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Journal J Pediatr Orthop

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Long-term Minimum 15-Year Follow-up After Lateral Discoid Meniscus Rim Preservation Surgery in Children and Adolescents.

Laura A B Lins, Aliya G Feroe, Brian Yang, Kathryn A Williams, Sophia D Kocher, Saritha Sankarankutty, Lyle J Micheli, Mininder S Kocher,

<h4>Background</h4>Discoid meniscus is a congenital variant typically affecting the lateral meniscus of the knee. Historically, surgical intervention when symptomatic consisted of total meniscectomy; however, after degenerative changes were observed, current treatments now focus on rim preservation with arthroscopic saucerization and meniscal repair for instability, when indicated. The purpose of our ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e810-e815]

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Reliability and Validity of Visual Estimation of Femoral Head Hypoperfusion on Perfusion MRI in Legg-Calve-Perthes Disease.

David Y Chong, Tim Schrader, Jennifer C Laine, Scott Yang, Shawn R Gilbert, Harry K W Kim, ,

<h4>Background</h4>Assessing the severity of Legg-Calve-Perthes disease is important for treatment decision-making and determining prognosis. Perfusion magnetic resonance imaging (MRI) scans have improved our ability to assess femoral head hypoperfusion, and the use of an image analysis software called HipVasc (Scottish Rite for Children, Dallas TX) has allowed precise quantification for ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e780-e786]

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Congenital Posteromedial Bowing of Tibia: Comparison of Early and Late Lengthening.

Bhushan Sagade, Naeem Jagani, Ishani Chaudhary, Milind Chaudhary,

<h4>Background</h4>Congenital posteromedial bowing of tibia (CPMBT), a rare anomaly, is characterized by a decreasing deformity and a gradually increasing limb shortening. Lengthening in CPMBT has not been studied extensively. Our series compares the duration and complications of lengthening in younger versus older children to determine early lengthening safety and benefits.<h4>Methods</h4>We ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e816-e822]

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Patient-Reported Outcome Measurement Information System (PROMIS) Scores in Pediatric Patients With Arthrogryposis.

Lauren C Hyer, Lisa T Carson, Ashley M Carpenter, David E Westberry,

<h4>Background</h4>Arthrogryposis multiplex congenita (AMC) is a clinical term that is used to describe congenital contractures that lead to childhood deformities. Treatment aims are to maximize function while minimizing pain and disability. Few studies have explored patient-reported outcomes in the pediatric arthrogrypotic population, particularly concerning mobility. The aim of this study ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e727-e732]

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Postoperative Correction in Idiopathic Scoliosis: Which Preoperative Imaging Technique Is Most Predictive?

Mehmet Erkilinc, Anne M Dumaine, Jerry Y Du, Connie Poe-Kochert, George H Thompson, Raymond W Liu, R Justin Mistovich,

<h4>Introduction</h4>Preoperative radiographic assessment of curve flexibility in patients with idiopathic scoliosis is important to determine Lenke classification, operative levels, and potential postoperative correction. However, no consensus exists regarding the optimal technique. We compared measurements from supine side bending (SB) and intraoperative traction radiographs under general anesthesia (TUGA) with actual postoperative ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e706-e711]

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Evaluating Perioperative Complications Surrounding Supracondylar Humerus Fractures: Expanding Indications for Outpatient Surgery.

Lindsay H Hockensmith, Brian T Muffly, Mitchell R Wattles, Erin N Snyder, Braxton J McFarland, Cale Jacobs, Henry J Iwinski, Scott A Riley, Vincent W Prusick,

<h4>Background</h4>Supracondylar humerus (SCH) fractures are one of the most common pediatric orthopaedic injuries. Described using the Wilkins modification of the Gartland Classification system, current practice guidelines give moderate evidence for closed reduction and percutaneous pinning of type 2 and 3 injuries, but little evidence exists regarding the appropriate surgical setting ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e745-e749]

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Performing Multiple Posterior Spinal Fusions in 1 Day: A Comparison of Perioperative Outcomes Between Morning and Afternoon Cases.

Nora P O'Neill, Daniel J Hedequist, Michael Glotzbecker, Danielle Cook, Troy Yang, Mary E McCann, Sabeena Chacko, Joseph Cravero, Michael Timothy Hresko,

<h4>Background</h4>High-volume centers for idiopathic scoliosis (IS) have difficulty in scheduling posterior spinal fusions (PSFs) due to operating room availability, particularly during school vacation. A solution is for 1 surgeon to perform 2 PSF cases back-to-back. This study aims to compare morning and afternoon PSF cases performed by the same surgeon ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e722-e726]

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Terminal Syme Amputation of the Great Toe in the Pediatric Population.

Thomas W Gibson, David E Westberry, Ashley M Carpenter, Nicholas Colucciello, Lisa Carson,

<h4>Background</h4>In the pediatric population, chronic ingrown toenails (onychocryptosis) can cause infection (paronychia), debilitating pain, and may be unresponsive to conservative treatments. Following multiple failed interventions, a terminal Syme amputation is one option for definitive treatment of chronic onychocryptosis. This procedure involves amputation of the distal aspect of the distal phalanx ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e823-e827]

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Minimally Invasive Fusionless Surgery for Scoliosis in Spinal Muscular Atrophy: Long-term Follow-up Results in a Series of 59 Patients.

Mathilde Gaume, Etienne Saudeau, Marta Gomez-Garcia de la Banda, Viviane Azzi-Salameh, Blaise Mbieleu, Delphine Verollet, Audrey Benezit, Jean Bergounioux, Aben Essid, Isabelle Doehring, Ivana Dabaj, Isabelle Desguerre, Christine Barnerias, Vicken Topouchian, Christophe Glorion, Susana Quijano-Roy, Lotfi Miladi,

<h4>Background</h4>Treatment of spinal muscular atrophy (SMA) scoliosis has evolved in the last decade, with the emergence of fusionless surgical techniques that allow correction of the deformity before the end of growth spurt. These techniques are expected to delay definitive spine fusion and preserve trunk growth.<h4>Purpose</h4>The aim was to evaluate long-term ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):549-558]

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An Analysis of Online Ratings of Pediatric Orthopaedic Surgeons.

Jordan H Jay, Nicholas E Runge, Franz H Vergara, Coleen S Sabatini, Julius K Oni,

<h4>Background</h4>Patients continue to utilize physician review websites (PRWs) to assist in their selection of a health care provider. Studies on PRWs and how they affect patient care have recently become popular in the literature. This study analyzes PRW ratings of a previously unexamined subspecialty, pediatric orthopaedic surgeons.<h4>Methods</h4>Three hundred ninety-nine randomly ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):576-579]

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Surgical Management of Medial Discoid Meniscus in Pediatric and Adolescent Patients.

Aliya G Feroe, Zaamin B Hussain, Kristen L Stupay, Sophia D Kocher, Kathryn A Williams, Lyle J Micheli, Mininder S Kocher,

<h4>Background</h4>Medial discoid meniscus (MDM) is an exceedingly rare anatomic abnormality that presents similarly to other meniscal pathologies. Symptomatic MDM is typically managed arthroscopically with mixed short-term and long-term outcomes, although the existing knowledge about MDM is limited. The purpose of this study was to describe the presentation and surgical treatment ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e804-e809]

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Risk of Scoliosis Progression in Nonoperatively Treated Adolescent Idiopathic Scoliosis Based on Skeletal Maturity.

Mitchell A Johnson, John M Flynn, Jason B Anari, Shivani Gohel, Patrick J Cahill, Jennifer J Winell, Keith D Baldwin,

<h4>Background</h4>Hand radiographs for skeletal maturity staging are now frequently used to evaluate remaining growth potential for patients with adolescent idiopathic scoliosis (AIS). Our objective was to create a model predicting a patient's risk of curve progression based on modern treatment standards.<h4>Methods</h4>We retrospectively reviewed all AIS patients presenting with a major ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):543-548]

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Assessment of the Viability and Union Feature of Diaphysis Reconstruction Using Pasteurized Tumor Bone and Intramedullary Free Fibular After Tumor Resection.

Tao Ji, Yuan Li, Zhili Xing, Xiaodong Tang, Rongli Yang, Wei Guo,

<h4>Background</h4>Reconstruction using pasteurized tumor bone (PTM) and intramedullary-placed vascularized free fibular (VFG) has the combined advantages of mechanical strength and biological activity. The aims of this study were to investigate scintigraphic viability and radiographic union patterns of composite grafts after surgery, union rates, functional outcomes, and complication rates.<h4>Methods</h4>Seventeen patients underwent ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e833-e840]

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Efficacy of Antibiotics in Supracondylar Fractures.

Etasha Bhatt, Taylor J Ridley, Bradley Kruckeberg, Zachary Quanbeck, Deborah S Quanbeck, Alison Schiffern,

<h4>Background</h4>Controversy exists surrounding antibiotic use in the setting of pediatric supracondylar humerus fractures treated with closed reduction and percutaneous Kirschner wire (K-wire) fixation. While the reported incidence of infection in the literature is low, surgeons frequently administer preoperative antibiotics. The purpose of this study was to retrospectively review preoperative antibiotic ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e750-e754]

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Estimating Skeletal Maturity Using Knee Radiographs During Preadolescence: The Epiphyseal:Metaphyseal Ratio.

Alexander J Benedick, Bailyn Hogue, Ryan J Furdock, Naveen Uli, Raymond W Liu,

<h4>Background</h4>Though skeletal maturity is most relevant during adolescence, it has utility in treatment of younger patients in some circumstances. Accurate estimation of skeletal maturity using knee radiographs would be useful when treating limb length discrepancy and other general medical conditions in preadolescent patients. Currently, a quick, accurate, and reproducible method ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):566-570]

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Stability in Pelvic Triple Osteotomies in Children Using Resorbable PLGA Screws for Fixation.

Henrik Hedelin, Per Larnert, Pavel Antonsson, Kerstin Lagerstrand, Helena Brisby, Hanna Hebelka, Tero Laine,

<h4>Background</h4>The triple pelvic osteotomy (TPO) is a major redirectional osteotomy used to improve the acetabular coverage of the femoral head in selected pediatric patients with hip disorders. Traditionally the iliac osteotomy is stabilized by metal screws that require a second surgery for removal. Despite favorable results for both adults and ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e787-e792]

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Area Deprivation Index and Magnitude of Scoliosis at Presentation to a Tertiary Referral Scoliosis Clinic in Massachusetts.

Teron A Nezwek, Stuart V Braun, Mariano E Menendez, Emily D Grussing, Zabrina M Shabin,

<h4>Background</h4>There is growing interest in identifying predictors of large scoliosis curves at initial presentation, but few data to guide such preventive efforts. The association of neighborhood socioeconomic deprivation with curve magnitude in this context has not been previously evaluated. The purpose of our study was to determine the correlation of ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e712-e716]

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Feasibility of Magnetic Resonance Angiography in Patients With Legg-Calvé-Perthes Disease.

Patricia Moreno Grangeiro, João C Rodrigues, Luiz R A de Angeli, Hilton Leão Filho, Nei B Montenegro, Roberto Guarniero, Molly Dempsey, Harry K W Kim,

<h4>Background</h4>The etiology of Legg-Calvé-Perthes disease (LCPD) remains unknown; however, interruption of medial circumflex femoral artery (MCFA) supply to the femoral head is the key pathogenic factor. The main purpose of this study is to determine the feasibility of using magnetic resonance angiography (MRA) to evaluate the course of the MCFA ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e774-e779]

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Factors That Drive Annual Variation in Pediatric Elbow Fracture Occurrence, Severity, and Resource Utilization.

Jacob D Schultz, Andrew B Rees, Lucas C Wollenman, Lydia J McKeithan, Vaibhav R Tadepalli, Bronson C Wessinger, Graham Attipoe, James C Gay, Jeffrey E Martus, Stephanie N Moore-Lotridge, Jonathan G Schoenecker,

<h4>Background</h4>Elbow fractures are the most common pediatric fractures requiring operative treatment. To date, few studies have examined what annual factors drive pediatric elbow fracture incidence and no studies have examined which annual factors drive elbow fracture severity or resource utilization. The goal of this study was to not only document ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e755-e762]

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Skeletal Maturity Using Knee X-rays: Understanding the Resilience of 7 Radiographic Parameters to Rotational Position.

Julio C Castillo Tafur, Alexander Benedick, Derrick M Knapik, Jessica L Janes, Sarah J Delozier, Raymond W Liu,

<h4>Background</h4>Recently, a skeletal maturity system using knee radiographs, named the modified Roche-Wainer-Thissen (RWT) system, has been developed using 7 discrete radiographic parameters. While the system has been shown to significantly outperform the Greulich and Pyle atlas, the effect of rotational variation of the knee radiograph on skeletal maturity determinations has ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e733-e738]

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Obese Children Have Different Forearm Fracture Characteristics Compared With Normal-weight Children.

Andreas Rehm, Azeem Thahir,

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e858]

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Prospective Evaluation of Tarsal Coalition Excision Show Significant Improvements in Pain and Function.

Susan T Mahan, Patricia E Miller, James R Kasser, Samantha A Spencer,

<h4>Background</h4>Excision of pediatric tarsal coalition has been successful in most patients. However, some patients have ongoing pain after coalition excision. This study prospectively assessed patient-based clinical outcomes before and after surgical excision of tarsal coalition, with particular emphasis on comparison to radiologic imaging.<h4>Methods</h4>We prospectively studied 55 patients who had symptomatic ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e828-e832]

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Results of Early Proximal Femoral Osteotomy at Skeletal Maturity in Legg-Calvé-Perthes Disease: Implication for the Bypass of Fragmentation Stage.

Sungmin Kim, Ho-Seok Oh, Jun-Hyuk Lim, Seunghyeon Cho, Sung Taek Jung,

<h4>Background</h4>The aim was to assess the long-term radiographic outcomes of patients with Legg-Calvé-Perthes disease following an early proximal femoral osteotomy (PFO) performed in avascular necrosis stage or early fragmentation stage.<h4>Methods</h4>In this retrospective study, we analyzed data of 65 patients aged above 6 years at the time of diagnosis with unilateral ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e768-e773]

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Physeal Abnormalities in Children With High-risk Neuroblastoma Intensively Treated With/Without 13-Cis-Retinoic Acid.

Kyung-Nam Koh, Ji Young Jeon, Soo-Sung Park, Ho Joon Im, Hyery Kim, Michael Seungcheol Kang,

<h4>Background</h4>This study aimed to investigate the presence of physeal abnormality and its effect on growth in children with high-risk neuroblastoma treated by intensive multimodal treatment with/without 13-cis-retinoic acid (13-CRA).<h4>Methods</h4>Fifteen patients diagnosed with high-risk neuroblastomas at the age of 1 to 10 years, who received treatment such as high-dose chemotherapy and ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):e841-e848]

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Determining C2 Pedicle Screw Placement Feasibility in the Pediatric Population: A Computed Tomographic Safe Zone Analysis.

Takashi Hirase, Wu Zhuge, Christopher I Phelps, Vivek P Kushwaha, Rex A W Marco,

<h4>Background</h4>Due to high rates of anatomic variability of the C2 pedicle, thin-sliced pedicular-oriented computed tomography (CT) and 3-dimensional reconstructive CT technologies have been introduced to predict safe C2 pedicle screw placement. However, this technology may not be readily available in all centers. The purpose of this study was to perform ... Read more >>

J Pediatr Orthop (Journal of pediatric orthopedics)
[2021, 41(9):580-584]

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