Andrea Vescio, Beatrice Scuderi, Claudia de Cristo, Ludovico Lucenti, Marco Simone Vaccalluzzo, Alessia Caldaci, Federico Canavese, Vito Pavone

{"title":"Comparison between unilateral and bilateral clubfoot treated with Ponseti method at walking age: static and dynamic assessment.","authors":"Marco Sapienza, Gianluca Testa, Andrea Vescio, Beatrice Scuderi, Claudia de Cristo, Ludovico Lucenti, Marco Simone Vaccalluzzo, Alessia Caldaci, Federico Canavese, Vito Pavone","doi":"10.1097/BPB.0000000000001212","DOIUrl":"10.1097/BPB.0000000000001212","url":null,"abstract":"This study evaluated the static, postural, dynamic, and clinical outcomes among five groups of patients: a bilateral CTEV (congenital talipes equinovarus) group treated with tenotomy ( n = 14), bilateral CTEV group treated conservatively ( n = 6), unilateral CTEV group treated with tenotomy ( n = 7), unilateral CTEV group treated conservatively ( n = 3), and control group ( n = 20). Data were collected through baropodometric examinations and clinical evaluations using Pirani, clubfoot assessment protocol, foot and ankle disability index (FADI), and American Orthopedic Foot and Ankle Society scores. Bilateral CTEV patients treated with tenotomy showed no statistically significant differences compared to healthy controls. Significant differences were found in lateral-lateral variation in the bilateral postural group ( P = 0.002) and in static peak pressure in unilateral tenotomy patients ( P = 0.046). Dynamic comparisons revealed significant differences in mean pressure between unilateral groups ( P = 0.002) and lateral-lateral variation in bilateral groups ( P = 0.004). The Pirani score showed significant differences between tenotomy-treated and postural patients ( P = 0.000). Statistically significant differences in FADI scores were found between bilateral groups ( P = 0.0037), between tenotomy-treated groups ( P = 0.0020), and between the bilateral tenotomy-treated group and the unilateral postural group ( P = 0.021). Bilateral CTEV patients treated with tenotomy develop static and dynamic values comparable to healthy controls. Bilateral patients develop better dynamic values compared to patients with a unilateral variant. Level of evidence: III.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"162-170"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958139","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

Is there a place for dorsal hemiepiphysiodesis of the first metatarsal in the treatment of pes cavovarus? 第一跖骨背侧半腓骨切除术在治疗穴状腓骨脱位症中有用武之地吗？

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2024-09-23 DOI: 10.1097/BPB.0000000000001209

Liliana S Domingues, Susana Norte, Mónika Thusing, Manuel C Neves

{"title":"Is there a place for dorsal hemiepiphysiodesis of the first metatarsal in the treatment of pes cavovarus?","authors":"Liliana S Domingues, Susana Norte, Mónika Thusing, Manuel C Neves","doi":"10.1097/BPB.0000000000001209","DOIUrl":"10.1097/BPB.0000000000001209","url":null,"abstract":"The objective of this study is to describe and evaluate dorsal hemiepiphysodesis of the first metatarsal as an osteotomy replacement technique. Retrospective analysis of patients with pes cavovarus (PCV) treated in our center with dorsal hemiepiphysodesis of the first metatarsal. Meary's angle, calcaneal pitch, and Moreau Costa Bartani were compared pre and post-operatively and the ratio between width and foot length was monitored. Between May 2012 and May 2022, eight patients (14 feet) with PCV underwent dorsal hemiepiphysiodesis of the first metatarsal combined with the Steindler procedure. Four patients (50%) were male. The average age for boys at surgery was 10.75 years (10-11) and for girls was 9.75 years (8-11). Most patients (87.5%) had idiopathic PCV and 12.5% had a neurological PCV. Median follow-up was 4.3 years (1.5-10) and a benefit was seen in all patients in Moreau Costa Bartani angle (112.64° vs. 120.59°; P value = 0.003), calcaneal pitch (26.48° vs. 25.36°; P value = 0.091) and Meary's angle (10.60° vs. 5.36°; P value = 0.008) after surgery. Supination improvement was also shown (0.21 vs. 0.24; P value = 0.039). Despite the limited number of patients, the results demonstrated that dorsal hemiepiphysiodesis of the first metatarsal can be a valid alternative to osteotomy of the base of the first metatarsal, with less morbidity and a gradual and dynamic correction throughout growth.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"151-156"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299699","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

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. 闭合复位、经皮穿刺与切开复位、K 线固定治疗 Jakob 2 型外侧髁骨折的放射学、临床和功能效果比较。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2024-08-30 DOI: 10.1097/BPB.0000000000001202

Orhun Çelik, Cemil Ertürk, Yunus Elmas

{"title":"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.","authors":"Orhun Çelik, Cemil Ertürk, Yunus Elmas","doi":"10.1097/BPB.0000000000001202","DOIUrl":"10.1097/BPB.0000000000001202","url":null,"abstract":"Pediatric humerus lateral condyle fractures (PHLCF) are one of the most common fractures among children. PHLCF is approximately 20% of all pediatric elbow fractures. Among the treatment modalities are: nonoperative treatment with splinting, closed reduction with percutaneous K-wire fixation (CRPP), and open reduction with K-wire fixation (ORIF). We aimed to evaluate radiological, functional, and clinical outcomes of Jakob type 2 PHLCF treated either with CRPP or ORIF. We hypothesized that CRPP may be as safe and effective as ORIF for Jakob type 2 PHLCF. In this retrospective study, we included patients with Jakob type 2 PHLCF operatively treated in a single center. Patients with multiple fractures or open fractures were excluded from the study. 69 patients between ages 2 and 12 were included and they were divided into two groups. Group 1 included the patients treated with CRPP, whereas Group 2 included the patients treated with ORIF. Demographical, radiological, clinical, and functional parameters were evaluated. Average duration of surgery ( P < 0.001), initial displacement ( P = 0.014), and duration of admission ( P < 0.001) were significantly less in group 1. Group 2 had significantly higher percentage of left-sided injury than group 1 ( P = 0.038). Average varus deformity score was significantly higher in group 1 ( P = 0.014). CRPP was associated with shorter duration of surgery and hospital stay. Functional, clinical, and radiological outcomes were identified similar between CRPP and ORIF for Jakob type 2 PHLCF. CRPP may be as safe and effective as ORIF for Jakob type 2 PHLCF.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"117-123"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903429","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

The anterior and medial open approaches yield superior outcomes compared to the lateral and posterior open approaches in supracondylar humerus fractures in children: a systematic review and network meta-analysis. 儿童肱骨髁上骨折的前方和内侧开放入路疗效优于外侧和后方开放入路：系统综述和网络荟萃分析。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2024-09-12 DOI: 10.1097/BPB.0000000000001205

Diego González-Morgado, Ferran Blasco-Casado, Ernesto Guerra-Farfán, Jose Manuel de María Prieto, Unai Jambrina-Abasolo, Mark Phillips, Seper Ekhtiari, Francisco Soldado

{"title":"The anterior and medial open approaches yield superior outcomes compared to the lateral and posterior open approaches in supracondylar humerus fractures in children: a systematic review and network meta-analysis.","authors":"Diego González-Morgado, Ferran Blasco-Casado, Ernesto Guerra-Farfán, Jose Manuel de María Prieto, Unai Jambrina-Abasolo, Mark Phillips, Seper Ekhtiari, Francisco Soldado","doi":"10.1097/BPB.0000000000001205","DOIUrl":"10.1097/BPB.0000000000001205","url":null,"abstract":"This study aimed to perform a systematic review and network meta-analysis (NMA) to examine which open approach is superior in terms of outcomes and complications in the treatment of pediatric supracondylar humerus fractures. MEDLINE/PubMed, Embase, Web of Science, Clinicaltrials.gov , and Cochrane Library were searched from database inception to December 2022 and screened for relevant studies. Data were collected regarding patient demographics, Flynn's functional and cosmetic outcomes, and complications. Unsatisfactory Flynn's and complications were considered negative events. Comparisons of outcomes from aggregate data from each surgical approach using relative risk (RR) with a 95% confidence interval (95% CI) were performed. The NMA of overall negative events was conducted using a Bayesian hierarchical random-effects model analysis. A total of 26 studies involving 1461 patients were included; 459 (31.4%) patients underwent a closed reduction and percutaneous pinning (CRPP), 84 (5.7%) an anterior approach, 240 (16.4%) a medial, 220 (15%) a lateral, and 458 (31.3%) a posterior. The lateral and posterior approaches demonstrate a higher risk of negative event in the NMA compared to CRPP [RR = 2 (1.03, 3.85); RR = 2.63 (1.96, 3.57), respectively], anterior approach [RR = 3.33 (1.11, 10); RR = 4.35 (1.49, 12.5), respectively], and medial approach [RR = 1.82 (1.16, 2.86); RR = 2.38 (1.23, 4.76), respectively]. The medial approach resulted in a similar negative event rate compared to the anterior [RR = 1.82 (0.58, 5.88)]. The anterior and medial open approaches yield superior functional and cosmetic outcomes with fewer complications compared to the lateral and posterior.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"101-111"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127184","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

Less common than expected: late displacement after minimally displaced pediatric lateral condyle fractures of the elbow. 较不常见的是：儿童肘关节外侧髁骨折轻度移位后的晚期移位。

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.0000000000001226

Andreas Rehm, Azeem Thahir, Albert W T Ngu, Hatem Osman, Sebastian Ho

引用次数: 0

Certain fracture patterns in children/adolescents would be better called 'Barton equivalent' fractures. 儿童/青少年的某些骨折模式最好称为 "巴顿等效 "骨折。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2024-02-05 DOI: 10.1097/BPB.0000000000001161

Soo Min Cha, Hyun Dae Shin, In Ho Ga, Yong Hwan Kim

{"title":"Certain fracture patterns in children/adolescents would be better called 'Barton equivalent' fractures.","authors":"Soo Min Cha, Hyun Dae Shin, In Ho Ga, Yong Hwan Kim","doi":"10.1097/BPB.0000000000001161","DOIUrl":"10.1097/BPB.0000000000001161","url":null,"abstract":"We have encountered consecutive children/adolescents with a volar Barton fracture (VBF) pattern without involving the physis. These were managed by buttress plating; thus, we would like to report the radiological and clinical outcomes through retrospective case series and suggest the revisiting of the 'VBF category' in this population. We screened children/adolescents with a diagnosis of trauma to the bony structures in the wrist from 2008 to 2019. Of these patients, 16 who met our inclusion/exclusion criteria were investigated. At the final follow-up performed at least 2 years postoperatively, radiologic and clinical outcomes were evaluated. The mean age at the time of injury was 12.88 years old. At the final follow-up, the volar tiltings, radial inclinations and ulnar variances were 10.13°, 20.88° and -0.50 mm, respectively. None of these radiologic parameters were significantly different from the contralateral values, except the radial inclination. The mean visual analog scale score was 0.38. The mean range of motion arcs were 136.56° and 157.81° in the flexion-extension and pronation-supination arcs, respectively, and the grip strength was 22.00 kg. The mean modified Mayo Wrist Score was 92.8. The radiologic and clinical outcomes compared with the contralateral side were not significantly different from those in a previous report. A VBF pattern without involving the physis in the child/adolescent population was treated satisfactorily by buttress plating. Thus, including the previously reported 'SH-II in sagittal plane' injuries, the current injury pattern would be better called a 'Barton equivalent' fracture. Level of Evidence: Level IV, retrospective case series.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"134-141"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139703816","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

Single versus double percutaneous pinning of pediatric distal radius fractures. 小儿桡骨远端骨折经皮单针固定与双针固定的比较

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2024-07-08 DOI: 10.1097/BPB.0000000000001197

Evan W Beatty, Koya Osada, Robert M Zbeda, Donald S Bae

{"title":"Single versus double percutaneous pinning of pediatric distal radius fractures.","authors":"Evan W Beatty, Koya Osada, Robert M Zbeda, Donald S Bae","doi":"10.1097/BPB.0000000000001197","DOIUrl":"10.1097/BPB.0000000000001197","url":null,"abstract":"The aim of this study was to compare early clinical and radiographic results of single- versus double-pin fixation of unstable pediatric distal radius fractures. A total of 103 consecutive closed distal radius fractures treated with either single or double percutaneous pinning at a tertiary level I pediatric hospital were analyzed. All patients had open physes and had fractures that failed initial closed reduction and casting. Postoperative fracture displacement was assessed by measuring the difference in angulation of the radius in the anteroposterior and lateral views from intraoperative fluoroscopic images to postoperative radiographs taken on the day of pin removal. Complications were identified from the medical record review. In 103 operative distal radius fractures in 101 patients (70 males, 31 females), 52 and 51 distal radius fractures were treated with single and double pinning, respectively. The median [interquartile range (IQR)] age at the time of surgery was 12.1 (9.0-14.0) years, with the single-pinning group being younger by 1.9 years ( P < 0.01). Median (IQR) postoperative angulation in the anteroposterior radiograph (coronal plane) was 2° (1-7°) with one pin versus 1° (0-2°) with two pins ( P < 0.01). Median (IQR) postoperative angulation in the lateral radiograph (sagittal plane) was 3° (1-10°) with one pin versus 1° (0-2°) with two pins ( P < 0.01). There were no significant differences in complications between the single- and double-pinning groups. Double-pin fixation resulted in a statistically significant, but clinically negligible, reduction in postoperative fracture displacement compared with single-pin fixation. Complication rates were similar in both groups. These findings suggest that either single- or double-pinning techniques can be effective, provided appropriate reduction and postoperative immobilization are achieved.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"128-133"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535805","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