Journal of pediatric orthopedics
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Randomized Controlled Trial
Bivalved Versus Circumferential Cast Immobilization for Displaced Forearm Fractures: A Randomized Clinical Trial to Assess Efficacy and Safety.
The purpose of this study was to determine the effects of bivalved versus circumferential cast immobilization on maintenance of reduction and associated complications after closed reduction (CR) of radius and/or ulna fractures in children. ⋯ Level I-therapeutic.
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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.
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Randomized Controlled Trial
Does Topical Anesthetic Reduce Pain During Intraosseous Pin Removal in Children? A Randomized Controlled Trial.
The purpose of this study was to determine the effectiveness of topical liposomal lidocaine in reducing the pain perceived by children undergoing percutaneous intraosseous pin (PP) removal in the outpatient orthopaedic clinic. ⋯ Topically applied liposomal lidocaine was not effective in reducing pain during this procedure, compared with a placebo. However, this study demonstrates that PP removal is a painful procedure in children. Given the large volume of patients who undergo this procedure and the long-term consequences of experiencing painful procedures in childhood, it is important to find safe and fast-acting methods to decrease procedural pain associated with PP removal.
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Randomized Controlled Trial Pragmatic Clinical Trial
Treatment of Calcaneal Apophysitis: Wait and See Versus Orthotic Device Versus Physical Therapy: A Pragmatic Therapeutic Randomized Clinical Trial.
Calcaneal apophysitis is a frequent cause of heel pain in children and is known to have a significant negative effect on the quality of life in affected children. The most effective treatment is currently unknown. The purpose of this study is to evaluate 3 frequently used conventional treatment modalities for calcaneal apophysitis. ⋯ Treatment with wait and see, a heel raise inlay, or physical therapy each resulted in a clinical relevant and statistical significant reduction of heel pain due to calcaneal apophysitis. No significant difference in heel pain reduction was found between individual treatment regimes. Calcaneal apophysitis is effectively treated by the evaluated regimes. Physicians should deliberate with patients and parents regarding the preferred treatment.
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Randomized Controlled Trial
Does preoperative orientation and education alleviate anxiety in posterior spinal fusion patients? A prospective, randomized study.
A prospective, randomized study examined the effect of interventional preoperative education and orientation for scoliosis surgery (PEOSS) on anxiety levels of patients undergoing posterior spinal fusion (PSF). Secondary outcomes analyzed were caregiver anxiety, length of stay, morphine equivalent usage, and patient/caregiver satisfaction. ⋯ Level I study.