Journal of pediatric orthopedics
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Surgical correction of coxa vara in children with osteopenic bone diseases could be very challenging. In this study, we describe a modified surgical technique for the correction of coxa vara in children with bone fragility. We also report the results and complications of this technique in 16 children (21 coxa vara) with osteopenic bone diseases. ⋯ The described surgical technique used to correct coxa vara is reproducible and safe and has few complications. Furthermore, the size of the implants used allows surgery to be performed in very young children.
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Osteochondritis dissecans of the knee is an increasingly frequent diagnosis in the skeletally immature, in whom it is known as juvenile osteochondritis dissecans (JOCD). Although many stable lesions heal with nonoperative treatment, surgical management may be necessary when this treatment fails. Our objective is to determine if extraarticular drilling is an effective treatment for JOCD. ⋯ Level IV case series.
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All-terrain vehicle (ATV) accidents are considerable sources of morbidity and mortality for children and adolescents. This study was done to investigate the types and severity of injuries and the role of age and body mass index on the types of fractures sustained in children younger than 16 years. ⋯ Level IV.