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

Does severity of the flatfoot deformity affect pain and mobility in adolescents with symptomatic flatfoot. 扁平足畸形的严重程度是否会影响患有症状性扁平足的青少年的疼痛和活动能力。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-03-01 Epub Date: 2024-09-26 DOI: 10.1097/BPB.0000000000001208

Matthew William, Daniel E Pereira, Beltran Torres-Izquierdo, Claire Schaibley, Pooya Hosseinzadeh

引用次数: 0

Pediatric orthopedic surgeons may perform better in terms of surgical outcomes in type 3 supracondylar humerus fractures: a comparative analysis. 小儿骨科医生在治疗3型肱骨髁上骨折方面的手术效果可能更好：一项比较分析。

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.0000000000001211

Tom Lapidus, Gideon Leibner, Michael Zaidman, Naum Simanovsky, Vladimir Goldman

{"title":"Pediatric orthopedic surgeons may perform better in terms of surgical outcomes in type 3 supracondylar humerus fractures: a comparative analysis.","authors":"Tom Lapidus, Gideon Leibner, Michael Zaidman, Naum Simanovsky, Vladimir Goldman","doi":"10.1097/BPB.0000000000001211","DOIUrl":"10.1097/BPB.0000000000001211","url":null,"abstract":"Supracondylar fractures of the humerus represent the most common surgical fractures in pediatric patients. There is a discourse regarding the influence of the surgeon training on treatment. Different studies show equivocal effect of subspecialty training. We conducted a single center case control study to evaluate the outcomes of type 3 fractures (fully displaced) comparing pediatric-trained orthopedic surgeons (PTOS) and non-pediatric trained orthopedic surgeons (NTOS). In this retrospective study, we investigated the surgical outcomes of type 3 supracondylar fractures of the humerus in children treated between the years 2012 and 2019, divided by surgeon type. During the research, a policy reform at our department was established and PTOS became the only surgeons for those injuries starting from September 2017. Patients' demographics, perioperative details, and postoperative course were recorded. Primary outcome was reoperations, and secondary outcomes were open reductions, infections, length of surgery, and neurological deficits. 1175 patients were diagnosed with supracondylar fractures at our Level I trauma center, and 346 cases were diagnosed with radiologically confirmed type 3. Overall, 312 cases were analyzed; 113 cases were diagnosed before 1 September 2017 and treated by NTOS, and 199 cases were treated by PTOS until 31 December 2019; 7.1% (8) of the patients treated by NTOS had to be reoperated compared to 1.5% (3) of the patients treated by PTOS ( P = 0.014). There was significant difference looking at postsurgical complications and surgery length. This study's findings suggest that PTOS achieve superior outcomes when treating patients with type 3 supracondylar humerus fractures. Level of evidence: Level III.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"112-116"},"PeriodicalIF":0.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900016","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

Freiberg's disease: variation of surgeries, outcomes, and first population-based incidence. 弗莱伯格病：手术、结局和首次人群发病率的变化。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-02-24 DOI: 10.1097/BPB.0000000000001243

Andreas Rehm, Matthew Seah, Helen E Chase, Ben Gompels, Ayla C Newton, Hassan M T Fawi, Masroor Ahmed, Katerina Hatzantoni, Jehan Butt, Elizabeth Ashby

{"title":"Freiberg's disease: variation of surgeries, outcomes, and first population-based incidence.","authors":"Andreas Rehm, Matthew Seah, Helen E Chase, Ben Gompels, Ayla C Newton, Hassan M T Fawi, Masroor Ahmed, Katerina Hatzantoni, Jehan Butt, Elizabeth Ashby","doi":"10.1097/BPB.0000000000001243","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001243","url":null,"abstract":"The objective of this inclusive literature review is to identify surgeries performed for Freiberg's disease (FD) and their outcomes and to perform the first population-based study to establish its incidence. We reviewed all retrievable publications linked to FD listed in PubMed and publications quoted within these publications going back to 1914. Patients with FD and the number of livebirths born in our maternity hospital between 2000 and 2023 were identified from our hospital database. We identified 208 publications of which we managed to review 163 (1121 patients, 1169 feet, of which 939 feet underwent surgery, 116 had no surgery, and for 114, it was unknown if surgery was performed. Patient age: 194 × <18 years, 516 × ≥18 years, 411 × age unknown). The most frequently performed surgeries were intra-articular closing wedge metatarsal osteotomies through the defect (IDCWMO) (284 feet), extra-articular dorsal closing wedge metatarsal osteotomies (EDCWMO) (118 feet), osteochondral autologous transplantation (OAT) (64 feet), and modified Weil osteotomies with intra-articular dorsal closing wedge osteotomies (52 feet). Outcome scores were used in 39 publications, with the American Orthopaedic Foot and Ankle Society score having been used most frequently (28 studies, 462 patients, 482 feet). The mean scores were excellent for OATs and EDCWMOs and good for IDCWMOs and modified Weil osteotomies. We identified 124 644 livebirths and 44 patients with FD. In conclusion, multiple procedures achieved a high rate of excellent and good outcomes where nonoperative management failed. FDis rare, with an extrapolated incidence of 1 in 2833 livebirths.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517059","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

Comparing the outcomes between conventional osteotomy and with the adjunct use of 3-dimensional printing in paediatric deformity osteotomy correction: a systematic review and meta-analysis. 比较常规截骨术和辅助使用三维打印在小儿畸形截骨矫正中的效果：系统回顾和荟萃分析。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-02-21 DOI: 10.1097/BPB.0000000000001242

Chen Xi Kasia Chua, Francis Jia Yi Fong, Jason Derry Onggo, Michael Gui Jie Yam

{"title":"Comparing the outcomes between conventional osteotomy and with the adjunct use of 3-dimensional printing in paediatric deformity osteotomy correction: a systematic review and meta-analysis.","authors":"Chen Xi Kasia Chua, Francis Jia Yi Fong, Jason Derry Onggo, Michael Gui Jie Yam","doi":"10.1097/BPB.0000000000001242","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001242","url":null,"abstract":"Recent advancements in medical technology have introduced three-dimensional (3D) printing as a promising adjunct to conventional osteotomy. This review aims to evaluate the clinical, radiological outcomes and complications of patients who underwent conventional osteotomy compared to osteotomy with the adjunct use of 3D printing in paediatric deformity correction. The review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The current study searched from inception to April 2023. All studies that compared outcomes between conventional osteotomy and osteotomy with the adjunct use of 3D printing in paediatric deformity correction in both upper and lower limbs were included. A total of 13 publications with 482 patients were included in this review. In terms of intraoperative parameters, the 3D group had a shorter operative time by 21.3 min [95% confidence interval (CI): 15.92-26.85] and less radiation exposure of -3.42 times (95% CI: -4.57 to -2.28). For radiological outcomes, 3D group had a smaller mean osteotomy error of -2.03 degrees (95% CI: -3.84 to -0.22) and 1.94 times higher odds (95% CI: 1.08-3.48) of having better radiological outcomes. The conventional osteotomy group has possibly a 1.4 risk (95% CI: 0.32-1.59) of growth plate, articular or risk of avascular necrosis compared to 3D templated group. The findings of this meta-analysis support the use of 3D printing as an adjunct in paediatric deformity correction for better intraoperative outcomes, reduce radiation exposure and better radiological accuracy in both upper and lower limb surgery.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505814","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 displaced mid-shaft radius/ulna fractures in children treated with the Rang method: a pilot study. 用Rang方法治疗儿童移位的中骨干桡骨/尺骨骨折的疗效：一项初步研究

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-02-04 DOI: 10.1097/BPB.0000000000001239

Joshua Chen, Sarah Peiffer, Sam Dressler, William Hennrikus

{"title":"Outcomes of displaced mid-shaft radius/ulna fractures in children treated with the Rang method: a pilot study.","authors":"Joshua Chen, Sarah Peiffer, Sam Dressler, William Hennrikus","doi":"10.1097/BPB.0000000000001239","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001239","url":null,"abstract":"Pediatric forearm fractures of the radius and ulna are common. Previous literature suggests that conservatively managed mid-shaft radius and ulna forearm fractures have a remanipulation rate of 10-70%. The purpose of this study is to compare the re-displacement rate of closed displaced mid-shaft both-bone forearm fractures (BBFF) in children treated with closed reduction and casting with a loop and sling applied proximal to the fracture site (Rang method) compared with a standard sling. A retrospective review was performed of 42 patients under the age of 14 with BBFF treated over a 4-year period. The average patient age was 7 years. Data analyzed included demographics, mechanism of injury, presence of a pulse, presence of nerve injury, incidence of compartment syndrome, sling type, loss of reduction, remanipulation, and need for surgical fixation. Loss of reduction was defined as a final number of >15° angulation if age <10 years old and >10° angulation if >10 years old. Fifteen patients (36%) were treated with the Rang method. Twenty-seven patients (64%) were given a standard sling. Only one patient (7%) managed with the Rang method lost reduction, whereas 17/27 patients (63%) given a regular sling lost reduction and required remanipulation (P = 0.0004). Treatment of a BBFF in a child aged <14 years typically involves closed reduction and casting. The 'Rang' method of placing a loop and attached sling proximal to the fracture site is a casting pearl that helps to minimize fracture redisplacement.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191192","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 study of the 'U'-shaped staple-guided growth technique in the treatment of congenital anterolateral bowing of the tibia in children. U "形钉引导生长技术治疗儿童先天性胫骨前外侧弯曲的临床研究。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-01-31 DOI: 10.1097/BPB.0000000000001237

XiaoYu Zhou, YaoXi Liu, Hao Chen, Xiongke Hu, GuangHui Zhu, Kun Liu, ZeXi Jiang, Han Xiao, HaiBo Mei

{"title":"Clinical study of the 'U'-shaped staple-guided growth technique in the treatment of congenital anterolateral bowing of the tibia in children.","authors":"XiaoYu Zhou, YaoXi Liu, Hao Chen, Xiongke Hu, GuangHui Zhu, Kun Liu, ZeXi Jiang, Han Xiao, HaiBo Mei","doi":"10.1097/BPB.0000000000001237","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001237","url":null,"abstract":"The aim of this study was to investigate the early effectiveness of guided growth techniques for managing congenital anterolateral bowing of the tibia (ALBT) in children. A retrospective analysis was performed involving 18 patients with ALBT treated with the 'U'-shaped staple-guided growth technique between January 2020 and October 2022 at two centres. Anteroposterior and lateral radiographs of both lower limbs and the tibia as well as the fibula were collected before surgery, at the time of implant removal, or at the last follow-up. Changes in the coronal tibial diaphyseal angulation, sagittal tibial diaphyseal angulation, anatomical medial proximal tibial angle (aMPTA) and anatomical lateral distal tibial angle (aLDTA) were statistically analysed to evaluate the correction effect of the ALBT. All patients were followed up for an average of 23.36 months (range: 14.53-37.2 months). All 18 patients demonstrated an improvement in the coronal plane tibial shaft angle, with an average correction of 17.94° (range: 5.54°-33.52°). Fourteen patients displayed an improvement in the sagittal plane tibial shaft angle, with an average correction of 13.44° (range: 1.89°-32.6°). Both the aMPTA and aLDTA levels decreased after treatment. No tibial pseudarthrosis occurred in any of the 18 patients during the follow-up. The guided growth technique is effective in improving the ALBT, preventing further angular deformities of the tibia, and may delay or prevent tibial pseudarthrosis. Moreover, the guided growth technique is simple to perform, minimally invasive and associated with few complications.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191188","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

Interobserver reliability of Pirani scoring for idiopathic clubfoot in walking-age children. 学龄儿童特发性内翻足的皮拉尼评分的观察者间信度。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-01-21 DOI: 10.1097/BPB.0000000000001236

Anil Agarwal, Ashish Upadhyay, Varun Garg, Kishmita Sachdeva, Ankitha Ks, Jainam Salot

{"title":"Interobserver reliability of Pirani scoring for idiopathic clubfoot in walking-age children.","authors":"Anil Agarwal, Ashish Upadhyay, Varun Garg, Kishmita Sachdeva, Ankitha Ks, Jainam Salot","doi":"10.1097/BPB.0000000000001236","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001236","url":null,"abstract":"Pirani scoring system is one of the most commonly used tools to assess the initial deformity, monitor the treatment progression, and identify relapse in clubfoot. The method has been demonstrated to correlate well with the sequential correction of deformity for children under age 1 year. We conducted a study to examine the interobserver reliability of Pirani scores in children of walking-age. The retrospective study focused on children >1 year age with idiopathic clubfoot presenting for primary treatment. The Pirani scores at presentation charted by pediatric orthopedic consultant and orthopedic registrars were compared and the intergroup reliability calculated using Cohen's kappa. Thirty-five feet in 22 clubfoot children (13 bilateral) were analyzed. The mean child's age was 3.9 years. The mean Pirani score for the consultant was 3.2 and for the registrars was 3.6. The overall reliability of Pirani score was 0.3 ('fair'). The highest reliability was calculated for the head of talus (0.55), rigid equinus (0.48), and lateral border (0.44) (moderate). A lower kappa was recorded for medial crease (0.28), posterior crease (0.34), and empty heel (0.4). The registrars graded the clubfoot deformity in the walking-age child as more severe compared to the consultant. The mean Pirani scores for medial and posterior crease subcomponents were low. Contrary to the common perception, empty heel manifested even in this age group. Looking to the statistics of 'fair' reliability of Pirani score for older child, further research is warranted to develop more reliable scores for assessment and treatment of clubfoot.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015226","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

Short-term outcomes of gradual ulnar lengthening in multiple hereditary osteochondromas of the forearm with monolateral external fixator. 单侧外固定架治疗前臂多发性遗传性骨软骨瘤患者尺骨逐渐延长的短期疗效。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-01-09 DOI: 10.1097/BPB.0000000000001232

Seyed Arman Moein, Javad Dehghani, Reza Fereidooni, Mohammad Hadi Gerami, Asal Seifaei, Seyyed Hamidreza Ayatizadeh

{"title":"Short-term outcomes of gradual ulnar lengthening in multiple hereditary osteochondromas of the forearm with monolateral external fixator.","authors":"Seyed Arman Moein, Javad Dehghani, Reza Fereidooni, Mohammad Hadi Gerami, Asal Seifaei, Seyyed Hamidreza Ayatizadeh","doi":"10.1097/BPB.0000000000001232","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001232","url":null,"abstract":"Hereditary multiple exostoses is an autosomal dominant genetic condition primarily affecting long bones. Forearm deformities, including wrist ulnar deviation, ulnar shortening, radial or ulnar bowing, and radial head dislocation, are common manifestations. Gradual ulnar lengthening is suggested as a viable treatment option for managing these deformities. This retrospective single-center study included 15 forearms treated with gradual ulnar lengthening using a monolateral external fixator by a single surgeon. Clinical and radiological characteristics were recorded preoperatively and during follow-ups. The Wilcoxon signed-rank test compared preoperative and postoperative radiological and clinical parameters, while McNemar's test assessed changes in radial head dislocation or subluxation. Significant radiological improvements were observed post-treatment. Proportional ulnar length increased from a mean of 0.85 ± 0.10 preoperatively to 1.11 ± 0.03 at the last follow-up (P < 0.001). Ulnar variance decreased from a mean of 17.6 ± 5.58 mm preoperatively to 0.13 ± 1.81 mm at the last follow-up (P < 0.001), while radial bowing decreased from a mean of 0.06 ± 0.02 to 0.05 ± 0.01 at the last follow-up (P < 0.001). In addition, the radioarticular angle decreased significantly from a mean of 29.93 ± 7.34 to 20.20 ± 5.71° (P < 0.001). The incidence of radial head dislocation or subluxation decreased significantly, from 11 patients preoperatively to only one at the last follow-up. These findings demonstrate the effectiveness of gradual ulnar lengthening with a monolateral external fixator in correcting forearm deformities and reducing the incidence of radial head dislocation or subluxation.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957148","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 outcomes of gradual reduction of late-detected developmental dysplasia of the hip using ultrasound-guided flexion abduction continuous traction: a midterm follow up study. 利用超声引导下的屈曲外展持续牵引逐步缩小晚期发现的髋关节发育不良的临床效果：中期随访研究。

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-01-01 Epub Date: 2024-08-06 DOI: 10.1097/BPB.0000000000001201

Yaichiro Okuzu, Masako Tsukanaka, Fusako Shimozono, Mitsuru Soen, Akiko Miwa, Yutaka Kuroda, Toshiyuki Kawai, Yugo Morita, Shuichi Matsuda, Tohru Futami

{"title":"Clinical outcomes of gradual reduction of late-detected developmental dysplasia of the hip using ultrasound-guided flexion abduction continuous traction: a midterm follow up study.","authors":"Yaichiro Okuzu, Masako Tsukanaka, Fusako Shimozono, Mitsuru Soen, Akiko Miwa, Yutaka Kuroda, Toshiyuki Kawai, Yugo Morita, Shuichi Matsuda, Tohru Futami","doi":"10.1097/BPB.0000000000001201","DOIUrl":"10.1097/BPB.0000000000001201","url":null,"abstract":"Reducing the avascular necrosis (AVN) rate in infants treated for developmental dysplasia of the hip (DDH) is important. We previously reported the clinical outcomes of gradual reduction via ultrasound-guided flexion abduction continuous traction (FACT-R), which achieved a 99% reduction with an AVN rate of 1.0% in infants <12 months. Here, we investigated the clinical outcomes of late-detected DDH after FACT-R. Infants ≥12 months who were treated with FACT-R for DDH from January 1995 to 2007 and followed up for 6 years were enrolled. Treatment comprised continuous traction, a hip-spica cast, and an abduction brace. The rates of reduction, redislocation, AVN, and secondary osteotomy surgery were evaluated. In the study patients ( n = 26, hips 30), the mean age at the time of traction therapy was 23 months (range: 13-44) and the mean follow-up was 12.5 years (range: 6-16.4). Female gender and the left side were predominant. The rates of reduction, redislocation, and AVN were 100%, 0%, and 0%, respectively. However, 25 hips (83%) required secondary osteotomy surgery, including Salter innominate osteotomy in 21 hips, Salter innominate osteotomy combined with femoral osteotomy in 3 hips, and triple pelvic osteotomy in 1 hip. They had a larger acetabular index after FACT-R ( P = 0.04) and a longer duration of FACT-R ( P = 0.05). All hips were successfully reduced, with no redislocation or AVN. However, most hips required a secondary osteotomy surgery because of residual dysplasia. Careful follow-up and informed consent for secondary osteotomy surgery is thus essential.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"51-56"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127109","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

Bending osteotomy through the distal tibial physis for stable reduction of the ankle joint in fibular hemimelia. Update at skeletal maturity. 通过胫骨远端骨骺进行弯曲截骨术，稳定缩小腓骨半脱位患者的踝关节。骨骼成熟期的最新进展

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2025-01-01 Epub Date: 2023-12-29 DOI: 10.1097/BPB.0000000000001144

G Ulrich Exner, Gerardo J Maquieira, Leonhard E Ramseier

{"title":"Bending osteotomy through the distal tibial physis for stable reduction of the ankle joint in fibular hemimelia. Update at skeletal maturity.","authors":"G Ulrich Exner, Gerardo J Maquieira, Leonhard E Ramseier","doi":"10.1097/BPB.0000000000001144","DOIUrl":"10.1097/BPB.0000000000001144","url":null,"abstract":"Fibular hemimelia is a complex longitudinal malformation of the lower extremity with partial or complete deficiency of the fibula resulting in dorso-fibular dislocation of the hindfoot. Typically associated are talocalcaneal coalition, absence of rays of the foot, diaphyseal tibial deformity of valgus-procurvatum type and longitudinal growth deficiency. We have addressed the deformity of the distal tibial epiphysis surgically by a metaphyseal osteotomy to bend through the physis inspired by the Pemberton's acetabular osteotomy in 7 to 21-month-old children. Short-term results of a maximum of 42 months of follow-up have been published. Meanwhile, the first 4 patients thus treated have reached skeletal maturity, and the long-term results are presented. Three patients with unilateral and one patient with bilateral fibular hemimelia were operated on as described before at ages 7, 9, 15, and 18 months. Subsequently, several other procedures have been performed on all patients mainly consisting of lengthening of the tibia combined with axial corrections as well as additional foot alignment if needed. The osteotomy leads to stable axial retainment of the hindfoot in all patients without premature closure of the physis. Most of them need adaptation of footwear. None of the patients at present would favor to have been treated by amputation. The technique has shown good clinical results with preserved growth of the physis of the distal tibia and full axial weight bearing at long-term. In selected cases, this technique should be considered as a valuable alternative to other reconstructions.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"14-19"},"PeriodicalIF":0.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378688","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