Journal of Pediatric Orthopaedics-Part B最新文献_第8页

Normal values of scapholunate distance in Turkish children aged 5-14 years. 土耳其 5-14 岁儿童肩胛骨距离的正常值。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-09-01 Epub Date: 2023-08-07 DOI: 10.1097/BPB.0000000000001112

Mustafa Yerli, Tahsin Olgun Bayraktar, Ali Yüce, Nazım Erkurt, Mehmet Selçuk Saygılı, Olcayto Ocak

{"title":"Normal values of scapholunate distance in Turkish children aged 5-14 years.","authors":"Mustafa Yerli, Tahsin Olgun Bayraktar, Ali Yüce, Nazım Erkurt, Mehmet Selçuk Saygılı, Olcayto Ocak","doi":"10.1097/BPB.0000000000001112","DOIUrl":"10.1097/BPB.0000000000001112","url":null,"abstract":"Wrist kinematic indices and scapholunate distance play an essential role in diagnosing and treating injury and disease of the carpus. It can be challenging to measure and diagnose scapholunate ligament injury in the immature skeleton. The aim of this study was to measure the normal ranges of the carpal indices on radiographs in the Turkish population aged 5-14 years. This retrospective study examined children aged 5-14 years between 2021 and 2022. Children aged 5-14 years with a wrist anteroposterior X-ray, children admitted to the hospital for nontraumatic reasons, and children who had not had a wrist fracture before were included in the study. The distance between the scaphoid and the lunate, the distance between the lunate and the triquetrum, the carpal height, the length of the third metacarpal, and the ratio of the carpal height to the length of the third metacarpal were measured. It was found that the scapholunate distance was significantly higher in boys aged 7-8 years and 9-10 years ( P = 0.001, P = 0.004). When the averages of the lunotriquetral distances were analyzed according to age groups, it was found that it was significantly higher in boys of 7-8 years old, 11-12 years old, and 13-14 years old groups compared with girls ( P = 0.003, P < 0.001, P = 0.004). In this study aiming to find the average values of scapholunate distance, lunotriquetral distance, and carpal indices in children, we concluded that we should examine the wrist X-ray in terms of carpal injuries by considering age and gender.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"484-487"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9949613","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

Drop landing analysis of rotational osteotomies. 旋转截骨术的落地分析。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-09-01 Epub Date: 2023-09-22 DOI: 10.1097/BPB.0000000000001133

Peter M Stevens, Olivia F Grothaus, Bruce A MacWilliams

{"title":"Drop landing analysis of rotational osteotomies.","authors":"Peter M Stevens, Olivia F Grothaus, Bruce A MacWilliams","doi":"10.1097/BPB.0000000000001133","DOIUrl":"10.1097/BPB.0000000000001133","url":null,"abstract":"Pathomechanics resulting from rotational deformities of the long bones in an idiopathic population have not been extensively studied, and are chiefly limited to level over ground walking. Thirty-five adolescents with excessive idiopathic outward tibial torsion (TT), femoral rotation, or both (pan genu) were studied both before and after corrective surgery. Data collected included computational motion analysis of a drop jump and patient-reported outcomes consisting of PODCI and Goal Attainment Scores. Results were compared to an age-matched typically developing cohort (n = 25). Subjects with femoral anteversion (FA) exhibited compensatory hip rotations to normalize knee progression angles at landing. Subjects with only TT did not compensate at the hip, landing with typical knee progression but excessive outward foot progression. These strategies resulted in elevated frontal plane knee moments for FA ( P = 0.008), and elevated lateral knee forces in all groups compared to typical, with the TT group reaching significance ( P < 0.001). Rotational osteotomies successfully restored elevated kinematics and kinetics to within or below typically developing ranges. Patient-reported outcomes generally improved after surgery across all domains studied. Drop jump testing elucidated compensation strategies employed by these cohorts. Compensation did not fully alleviate elevated forces at the knees. Surgical intervention normalized pathokinematics and pathokinetics, reduced pain, and improved patients' perception of their functional abilities. Greater improvements were found in individuals in the two groups with FA compared to the group with TT only.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"488-496"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158186","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

Outcomes of treatment for developmental dislocation of the hip when the Pavlik method has failed. 帕夫利克法治疗发育性髋关节脱位失败后的治疗效果。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-09-01 Epub Date: 2023-12-29 DOI: 10.1097/BPB.0000000000001142

Hayley Sacks, Carlos Pargas-Colina, Karim Masrouha, Pablo Castañeda

{"title":"Outcomes of treatment for developmental dislocation of the hip when the Pavlik method has failed.","authors":"Hayley Sacks, Carlos Pargas-Colina, Karim Masrouha, Pablo Castañeda","doi":"10.1097/BPB.0000000000001142","DOIUrl":"10.1097/BPB.0000000000001142","url":null,"abstract":"Objectives: Despite the success rate of the Pavlik method in the treatment of developmental dislocation of the hip, there is a subset of hips that do not reduce with harness use. The purpose of this study was to determine the outcomes after closed reduction (CR), open reduction (OR) and combined open reduction and pelvic osteotomy (OR+PO) in patients with infantile hip dislocations who initially failed the Pavlik method.Methods: This was a retrospective cohort study of patients with infantile hip dislocations who failed the Pavlik method and subsequently underwent a secondary procedure for persistent hip dislocation. The primary outcome measure was the Severin classification of the involved hip 3 years after the secondary procedure. Other outcomes assessed included rates of redislocation, residual acetabular dysplasia and proximal femoral growth disturbance.Results: Twenty-three patients were included; seven subsequently underwent CR, three underwent isolated OR and 13 proceeded directly to OR+PO. The overall successful outcome rate at final follow-up (as determined by radiographic Severin class I or II) was 11/23 (48%). However, patients undergoing OR+PO had significantly higher rates of successful outcomes (77%) compared with CR (15%) and OR (0%), P < 0.05. The rate of residual acetabular dysplasia and proximal femoral growth disturbance was significantly lower in patients treated with OR+PO compared with CR and isolated OR, P < 0.05.Conclusion: Patients with dislocated hips who failed Pavlik harness treatment had better radiographic outcomes 3 years after OR+PO in comparison to patients undergoing CR or isolated OR.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"420-425"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378690","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

Temporal trends in surgical implants for in situ fixation of stable slipped capital femoral epiphysis. 外科植入物原位固定稳定滑脱的股骨干骺的时间趋势。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-09-01 Epub Date: 2023-10-09 DOI: 10.1097/BPB.0000000000001139

Ethan Chervonski, Taylor Wingo, Carlos Pargas-Colina, Pablo Castañeda

{"title":"Temporal trends in surgical implants for in situ fixation of stable slipped capital femoral epiphysis.","authors":"Ethan Chervonski, Taylor Wingo, Carlos Pargas-Colina, Pablo Castañeda","doi":"10.1097/BPB.0000000000001139","DOIUrl":"10.1097/BPB.0000000000001139","url":null,"abstract":"Stable slipped capital femoral epiphysis (SCFE) is a pediatric hip disorder managed with in situ fixation of the proximal femoral epiphysis, otherwise known as 'pinning the hip'. The objective of this study was to characterize how the choice of implant for in situ fixation of stable SCFE has changed over time. A systematic review of publications concerning in situ fixation of stable SCFE from January 1993 to November 2021 was conducted. The change in the type, diameter, and number of implants used in publications over time and the age of their respective patient cohorts was evaluated. A total of 207 articles met inclusion criteria. There was an increase in publications using cannulated screws over time ( P = 0.0113). As the yearly percentage of publications using threadless non-cannulated implants decreased ( P = 0.0309), the percentage using cannulated screws increased ( P = 0.0047). Single-implant fixation also increased ( P = 0.0409). While there was no difference in the rate of increase of implants < 7 mm or ≥ 7 mm in diameter ( P = 0.299), patients with larger-diameter implants were, on average, older than patients with smaller-diameter implants ( P = 0.0462). In general, the age of patients undergoing in situ fixation of stable SCFE has not changed ( P = 0.595). Irrespective of patient-specific considerations, single cannulated screws have become the implant of choice for in situ fixation of stable SCFE. There has not been a consensus on the optimal implant diameter; instead, patient-specific considerations are of paramount importance in this decision.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"437-442"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158187","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

Beyond words: embracing migration percentage as the universal measurement for hip displacement in children with cerebral palsy by radiologists and orthopedic surgeons. 超越语言：放射科医生和矫形外科医生将迁移百分比作为脑瘫儿童髋关节移位的通用测量方法。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-09-01 Epub Date: 2024-07-30 DOI: 10.1097/BPB.0000000000001162

Daniel Raftis, Sarah Dance, Laura Mazudie Ndjonko, Ahmed Elabd, Sean Tabaie

引用次数: 0

Epidemiology and demographics of pediatric proximal femur fractures in Türkiye: results from a government-based health registry. 图尔基耶小儿股骨近端骨折的流行病学和人口统计学：基于政府的健康登记结果。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-09-01 Epub Date: 2023-09-07 DOI: 10.1097/BPB.0000000000001127

Mehmet Salih Söylemez, İzzet Bingöl, Niyazi Erdem Yaşar, Ebru Dumlupınar, Mustafa Okan Ayvalı, Naim Ata, M Mahir Ülgü, Şuayip Birinci, Güzelali Özdemir, Okan Aslantürk

{"title":"Epidemiology and demographics of pediatric proximal femur fractures in Türkiye: results from a government-based health registry.","authors":"Mehmet Salih Söylemez, İzzet Bingöl, Niyazi Erdem Yaşar, Ebru Dumlupınar, Mustafa Okan Ayvalı, Naim Ata, M Mahir Ülgü, Şuayip Birinci, Güzelali Özdemir, Okan Aslantürk","doi":"10.1097/BPB.0000000000001127","DOIUrl":"10.1097/BPB.0000000000001127","url":null,"abstract":"We evaluate the epidemiology and incidence of pediatric proximal femur fractures, treatment trends among different hospital levels, and complication rates among different treatment modalities by examining a national health registry in Türkiye. The health records of individuals aged ≤16 years admitted to public, private, and university hospitals were collected via the e-health database of the Turkish Ministry of Health. A total of 2388 children treated for proximal femur fractures from 2016 to 2021 with at least 2 years of follow-up were included in the study. While 2033 (85.1%) patients were treated with closed reduction and spica casts, 355 (14.8%) were operated on. Mean age was 8.603 ± 5.11 years. Male incidence was 2-fold greater compared to female patients (36.4% female and 63.6% male patients; P < 0.001). The frequency of cases was significantly increased in the age groups of 3-4 and 13-16 years. Comorbidities causing limited ambulation were detected in 6.5% of all cases, and 163 (8.0%) patients in the conservative group and 98 (27.6%) patients in the surgery group had at least one complication. The incidence was 0.45 per 100 000 children aged ≤16 years. This study reports the largest patient cohort to date, providing evidence on the epidemiology and incidence of pediatric proximal femur fractures using health registry data. We have found that the most common treatment modality for proximal femur fractures is closed reduction with spica casts. The rate of avascular necrosis is similar among patients treated surgically and those treated conservatively.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"443-451"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10179522","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 limb length discrepancy after bone sarcoma resection about the knee in the skeletally immature. 骨骼尚未发育成熟的膝关节周围骨肉瘤切除术后肢体长度不一致的处理方法。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-09-01 Epub Date: 2023-09-11 DOI: 10.1097/BPB.0000000000001124

Sean P Kelly, Dipak B Ramkumar, Brooke Crawford, Santiago A Lozano-Calderon, Mark C Gebhardt, Megan E Anderson

{"title":"Management of limb length discrepancy after bone sarcoma resection about the knee in the skeletally immature.","authors":"Sean P Kelly, Dipak B Ramkumar, Brooke Crawford, Santiago A Lozano-Calderon, Mark C Gebhardt, Megan E Anderson","doi":"10.1097/BPB.0000000000001124","DOIUrl":"10.1097/BPB.0000000000001124","url":null,"abstract":"Patients with bone sarcomas increasingly choose limb salvage. This can lead to issues with limb length discrepancy (LLD) for the skeletally immature. We synthesize management options into an algorithm and report our results. Patients with bone sarcomas involving any location from the femoral diaphysis to the tibial diaphysis 12 years or younger were reviewed. Our clinical pathway prescribed patients with metadiaphyseal lesions to intercalary allograft reconstruction, epiphyseal lesions and less than 5 cm expected LLD to osteoarticular allograft and patients with more than 5 cm expected LLD to extendable prosthesis. Twenty patients met inclusion criteria: 11 with osteoarticular allografts, 5 with extendable prostheses and 4 with intercalary allografts; median age 11.5 years; median follow-up 8.2 years; and final median LLD 1.6 cm. Five patients had contralateral epiphysiodesis, two patients underwent contralateral femoral shortening and a median of 6 (range 4-8) lengthenings were performed for extendable prostheses. Four patients had residual LLD over 3 cm. There were 13 revisions in 8 patients and 2 amputations. Limb-salvage in paediatric bone sarcoma of the knee can be managed with multiple techniques producing satisfactory results in regards to LLD. Careful pre-operative planning and shared decision making is a requisite given the high rate of secondary procedures for both LLD and reconstructive failures. Level of evidence: Level III Retrospective Comparative Study.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"497-502"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10244298","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

Tendon transfer in spastic cerebral palsy upper limb. 痉挛性脑瘫上肢的肌腱转移。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-09-01 Epub Date: 2023-12-29 DOI: 10.1097/BPB.0000000000001137

Hadi Gerami, G Hossain Shahcheraghi, Mahzad Javid

{"title":"Tendon transfer in spastic cerebral palsy upper limb.","authors":"Hadi Gerami, G Hossain Shahcheraghi, Mahzad Javid","doi":"10.1097/BPB.0000000000001137","DOIUrl":"10.1097/BPB.0000000000001137","url":null,"abstract":"Cerebral palsy (CP) in upper limb produces functional, aesthetic and hygienic issues, and is not always amenable to surgical procedures. We are reporting a single-center, long follow-up experience with tendon transfer in wrist and forearm CP. The CP cases who had undergone tendon transfer in hand, wrist and forearm in a 14-year period were evaluated for change in motion, function and cosmetic appearance and also assessed by Manual Ability Classification System (MACS), and Dash (Disability of Arm, Shoulder, Hand) scores. Forty-two spastic CP patients with a mean age of 19.81 (10-34 years, SD: 5.36) years with a mean follow-up of 5.5 (2-14) years, entered the study. 24 cases were GMFCS I or II and 18 were III or IV. Supination beyond neutral was seen in 48.5%, and improvement in MACS scores in all the cases. Improved 'grasp' and 'release' and keyboard use was seen in 50%, 71% and 87% respectively. The satisfaction from appearance and improved function of 83-96% correlated positively with GMFSC, MACS and DASH scores. Noticeable improvement in personal hygienic care was seen in only 52% of cases. Tendon transfer in well-selected spastic upper extremity CP cases results in long-time improved function, and limb appearance - correlating with initial GMFCS and MACS scores.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"507-514"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378693","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 true pelvic volume change with various corrective osteotomy techniques for exstrophy-epispadias complex spectrum: the value of computer-assisted virtual surgery. 各种矫正截骨技术对外翻-尿道外裂复杂病谱的真实骨盆容积变化：计算机辅助虚拟手术的价值。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-09-01 Epub Date: 2023-12-14 DOI: 10.1097/BPB.0000000000001145

Mohamed Kenawey, Emmanouil Morakis, Raimondo Cervellione, David Keene, Simon P Kelley

{"title":"The true pelvic volume change with various corrective osteotomy techniques for exstrophy-epispadias complex spectrum: the value of computer-assisted virtual surgery.","authors":"Mohamed Kenawey, Emmanouil Morakis, Raimondo Cervellione, David Keene, Simon P Kelley","doi":"10.1097/BPB.0000000000001145","DOIUrl":"10.1097/BPB.0000000000001145","url":null,"abstract":"Pelvic osteotomies are essential to approximate widened symphysis pubis in the exstrophy-epispadias complex, yet it is unknown which osteotomy type has the greatest effect on pelvic volume. We therefore used virtual surgery to study pelvic volume change with anterior, oblique, and posterior iliac osteotomies. Preoperative CT scans of two cloacal and one classic bladder exstrophy patients were used. Simulations were free-hand or constrained to keep minimal strain in the sacrospinous SSL and sacrotuberous STL ligaments. Changes in inter-pubic distance, pelvic volume, SSL and STL strains were measured. Mean pelvic volume decreased by 10% with free hand compared to 23% with constrained simulations ( P = 0.171) and decreased by 7% with posterior, 17% with diagonal and 26% with horizontal osteotomies ( P = 0.193). SSL and STL were strained by 20% and 26%, respectively, with free-hand simulations. A statistically significant moderate positive correlation was found between the decrease in inter-pubic distance and reduction in pelvic volume (r = 0.6, P = 0.004). Mean pelvic volume decreased 0.05, 0.37 and 0.62% for each mm of pubic symphysis approximation with posterior, diagonal and horizontal osteotomies, respectively. Differences in effect on pelvic volume were identified between the osteotomies using virtual surgery which predicted residual diastasis in actual cloacal exstrophy surgical reconstructions. Oblique osteotomies are a compromise, avoiding difficulties with posterior osteotomies and excessive pelvic volume reduction with horizontal osteotomies. Understanding how osteotomy type affects pelvic morphology with virtual surgery may be an effective adjunct to pre-operative planning in exstrophy spectrum.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"413-419"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378694","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

Bado III Monteggia in children - treatment options and outcome: an ultrasound control study. Bado III型儿童孟氏症——治疗方案和结果：一项超声对照研究。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-09-01 Epub Date: 2023-10-09 DOI: 10.1097/BPB.0000000000001135

Isabelle Nuiding, Christian Knorr, Dorien Schneidmüller, Miriam Adrian, Peter Schmittenbecher, Michael A Kertai

{"title":"Bado III Monteggia in children - treatment options and outcome: an ultrasound control study.","authors":"Isabelle Nuiding, Christian Knorr, Dorien Schneidmüller, Miriam Adrian, Peter Schmittenbecher, Michael A Kertai","doi":"10.1097/BPB.0000000000001135","DOIUrl":"10.1097/BPB.0000000000001135","url":null,"abstract":"The Bado III Monteggia lesion is an uncommon fracture in children. Radial head dislocation can occur due to intra- or extra-articular fractures of the olecranon. In extra-articular ulnar fractures, heterogeneous operative methods are proposed in different case reports. The objective of this study is to determine if closed reduction of the ulnar fracture, either without osteosynthesis or by using TEN, is a safe treatment option. In a multicenter study, we retrospectively analyzed 26 children who were treated for an extra-articular proximal metaphyseal ulnar fracture with dislocation of the radial head. These patients underwent a follow-up examination after an average of four years. The investigation included a physical examination, visualization of the elbow anatomy, and specifically, the radial head retention in the joint by ultrasound. Of the 26 patients, 18 were treated by closed reduction and intramedullary osteosynthesis (TEN), 7 were treated by closed reduction and cast immobilization without osteosynthesis, and 1 child was treated by open reduction of the ulna and plate osteosynthesis. In the follow-up examination, 25 children showed an excellent outcome, as well as inapparent sonography. Although this is a retrospective study with different types of treatment, closed reduction of the ulna with or without osteosynthesis appears to be effective. We believe that the correct primary reduction is the key to an excellent long-term outcome. Regarding the invasiveness of the treatment, reduction without or with TEN osteosynthesis should be the preferred approach in extra-articular pediatric Bado III fractures.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"477-483"},"PeriodicalIF":0.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161137","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