Journal of Pediatric Orthopaedics-Part B最新文献_第9页

Is the use of neuromonitoring necessary in Sprengel's deformity surgery? 斯普格尔畸形手术有必要使用神经监测仪吗？

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-08-29 DOI: 10.1097/BPB.0000000000001206

Abdulhalim Akar, Gokhan Bulent Sever, Umut Dogu Akturk, Muhammed Fatih Serttas, Ugur Ozdemir, Omer Faruk Tekin, Mehmet Aydogan

{"title":"Is the use of neuromonitoring necessary in Sprengel's deformity surgery?","authors":"Abdulhalim Akar, Gokhan Bulent Sever, Umut Dogu Akturk, Muhammed Fatih Serttas, Ugur Ozdemir, Omer Faruk Tekin, Mehmet Aydogan","doi":"10.1097/BPB.0000000000001206","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001206","url":null,"abstract":"This study aimed to emphasize the effectiveness of using intraoperative neuromonitoring (IONM) in preventing possible nerve damage in Sprengel's deformity surgery. Eighteen patients who underwent Woodward surgery accompanied by neuromonitoring due to Sprengel's deformity were included in the study. Demographic information of the patients and their clinical and cosmetic results before and after surgery were recorded. Complications that occurred during and after the surgery were recorded. Of the 18 patients who underwent surgery, 12 were female and 6 were male. The mean age of the patients was 4.4 (2-8). The mean shoulder abduction angle of the patients was 84.4 (65-105) degrees before the surgery and 151.1 (125-175) degrees in the first year after the surgery. The mean Cavendish score of the patients was 3.6 (3-4) before the surgery and 1.1 (1-2) in the first year after the surgery. In one patient, there was a decrease in IONM motor-evoked potency signals during the reduction of the intraoperative scapula. Considering some loss of correction in the deformity, the scapula was detected at the point where there was no loss of signals. No patients developed wound problems or infections. In this study, it was determined that the use of neuromonitoring was effective in preventing brachial plexus damage, even if this complication was minimal in patients operated on due to Sprengel's deformity.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does postoperative immobilization affect final alignment of pediatric femur fractures treated with flexible intramedullary nailing? 术后固定是否会影响采用柔性髓内钉治疗的小儿股骨骨折的最终对位？

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-08-15 DOI: 10.1097/BPB.0000000000001203

Adam Michael Miller, Rutledge Carter Clement, Claudia Leonardi

{"title":"Does postoperative immobilization affect final alignment of pediatric femur fractures treated with flexible intramedullary nailing?","authors":"Adam Michael Miller, Rutledge Carter Clement, Claudia Leonardi","doi":"10.1097/BPB.0000000000001203","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001203","url":null,"abstract":"Flexible intramedullary nail (FIN) fixation of pediatric femur fractures is a popular method of fixation in children. Typical immobilization options include spica casting, long leg cast, knee immobilizers, or no immobilization and the decision to use each is usually left to surgeon preference. Our primary aim is to evaluate whether different postoperative immobilization status influences outcomes, namely radiographic alignment at the time of healing. A retrospective chart review was conducted of all patients with femur fractures treated with FIN fixation at a pediatric hospital from April 2018 through July 2022. Postoperative immobilization protocols were recorded and separated into two groups, patients who were immobilized (IMM) and patients who were not immobilized (NoIMM). Radiographs were evaluated for fracture alignment immediately following surgery and at the time of healing. Patients demographic, fracture, and postoperative clinical characteristics were compared between the two groups (NoIMM vs. IMM). A total of 41 patients were treated for diaphyseal femur fractures with FINs at our institution during the study period. No significant difference was observed in alignment at healing. Our results suggest that either immobilization or no immobilization after flexible intramedullary nailing of pediatric femoral shaft fractures are viable options when postoperative immobilization status is left to the surgeon's discretion.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127110","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

Three-dimensional deformity correction in adolescent idiopathic scoliosis patients: what are the benefits of hybrid apical sublaminar bands versus all-pedicle screws? 青少年特发性脊柱侧凸患者的三维畸形矫正：混合顶板下带与全椎弓根螺钉的优势何在？

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-08-15 DOI: 10.1097/BPB.0000000000001204

McKenna C Noe, Robert C Link, Jonathan R Warren, Cyrus V Etebari, Morgan H Whitmire, John T Anderson, Richard M Schwend

{"title":"Three-dimensional deformity correction in adolescent idiopathic scoliosis patients: what are the benefits of hybrid apical sublaminar bands versus all-pedicle screws?","authors":"McKenna C Noe, Robert C Link, Jonathan R Warren, Cyrus V Etebari, Morgan H Whitmire, John T Anderson, Richard M Schwend","doi":"10.1097/BPB.0000000000001204","DOIUrl":"https://doi.org/10.1097/BPB.0000000000001204","url":null,"abstract":"The amount of three-dimensional (3D) correction with apical sublaminar band (hybrid-SLB) technique has not been compared to all-pedicle screw instrumentation for adolescent idiopathic scoliosis (AIS) using detailed axial correction metrics or comparable rod types. Our purpose is to compare 3D improvement in AIS deformities following posterior spinal instrumentation and fusion (PSIF) with hybrid-SLB and segmental correction to all-pedicle screw correction. Patients ages 10-18 years with AIS who underwent PSIF between 2015 and 2022 and had preoperative and postoperative EOS imaging were included. Electronic medical records were reviewed for demographic, Lenke classification, operative technique, and 3D EOS data. Average changes in major and minor Cobb angle, axial rotation, thoracic kyphosis, and lumbar lordosis were compared. Ninety-five patients met inclusion criteria with 55 in the hybrid-SLB group (mean age 14.9 ± 1.9 years) and 40 in all-pedicle screw (mean age 14.7 ± 2.1 years). While all-pedicle screw demonstrated greater correction of major (45.7 ± 13.4 vs 37.9 ± 14.3 degrees; P = 0.008) and minor (28.7 ± 13.1 vs 17.8 ± 12.5 degrees; P = 0.001) Cobb angles, hybrid-SLB showed greater increase in T4-T12 kyphosis (13.3 ± 15.3 vs 5.6 ± 13.5 degrees; P = 0.01). Correction of T1-T12 kyphosis, axial rotation, and lumbar lordosis was similar between groups. 3D EOS analysis of AIS patients before and after PSIF revealed that all-pedicle screw constructs had greater overall coronal plane correction and hybrid-SLB had greater thoracic sagittal plane correction. Axial corrective abilities were similar. Hybrid-SLB may have advantages for correction of thoracic lordosis or hypokyphosis. Level of evidence: Level III, retrospective cohort study.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127185","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

Femoral head reduction osteotomy for the treatment of late sequela of Legg-Calvé-Perthes disease and Perthes-like femoral head deformities. 治疗 Legg-Calvé-Perthes 病晚期后遗症和 Perthes 类股骨头畸形的股骨头缩小截骨术。

IF 1.1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-07-01 Epub Date: 2023-07-19 DOI: 10.1097/BPB.0000000000001109

Hady H Eltayeby, Khaled Loutfy El-Adwar, Amin Abdelrazek Ahmed, Mena Micheal Mosa, Shawn C Standard

{"title":"Femoral head reduction osteotomy for the treatment of late sequela of Legg-Calvé-Perthes disease and Perthes-like femoral head deformities.","authors":"Hady H Eltayeby, Khaled Loutfy El-Adwar, Amin Abdelrazek Ahmed, Mena Micheal Mosa, Shawn C Standard","doi":"10.1097/BPB.0000000000001109","DOIUrl":"10.1097/BPB.0000000000001109","url":null,"abstract":"Femoral head reduction osteotomy (FHRO) was described to treat misshapen femoral head that is causing intraarticular hip pain. The published literature showed discrepancies in patient selection, surgical techniques, and decision to perform concurrent acetabular osteotomy. Very few studies used Standardized Outcome Measures (SOMs). This study aims to describe the technique of FHRO and report the results of our series of 22 patients using SOMs and compare them to former peer-reviewed articles. Twenty-two hips in 22 patients with hip pain caused by mishshapen femoral were treated with FHRO with or without triple pelvic osteotomy (TPO). Patients with poor hip range of motion and significant hip joint arthritis were excluded. The mean patient age was 15.8 (range, 9.2-23.9). Clinical results were reported using the HHS. Radiographical results were reported by comparing Lateral Center Edge Angle (LCEA), extrusion index, Tonnis angle, head size percent, sphericity index, and distance from tip of trochanter to center of femoral head. The mean follow-up was 3.2 years. Only 5 patients received TPO. The HHS showed statistical improvement from 62.0 to 81.6 (The median interquartile range 63.5-88.5). Five patients had HHS less than 70 at the latest follow up. All radiographic parameters except the Tonnis angle, showed statistically significant improvement. FHRO with or without pelvic osteotomy is a good salvage procedure for patients presenting with misshapen femoral head with intraarticular hip pain, who still have good preoperative ROM with no signs of hip arthritis. Level of evidence: IV.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"348-357"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9849488","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

Effects of bone marrow-derived mesenchymal stem cell transplantation in piglet Legg-Calve-Perthes disease models: a pilot study. 骨髓间充质干细胞移植对小猪 Legg-Calve-Perthes 病模型的影响：一项试点研究。

IF 1.1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-07-01 Epub Date: 2023-05-22 DOI: 10.1097/BPB.0000000000001095

Yohei Tomaru, Hisashi Sugaya, Tomokazu Yoshioka, Norihito Arai, Tomoyuki Abe, Yuta Tsukagoshi, Hiroshi Kamada, Masashi Yamazaki, Hajime Mishima

{"title":"Effects of bone marrow-derived mesenchymal stem cell transplantation in piglet Legg-Calve-Perthes disease models: a pilot study.","authors":"Yohei Tomaru, Hisashi Sugaya, Tomokazu Yoshioka, Norihito Arai, Tomoyuki Abe, Yuta Tsukagoshi, Hiroshi Kamada, Masashi Yamazaki, Hajime Mishima","doi":"10.1097/BPB.0000000000001095","DOIUrl":"10.1097/BPB.0000000000001095","url":null,"abstract":"This preliminary study investigated the efficacy and safety of bone marrow-derived mesenchymal stem cell transplantation in a piglet Legg-Calve-Perthes disease (LCPD) model. The LCPD model was induced in two Landrace piglets (6- and 7-week-old, weighing 12 and 17 kg, respectively) by ligaturing the femoral neck. In the first piglet, the natural LCPD course was observed. In the second piglet, 4 weeks after ligaturing the femoral neck, simple medium and medium containing 2.44 × 10 7 bone marrow-derived mesenchymal stem cells were transplanted into the right and left femoral heads after core decompression, respectively. Plain radiographs were obtained every 4 weeks, and the epiphyseal quotient was calculated by dividing the maximum epiphysis height by the maximum epiphysis diameter. The piglets were sacrificed at 14 weeks postoperatively. The femoral heads were extracted and evaluated grossly, pathologically, and by using computed tomography. The transplanted cell characteristics were evaluated using flow cytometry. Flattening of the epiphysis was observed in both femoral heads of the first piglet and only in the right hip of the second piglet. The epiphyseal quotients immediately and at 14 weeks postoperatively in the right femoral head of the second piglet were 0.40 and 0.14, respectively, while those of the left femoral head were 0.30 and 0.42, respectively. Hematoxylin and eosin staining did not reveal physeal bar or tumor cell formation. The transplanted cells were 99.2%, 65.9%, 18.2%, and 0.16% positive for CD44, CD105, CD29, and CD31, respectively. Core decompression combined with bone marrow-derived mesenchymal stem cell transplantation prevented epiphyseal collapse.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"358-362"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9933979","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

Prevalence and radiological definitions of acetabular dysplasia after the age of 2 years: a systematic review. 两岁后髋臼发育不良的发病率和放射学定义：系统综述。

IF 1.1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-07-01 Epub Date: 2023-08-07 DOI: 10.1097/BPB.0000000000001113

Suzanne de Vos-Jakobs, Fleur Boel, Wichor M Bramer, Sita M A Bierma-Zeinstra, Rintje Agricola

{"title":"Prevalence and radiological definitions of acetabular dysplasia after the age of 2 years: a systematic review.","authors":"Suzanne de Vos-Jakobs, Fleur Boel, Wichor M Bramer, Sita M A Bierma-Zeinstra, Rintje Agricola","doi":"10.1097/BPB.0000000000001113","DOIUrl":"10.1097/BPB.0000000000001113","url":null,"abstract":"Acetabular dysplasia is one of the most common causes of early hip osteoarthritis and hip replacement surgery. Recent literature suggests that acetabular dysplasia does not always originate at infancy, but can also develop later during childhood. This systematic review aims to appraise the literature on prevalence numbers of acetabular dysplasia in children after the age of 2 years. A systematic search was performed in several scientific databases. Publications were considered eligible for inclusion if they presented prevalence numbers on acetabular dysplasia in a general population of healthy children aged 2-18 years with description of the radiological examination. Quality assessment was done using the Newcastle-Ottawa score. Acetabular dysplasia was defined mild when: the center-edge angle of Wiberg (CEA-W) measured 15-20°, the CEA-W ranged between -1 to -2SD for age, or based on the acetabular index using thresholds from the Tönnis table. Severe dysplasia was defined by a CEA-W < 15°, <-2SD for age, or acetabular index according to Tönnis. Of the 1837 screened articles, four were included for review. Depending on radiological measurement, age and reference values used, prevalence numbers for mild acetabular dysplasia vary from 13.4 to 25.6% and for severe acetabular dysplasia from 2.2 to 10.9%. Limited literature is available on prevalence of acetabular dysplasia in children after the age of 2 years. Prevalence numbers suggest that acetabular dysplasia is not only a condition in infants but also highly prevalent later in childhood.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"334-339"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11132094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10014132","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

Vitamin D level and low-energy fracture risk in children and adolescents: a population-based case-control study of 45 cases. 儿童和青少年的维生素 D 水平与低能量骨折风险：45 例人群病例对照研究。

IF 1.1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-07-01 Epub Date: 2024-05-06 DOI: 10.1097/BPB.0000000000001061

Elio Assaf, Georges Nicolas, Fadi Hoyek, Georges Abi Fares, Jean Claude Lahoud, Rabih Hajj, Elisabeth Mohs, Franz-J Dally, Svetlana Hetjens, Sascha Gravius, Ali Darwich

{"title":"Vitamin D level and low-energy fracture risk in children and adolescents: a population-based case-control study of 45 cases.","authors":"Elio Assaf, Georges Nicolas, Fadi Hoyek, Georges Abi Fares, Jean Claude Lahoud, Rabih Hajj, Elisabeth Mohs, Franz-J Dally, Svetlana Hetjens, Sascha Gravius, Ali Darwich","doi":"10.1097/BPB.0000000000001061","DOIUrl":"10.1097/BPB.0000000000001061","url":null,"abstract":"The objective of this study is to document the rate of vitamin D deficiency and insufficiency among children with low-energy fractures and compare it to fracture-free control group. We included all children under 15 years presenting to the emergency department with low-energy fractures; controls were children without history of fractures from the outpatient department. Conventional X-ray and laboratory blood tests were performed. Vitamin D deficiency was defined as serum level ≤20 ng/ml, and the mean values were compared through two-sample t -tests. The influence of vitamin D on the fractures was defined using Chi-square test, significance with P -value < 0.05. The relationships between variables and odds of fracture occurrence were examined using logistic regression models. The final sample included 37 cases (30 males, 7 females, 7.4 ± 3.7 years) and 70 control individuals (42 males, 28 females, 7.8 ± 4.6 years) without significant differences regarding age, sex, and month of inclusion. Children with fractures had lower levels of vitamin D (21.87 ± 8.40 ng/ml vs. 25.89 ± 7.62 ng/ml) ( P = 0.01). Vitamin D played a protective role against low-energy fractures (OR, 1.08; 95% CI, 1.01-1.14; P = 0.02), boys showed three times greater fracture risk than girls (OR, 3.00; 95% CI, 1.12-8.07; P = 0.03). Finally, vitamin D deficiency correlated with almost five times increased risk of pediatric low-energy fractures (OR, 4.63; 95% CI, 1.92-11.18; P = 0.001). This is the first MENA study establishing a relation between vitamin D deficiency and low-energy fractures among children and adolescents. The findings show the protective role of vitamin D on the pediatric bone and may help physicians preventing morbidity on children and costs on their families and the socioeconomic health system.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"392-398"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10733112","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

Logistic regression analysis of multiple rapid admission hematological indicators to determine the risk of osteomyelitis in infected children. 多个快速入院血液学指标的Logistic回归分析，以确定感染儿童骨髓炎的风险。

IF 1.1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-07-01 Epub Date: 2023-10-31 DOI: 10.1097/BPB.0000000000001134

Hua Zhu, Chen Wang, Yan Zou, Kang Wang, Xiangchao Yin, Wenzi Li, Xiaokang Zhou, Lei Zhen

{"title":"Logistic regression analysis of multiple rapid admission hematological indicators to determine the risk of osteomyelitis in infected children.","authors":"Hua Zhu, Chen Wang, Yan Zou, Kang Wang, Xiangchao Yin, Wenzi Li, Xiaokang Zhou, Lei Zhen","doi":"10.1097/BPB.0000000000001134","DOIUrl":"10.1097/BPB.0000000000001134","url":null,"abstract":"To analyze the differences of multiple rapid admission hematological indicators between children with acute osteomyelitis (AO) and children with other orthopedic infectious diseases and clarify the characteristics of admission inspection hematological indicators of children with AO. Retrospective analysis of this pilot study was proceeded on 144 children with limbs infectious diseases, who were treated in our hospital. According to their final diagnosis, they were divided into osteomyelitis group (n = 57) and non-osteomyelitis group (n = 87). Case data were collected, including sex, age, body temperature, white blood cell (WBC), C-reactive protein (CRP), etc. The differences in these indexes between the two groups of patients were compared, and then, the index with significant differences was selected for univariate and multivariate logistic regression analysis. There were significant differences between the two groups in age, body temperature, CRP, ESR, fibrinogen, total bilirubin, alanine aminotransferase, aspartate aminotransferase (AST), glutamyl transpeptidase, creatinine, PCT, albumin (ALB), and ALB globulin ratio (A/G) ( P < 0.05). The results of univariate and multivariate logistic regression analysis showed that the age of ≥5 years (4.592, 1.711-12.324), WBC (>1.5 × 10 9 /L) (0.271, 0.102-0.718), ESR (>50 mm/h) (6.410, 2.291-17.936), PCT (>0.06 µg/L) (3.139, 1.066-9.243), and AST (>40 U/L) (11.174, 1.718-72.666) was an independent risk factor of AO in children with orthopedic infectious diseases ( P < 0.05). For newly admitted children with orthopedic infectious diseases, if the age ≥ 5 years, WBC ≤ 1.5 × 10 9 /L, ESR > 50 mm/h, PCT > 0.06 µg/L, and AST > 40 U/L, the occurrence of AO should be alerted.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"369-373"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71428521","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

In reply to: Results of two techniques of lateral closing wedge osteotomy for cubitus varus: Comment on the study by Masquijo et al. 回复侧方闭合楔形截骨术治疗拇趾外翻的两种技术的结果：对 Masquijo 等人研究的评论

IF 0.9 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-07-01 Epub Date: 2024-05-28 DOI: 10.1097/BPB.0000000000001185

Javier Masquijo, Cristian Artigas, Juan Carlos Hernández Bueno, Matías Sepúlveda, Jamil Soni, Weverley Valenza, Faris Fazal, Apurva S Shah

引用次数: 0

Analysis of poor prognostic factors for septic arthritis of the hip in children: a case series of 76 patients. 76例儿童脓毒性髋关节关节炎预后不良因素分析

IF 1.1 4区医学

Journal of Pediatric Orthopaedics-Part B Pub Date : 2024-07-01 Epub Date: 2023-12-01 DOI: 10.1097/BPB.0000000000001148

Wei Feng, Qiang Wang, Ziming Yao, Danjiang Zhu, Baojian Song, Xuejun Zhang

{"title":"Analysis of poor prognostic factors for septic arthritis of the hip in children: a case series of 76 patients.","authors":"Wei Feng, Qiang Wang, Ziming Yao, Danjiang Zhu, Baojian Song, Xuejun Zhang","doi":"10.1097/BPB.0000000000001148","DOIUrl":"10.1097/BPB.0000000000001148","url":null,"abstract":"The clinical characteristics, treatment and outcomes of children with septic arthritis of the hip in our hospital were analyzed to identify the risk factors for a poor prognosis. The clinical data of 76 children with septic arthritis of the hip who were treated at our hospital from January 2010 to December 2020 were retrospectively analyzed. According to the most recent follow-up data, the patients were classified as good prognosis or poor prognosis. The differences between the two groups were analyzed. From January 2010 to December 2020, a total of 76 children with septic arthritis of the hip were admitted to our hospital, comprising 52 (68.4%) with a good prognosis and 24 (31.6%) with a poor prognosis. The risk of a poor prognosis was significantly higher in the group with time from onset to surgery >22 days than in the group with time from onset to surgery <11 days. The risk of poor prognosis in the group with C-reactive protein (CRP) > 100 mg/L was significantly higher than that in the group with CRP < 20 mg/L. Time from onset to surgery >14 days and CRP > 93 mg/L were the cutoff values for a poor prognosis. Significant elevation of CRP and prolonged time from onset to surgery in children with septic arthritis of the hip are risk factors for a poor prognosis. Early diagnosis and effective treatment are very important because delays in these factors can lead to a poor prognosis. Level of Evidence: Level II, retrospective study.","PeriodicalId":50092,"journal":{"name":"Journal of Pediatric Orthopaedics-Part B","volume":" ","pages":"379-386"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479127","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