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

Management trends and outcomes of femur fractures in children with cerebral palsy: a systematic review and meta-analysis. 脑瘫儿童股骨骨折的治疗趋势和结局：系统回顾和荟萃分析。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-06-30 DOI: 10.1097/BPB.0000000000001373

Mark Garabedian, Lee R Benaroch, Brynn Charron, Raheef Alatassi, Tim Carey, Debra Bartley, Patrick Thornley

{"title":"Management trends and outcomes of femur fractures in children with cerebral palsy: a systematic review and meta-analysis.","authors":"Mark Garabedian, Lee R Benaroch, Brynn Charron, Raheef Alatassi, Tim Carey, Debra Bartley, Patrick Thornley","doi":"10.1097/BPB.0000000000001373","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001373","url":null,"abstract":"This review aims to evaluate the treatment and outcomes of femur fractures in children with cerebral palsy (CP). Femur fractures are common in this population because of physiological and mechanical factors. Treatment approaches vary based on functional status and fracture characteristics. Medline, Embase, Central, and Scopus databases were systematically searched for studies investigating outcomes following femur fractures in children aged 0-18 with CP who received surgical or nonsurgical treatment. Primary outcomes were fracture location, ambulatory status, treatment types, and complications. A meta-analysis was conducted when data homogeneity permitted, using mean differences for continuous outcomes and risk ratios for dichotomous outcomes. Of 213 screened articles, seven were included, reporting 335 femur fractures in 258 patients. Most fractures occurred in the distal femur (52%) followed by mid-diaphyseal fractures (32%). Treatment varied by ambulatory status and fracture location, with 60% managed nonoperatively, typically in nonambulatory patients and for distal fractures. Nonoperative treatment, mainly spica casting, showed higher malunion rates (29%) and complications like pressure sores (11%). In contrast, operative treatment, preferred for proximal and mid-diaphyseal fractures, resulted in lower malunion rates in nonambulatory children (7%; P = 0.02) but had risks of postoperative pneumonia (6%) and surgical site infection (13%). Outcomes indicated improved healing and function with operative treatments in ambulatory children. Femur fractures in children with CP require individualized treatments based on the patient's fracture type and ambulatory status. Future studies should incorporate fracture mitigation metrics, functional outcomes, and caregiver impact to inform optimal patient-centered care.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148347278","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 options and outcomes for Salter-Harris type 3 and 4 fractures of the proximal phalanx of the hallux in children. 儿童拇近端指骨Salter-Harris型3型和4型骨折的治疗选择和结果

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-06-19 DOI: 10.1097/BPB.0000000000001362

Andrea Florian, Claudio Gargiulo, Roberto Facchi, Lorenza Marengo, Sara De Salvo, Federico Canavese

{"title":"Management options and outcomes for Salter-Harris type 3 and 4 fractures of the proximal phalanx of the hallux in children.","authors":"Andrea Florian, Claudio Gargiulo, Roberto Facchi, Lorenza Marengo, Sara De Salvo, Federico Canavese","doi":"10.1097/BPB.0000000000001362","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001362","url":null,"abstract":"Epiphyseal fractures of the proximal phalanx of the hallux are rare in pediatric patients. While various management techniques exist, studies detailing outcomes, complications, and pathogenic mechanisms of Salter-Harris (S-H) 3 and S-H 4 fractures in children are limited. This study evaluates the radiographic, clinical, and functional outcomes of pediatric patients with these injuries and identifies potential risk factors for adverse results. A retrospective review was conducted on 11 pediatric patients diagnosed with S-H 3 and S-H 4 fractures. Demographics, injury mechanisms, and treatment modalities were collected. Radiographic and clinical evaluations assessed fracture healing, range of motion (ROM), and the presence of premature physeal closure (PPC) or other complications over multiple follow-up intervals. The cohort included six S-H 3 and five S-H 4 fractures (mean age: 12.9 years). Mean follow-up was 6.5 ± 3.7 for S-H 4 and 8.5 ± 3.9 years for S-H 3 fractures. Ten cases with displacement less than 2 mm underwent closed reduction and Kirschner (K) wires fixation; one case (>2 mm displacement) required open reduction and a 2.0 mm compression screw. All patients achieved satisfactory radiographic healing without PPC or angular deformity. Clinically, most regained near-normal ROM without major complications such as joint incongruity or infection. Surgical treatment of S-H 3 and S-H 4 hallux fractures using closed reduction and K-wires is safe and effective, ensuring stable fixation and favorable long-term outcomes. PPC rarely results in malalignment because these fractures typically occur when skeletal growth is nearly complete.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical and functional outcomes of arthroscopic release with or without latissimus dorsi tendon transfer in obstetric brachial plexus palsy. 伴或不伴背阔肌肌腱转移的关节镜下松解治疗产科臂丛神经麻痹的临床和功能结果。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-06-16 DOI: 10.1097/BPB.0000000000001369

Yusuf Kiratlioğlu, Mehmet Yalçin, Mehmet Toker, Uğur Bezirgan, Mehmet Armangil

{"title":"Clinical and functional outcomes of arthroscopic release with or without latissimus dorsi tendon transfer in obstetric brachial plexus palsy.","authors":"Yusuf Kiratlioğlu, Mehmet Yalçin, Mehmet Toker, Uğur Bezirgan, Mehmet Armangil","doi":"10.1097/BPB.0000000000001369","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001369","url":null,"abstract":"Internal rotation contractures of the shoulder are common sequelae of obstetric brachial plexus palsy (OBPP) and can markedly impair upper limb function. Although arthroscopic capsular release improves passive range of motion (ROM), tendon transfer may be needed to improve active external rotation and abduction. This study compared clinical and functional outcomes after isolated arthroscopic release versus arthroscopic release combined with latissimus dorsi tendon transfer. Thirty-two pediatric patients surgically treated for OBPP-related shoulder contracture between 2018 and 2024 were retrospectively analyzed. Group A (n = 18) underwent isolated arthroscopic capsular release, whereas group B (n = 14) underwent arthroscopic release with simultaneous latissimus dorsi tendon transfer. In all patients, the subscapularis muscle was preserved, and only the anterior capsule was released. ROM and functional test scores (hand-to-neck, hand-to-abdomen, hand-to-mouth) were assessed preoperatively and at 1-year follow-up by the same clinician. Both groups demonstrated significant postoperative improvements in shoulder ROM. External rotation and abduction increased significantly in both groups, with a greater abduction gain in group B (P = 0.007). Internal rotation was preserved postoperatively in both groups and improved significantly in group A (P = 0.011). Functional scores showed mild improvements in both groups, but none reached statistical significance. Arthroscopic capsular release is an effective, minimally invasive option for shoulder contractures secondary to OBPP. In appropriately selected patients, simultaneous latissimus dorsi tendon transfer may provide additional improvement in active shoulder abduction without causing a clinically relevant loss of internal rotation. Preservation of the subscapularis muscle helps maintain postoperative internal rotation function.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260462","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

Mid-term complication rate after limb salvage for pediatric bone sarcomas. 小儿骨肉瘤保肢术后中期并发症发生率。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-06-05 DOI: 10.1097/BPB.0000000000001360

Michael J Colello, Abigail Padilla, Annika Y Myers, Travis Dias, Scott E Porter, Alexander B Christ, Richard W Gurich

{"title":"Mid-term complication rate after limb salvage for pediatric bone sarcomas.","authors":"Michael J Colello, Abigail Padilla, Annika Y Myers, Travis Dias, Scott E Porter, Alexander B Christ, Richard W Gurich","doi":"10.1097/BPB.0000000000001360","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001360","url":null,"abstract":"The purpose of this study is to describe the mid-term complication profile after limb salvage for pediatric bone sarcomas utilizing all reconstruction techniques. A retrospective review was performed on patients less than 18 years who underwent resection of a primary bone sarcoma with limb salvage reconstruction. The primary outcome measure was the all-cause postoperative complication rate. Complications were grouped into major or minor categories. Patients were stratified by reconstruction type (endoprosthetic, allograft, allograft-prosthetic composite, biologic). The timing of complications and reoperations was analyzed. Eighty-four patients were included (median follow-up 46 months). The overall complication rate was 75%, and the major complication rate was 36%. Twenty-five percent had two complications, and 18% had three or more complications. The reoperation rate was 55%, and 14% required three or more reoperations. Seventy-one percent of patients sustained their first complication within 1 year. Twenty-eight percent of patients underwent a reoperation within 12 weeks. Limb salvage for pediatric bone sarcomas is associated with a high rate of complications and reoperations, regardless of reconstruction technique. Despite the substantial complication rate, these procedures are essential to the multidisciplinary care of children with bone sarcomas, as limb salvage is commonly pursued. We hope to provide realistic postoperative expectations and argue that surgeons caring for these patients must be prepared to manage complications, as they tend to arise during the window of adjuvant chemotherapy.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165435","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

Biomechanical effects of medial comminution and K-wire configurations in pediatric supracondylar humerus fractures. 小儿肱骨髁上骨折内侧粉碎和k -针配置的生物力学效应。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-06-02 DOI: 10.1097/BPB.0000000000001359

Abdulkadir Muhammed Bulut, Sancar Bakircioglu, Elif Naz Perdeci, Teyfik Demir, Fatma Kubra Erbay Elibol, Güney Yilmaz

{"title":"Biomechanical effects of medial comminution and K-wire configurations in pediatric supracondylar humerus fractures.","authors":"Abdulkadir Muhammed Bulut, Sancar Bakircioglu, Elif Naz Perdeci, Teyfik Demir, Fatma Kubra Erbay Elibol, Güney Yilmaz","doi":"10.1097/BPB.0000000000001359","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001359","url":null,"abstract":"Supracondylar humerus fractures are common pediatric injuries requiring surgical fixation. Beyond technical factors, medial column comminution may substantially influence construct stability, yet its biomechanical impact across different three-pin configurations remains unclear. One hundred twenty synthetic humeri were assigned to six groups (n = 20). Medial comminution was simulated by 25% (small) or 50% (large) wedge removal. Three lateral divergent pinning (3LDP) and two lateral one medial crossed pinning (3XP) configurations were tested under varus bending, torsion, and photographic displacement analysis. In torsional testing, the 3XP configuration showed significantly greater stiffness and maximum torque than 3LDP across all wedge sizes (P < 0.005), including the intact condition (stiffness: 1.19 ± 0.29 vs. 0.51 ± 0.16 Nm/°; maximum torque: 10.70 ± 2.22 vs. 5.37 ± 1.59 Nm). In varus bending, large wedge removal significantly reduced maximum load in the 3LDP group (256.58 ± 50.26 vs. 214.03 ± 37.22 N; P = 0.045), while no wedge-related differences were observed in the 3XP configuration. Fracture-line displacement increased with wedge removal in both constructs (e.g. 0.88 ± 0.41 to 2.23 ± 0.40 mm in 3LDP; P < 0.001); wedge size significantly affected displacement in 3LDP, whereas in the 3XP configuration, displacement increased with wedge removal but did not differ significantly between small and large wedge sizes. Increasing medial comminution negatively affected stability, particularly in lateral-only three-pin fixation. 3XP constructs showed greater torsional resistance and preserved varus stability in this synthetic model. These findings provide biomechanical insight into fixation behavior in unstable supracondylar fractures.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148152011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical and radiographic outcomes of Ogden type IV and V tibial tubercle fractures in adolescents. 青少年Ogden IV型和V型胫骨结节骨折的临床和影像学结果。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-05-12 DOI: 10.1097/BPB.0000000000001353

Weverley R Valenza, Heloísa Z Faggion, Alberto D N Vergara, Sophia M Collier, Jamil Soni

{"title":"Clinical and radiographic outcomes of Ogden type IV and V tibial tubercle fractures in adolescents.","authors":"Weverley R Valenza, Heloísa Z Faggion, Alberto D N Vergara, Sophia M Collier, Jamil Soni","doi":"10.1097/BPB.0000000000001353","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001353","url":null,"abstract":"The aim of this research was to evaluate clinical and radiographic outcomes in patients with Ogden type IV and V tibial tubercle fractures treated at two tertiary hospitals. We conducted a retrospective review of patients with Ogden type IV and V tibial tubercle fractures treated between 2010 and 2024. Demographic data, fracture characteristics, mechanism of injury, treatment modality, and fixation method were recorded. Radiographic parameters were measured before and after treatment, and at final follow-up. Clinical outcomes included range of motion, return to sports and complications. Forty-one patients met the inclusion criteria; 95.1% were male, with a median age of 14 years and a mean follow-up of 3 years and 8 months. Sports-related trauma accounted for 80.4% of injuries. Forty fractures were Ogden type IV and one type V. Conservative treatment was used in four (9.7%) patients, whereas 37 (90.3%) patients underwent surgical fixation, mostly with 7.0-mm cannulated screws. Fracture union was achieved in all cases. Complications occurred in eight (19.5%) patients, including screw prominence, infection, varus deformity, limb-length discrepancy, and transient peroneal neuropraxia. No cases of compartment syndrome were observed. At final follow-up, 95.2% of patients returned to their preinjury level of sports participation, and 92.6% regained full knee range of motion. Radiographic evaluation demonstrated restoration and maintenance of tibial alignment. We conclude that Ogden type IV tibial tubercle fractures and the only one Ogden type V demonstrated favorable clinical, functional, and radiographic outcomes, with high union rates and a low incidence of severe complications.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876266","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

Comparative evaluation of radiographic and pedobarographic outcomes after calcaneal lengthening osteotomy in children with pes planus. 平足畸形儿童跟骨延长截骨术后x线和足镜检查结果的比较评价。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-05-01 Epub Date: 2026-02-13 DOI: 10.1097/BPB.0000000000001334

Ali Özyalçin, Cenk Ermutlu, Mehmet Bartu Sarisözen

{"title":"Comparative evaluation of radiographic and pedobarographic outcomes after calcaneal lengthening osteotomy in children with pes planus.","authors":"Ali Özyalçin, Cenk Ermutlu, Mehmet Bartu Sarisözen","doi":"10.1097/BPB.0000000000001334","DOIUrl":"10.1097/BPB.0000000000001334","url":null,"abstract":"This study aimed to evaluate the agreement between radiographic and pedobarographic measurement methods for classifying a normal foot type following calcaneal lengthening osteotomy in children with symptomatic pes planus. Thirty feet from patients (mean age: 15.1 years; range: 11-17 years) with idiopathic symptomatic hypermobile pes planus who had data and over 1 year of follow-up were evaluated. Radiographic assessments were categorized into measurements evaluating the medial longitudinal arch and those assessing calcaneal morphology. Medial longitudinal arch measurements included talocalcaneal, lateral talo-first metatarsal, talohorizontal, calcaneal pitch, talonavicular coverage, anteroposterior talo-first metatarsal, and Moreau-Costa-Bartani angles, while calcaneal measurements included calcaneal length, posterior facet height, Gissane angle, and Böhler angle. Pedobarographic measurements were performed using Arch Index, Footprint Index, and Clarke's angle, and clinical outcomes were assessed using the Oxford Ankle Foot Questionnaire for Children. Cohen's kappa coefficient was used to determine the agreement among the measurement methods in classifying the foot type as 'normal'. Postoperative findings revealed that changes in calcaneal length occurred without deformation of the articular surface. Arch Index exhibited 'almost perfect' agreement with the lateral talo-first metatarsal ( k = 0.902) and talohorizontal angles ( k = 0.814) and was the only pedobarographic measurement that correlated significantly with all domains of the Oxford Ankle Foot Questionnaire for Children. In contrast, Clarke's angle and Footprint Index did not show agreement with radiographic measurements. Following calcaneal lengthening osteotomy, among the pedobarographic measurement methods, only the Arch Index can be used as an alternative to radiographic measurement methods for classifying normal foot structure.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"264-271"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146198160","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

Determinants of parent satisfaction and trust towards healthcare service environment in a dedicated club foot clinic. 家长满意度和对专业内翻足诊所医疗服务环境信任的决定因素。

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-05-01 Epub Date: 2026-02-25 DOI: 10.1097/BPB.0000000000001340

Syed Maaz Ali Shah, Sikandar Hayat, Hafiz Danyal Khan, Muhammad Adnan Khan, Wisha Mushtaq, Adeeba Zahid

{"title":"Determinants of parent satisfaction and trust towards healthcare service environment in a dedicated club foot clinic.","authors":"Syed Maaz Ali Shah, Sikandar Hayat, Hafiz Danyal Khan, Muhammad Adnan Khan, Wisha Mushtaq, Adeeba Zahid","doi":"10.1097/BPB.0000000000001340","DOIUrl":"10.1097/BPB.0000000000001340","url":null,"abstract":"This study aimed to assess the determinants affecting parental satisfaction and trust in clinical care of children with clubfoot at a specialized clubfoot clinic in a tertiary care setting. In this cross-sectional study at Khyber Teaching Hospital, 306 attendants of children with clubfoot were recruited using consecutive sampling. Pirani score was used to evaluate the severity. Satisfaction levels were assessed using Short Assessment of Patient Satisfaction score. Data were analyzed using SPSS, with chi-square tests. The mean number of clinic visits was 8.52 ± 5.08; 55.6% of patients required more than eight clinical visits, and 82.7% underwent treatment for more than 8 weeks. Mean Short Assessment of Patient Satisfaction score was 23.37 ± 5.19; 82% of parents expressed satisfaction, whereas 18% showed variable levels of dissatisfaction. High dissatisfaction was correlated with greater than eight visits ( P = 0.014), prolonged treatment duration ( P = 0.008), Ponseti management with serial casting plus tenotomy versus serial casting only (very dissatisfied: 43.8% vs. 2.4%; P < 0.001), and unsatisfactory clinical outcome ( P < 0.001). Significant concerns included lack of shared decision-making (19.3% dissatisfied), unclear explanations (10.2% dissatisfied), and overall dissatisfaction towards the health services (23.6% dissatisfied; 16.0% neutral). Even with high satisfaction and satisfactory outcomes with the Ponseti method, high frequency of visits, long treatment durations, inadequate parental participation and lack of effective communication compromise caregivers' trust. Enhancing patient-centered approach, proper counseling, and effective care delivery may influence follow-up and satisfaction in sustained pediatric orthopedic care and optimize compliance.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"272-276"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286035","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

Re: is the use of neuromonitoring necessary in Sprengel's deformity surgery? 在Sprengel畸形手术中是否有必要使用神经监测？

IF 1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-05-01 Epub Date: 2026-03-24 DOI: 10.1097/BPB.0000000000001307

Nav La, Schawanya K Rattanapitoon, Patpicha Arunsan, Nathkapach K Rattanapitoon

引用次数: 0

Limb occlusion pressure adjusted tourniquet use results in adequate hemostasis in pediatric limb surgeries: a prospective clinical study. 一项前瞻性临床研究：在小儿肢体手术中使用肢体闭塞压力调节止血带可获得充分止血。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2026-05-01 Epub Date: 2026-03-24 DOI: 10.1097/BPB.0000000000001339

Shray Jain, Sumit Gupta, Lokesh Raghav, Nitin Kumar, Yogesh Kumar, Pranay Kalia

{"title":"Limb occlusion pressure adjusted tourniquet use results in adequate hemostasis in pediatric limb surgeries: a prospective clinical study.","authors":"Shray Jain, Sumit Gupta, Lokesh Raghav, Nitin Kumar, Yogesh Kumar, Pranay Kalia","doi":"10.1097/BPB.0000000000001339","DOIUrl":"10.1097/BPB.0000000000001339","url":null,"abstract":"Tourniquets are widely used in pediatric orthopedic surgeries to provide a bloodless operative field. However, inappropriate application can lead to complications. This study evaluates the efficacy and safety of using Doppler-derived limb occlusion pressure (LOP) to guide tourniquet pressure in children. A prospective observational study was conducted from November 2022 to February 2025 in a tertiary care orthopedic department. Pediatric patients (age: 1-15 years) undergoing upper or lower limb surgery were included. Tourniquet pressure was set at LOP + 50 mmHg, measured using a handheld Doppler. The primary outcome was adequacy of hemostasis; tourniquet-related complications were also recorded. The study included 122 patients (135 limbs), with a mean age of 8 years. Mean LOP was 111.4 ± 18.8 mmHg; mean tourniquet pressure was 161.7 ± 19.3 mmHg. Adequate hemostasis (Likert scale ≥ 3) was achieved in 95.55% of procedures. A strong linear correlation was observed between systolic blood pressure and tourniquet pressure [tourniquet pressure = (0.90 × systolic blood pressure) + 77 mmHg; P < 0.001]. No tourniquet-related complications were observed. LOP-guided tourniquet application is safe and effective in pediatric limb surgeries, allowing significant reduction in pressure compared to adult population.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":"35 3","pages":"283-288"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206370","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