Journal of pediatric orthopedics
-
Randomized Controlled Trial
Resident Versus Attending Surgeons in Achieving and Maintaining Fracture Reduction in Pediatric Distal Radius Fractures.
Distal third forearm fractures are one of the most common orthopaedic injuries in the pediatric population with a reported risk of redisplacement in the range of up to a third following initial reduction. The aims of this study were to determine whether fracture redisplacement and adequacy of cast molding were associated with surgeon seniority in the treatment of displaced pediatric distal third radius fractures that required manipulation under anesthesia. ⋯ Level I-randomized-controlled trial.
-
We compared the effective dose of radiation associated with pedicle screw placement in posterior spinal fusion in children using intraoperative computed tomography (CT) navigation versus intraoperative fluoroscopy (C-arm). ⋯ Level II.
-
Type III B and C open tibia fractures in children pose a challenge to the orthopaedic surgeon. Limb salvage is the initial goal for the majority of patients, but managing soft-tissue defects and bone loss can be a challenge. The purpose of this study was to evaluate the use of circular external fixation in the management of these injuries. ⋯ Level IV.
-
Comparative Study
Open Versus Arthroscopic Reduction for Tibial Eminence Fracture Fixation in Children.
Stiffness is a common complication following surgically treated tibial eminence fractures. Fractures can be addressed with either open reduction and internal fixation (ORIF) or arthroscopic reduction and internal fixation (ARIF). We sought to evaluate the effects of surgical approach and other modifiable perioperative factors on postoperative arthrofibrosis. We hypothesized that ARIF would result in a lower risk of arthrofibrosis. ⋯ Level III-therapeutic study.
-
Although a plethora of literature exists on the impact of body mass index (BMI) in orthopaedic surgery, few have examined its implications in the pediatric cerebral palsy (CP) population. The aim of this study is to evaluate the effect of BMI class on 30-day complications after orthopaedic surgery on children with CP. ⋯ Level III-Prognostic.