Halo-gravity traction has been used preoperatively for patients with severe spinal deformity but there are limited data in the literature on results and complications. We studied outcomes of perioperative halo-gravity children deformity. A retrospective study was carried out who were treated at our center. Twenty-one included study. Radiographic pulmonary function parameters showed significant improvement during course final follow-up. The overall complication rate 19%, including two pin...

Slipped capital femoral epiphysis (SCFE) is a common hip disorder in adolescents that can result substantial complications, impacting the quality of life. Human Growth Hormone (HGH) administration may elevate risk SCFE, though relationship remains unclear. Clarifying this association could enable better monitoring and earlier diagnosis SCFE patients receiving HGH. The aim study to investigate between HGH incidence SCFE.

Clubfoot is at times associated with other lower extremity abnormalities, such as leg length discrepancy (LLD). Initial studies in patients treated extensive soft tissue release (STR) have estimated that LLD prevalent 9% to 11% of children idiopathic clubfoot. However, Ponseti-style serial casting has since replaced STR the preferred clubfoot treatment method. This study aimed assess prevalence LLD, risk factors for and required deformity after Ponseti casting. A retrospective review medical...

Background: Anxiety and depression (AD) are prevalent comorbidities in pediatric patients may influence postoperative outcomes. The impact of AD on pain medication use emergency room (ER) visits children with surgically treated lower extremity fractures has not been well-documented. This study aimed to evaluate the association between outpatient requirements as well ER this population. Methods: A retrospective cohort was conducted using electronic medical records from 2000 2023 a large...

Perthes disease is an uncommon pediatric condition affecting the hip joint, causing varying degrees of femoral head necrosis. The underlying cause remains unknown, thus it crucial to identify risk factors associated with its development aid in early diagnosis and intervention. This study aimed analyze a large cohort. A case-control was conducted using data from U.S. national database 2003 2023. Patients diagnosed were compared those without disease. Variables potentially analyzed...

Background: Calcaneal lengthening osteotomy (CLO) is frequently utilized to treat painful flexible flatfoot (FF) in children. The purpose of this investigation analyze the impact CLO on patient reported pain and mobility using Patient Reported Outcome Measurement Information System (PROMIS) scores a cohort pediatric patients treated for FF. Methods: Children aged 8-18 who underwent FF correction were included. Retrospective chart review PROMIS collected. Preoperative compared collected...

Previous ulnar-based treatment algorithms for pediatric Monteggia fractures advocate treating incomplete ulnar with closed reduction and casting (CRC) while complete surgically. However, recent evidence has suggested that these may result in overtreatment. This study aimed to evaluate the outcomes of CRC across all fracture patterns identify factors associated failure. A retrospective was conducted patients treated at a single institution from 2002 2022. Inclusion criteria were younger than...

Despite the high rate of initial success using Ponseti method to manage idiopathic clubfoot deformity, relapse continues be a problem. We surveyed Pediatric Orthopedic Society North America (POSNA) members about their experience with relapsed deformity following correction clubfeet.We created survey focus on management clubfeet after deformity. The included questions postcorrective bracing, clinical findings used identify relapse, observed frequency and how relapses are managed....

Background: Obesity as a cause of lower extremity deformity in children has been well established. This is most often seen tibia vara, however, at our institution we have observed more obese and adolescents over age 7 years with excessive or progressive idiopathic genu valgum. Our hypothesis that valgum high rates obesity which impact the severity their disease. Methods: Retrospective review existing data was performed on 66 consecutive children/112 limbs valgum, from 2010 to 2013. Children...

The early diagnosis of pediatric septic arthritis is paramount to the prevention long-term sequela. purpose this study investigate if commonly used criteria developed by Kocher and colleagues for hip can be screening children with suspected knee.We retrospectively reviewed charts patients under age 19, between June 2002 2017, who presented a major tertiary-care children's hospital knee. Diagnostic included either positive synovial culture from knee, white blood cell (WBC)>50,000 cells/mm, or...

Background: After a unilateral slipped capital femoral epiphysis (SCFE), the contralateral hip is at risk for subsequent SCFE. However, further information with regard to factors involved in development of SCFE must be investigated. The purpose this study was report rate and adolescents treated by exploring mix known potential factors. Methods: A case-control utilizing aggregated multi-institutional electronic medical record data between January 2003 March 2023 conducted. Patients <18...

Background Complex regional pain syndrome (CRPS) is a multifactorial condition that may affect patients who sustain fracture in the upper and lower extremities. Prior investigations have formed foundation for exploring possible association between psychiatric disorders development of CRPS; however, current studies are conflicted regarding existence temporality relationship potential CRPS. Questions/purposes (1) Are with preexisting anxiety mood (AMDs) at increased risk receiving diagnosis...

Pediatric humeral lateral condyle fractures are the second most common elbow fractures. Their treatment presents challenges due to physeal and intra-articular involvement. Postoperative stiffness is a concern that can limit limb functionality. This study aims identify risk factors for postoperative in large cohort of these across multiple institutions.

Delays in the diagnosis of stable slipped capital femoral epiphysis (SCFE) is common due to vague symptomatology and lack awareness this entity by healthcare providers. condition can lead poor outcomes for patients. This study was designed identify factors that contributed delays or treatment patients with SCFE seen at our institution.A retrospective chart review a who had undergone screw stabilization between 1989 2010 hospital performed. For each patient, demographic data, date initial...

Ponseti serial casting is the most commonly used method in North America to treat children with clubfeet. Despite initial correction, recurrence common. tibialis anterior tendon transfer (TATT) recurrent Recurrence can occur after TATT, and patients at risk of may benefit from closer monitoring. We studied rate second (recurrence TATT) predictive factors for this recurrence.Retrospective chart review who have undergone TATT clubfeet between 2002 2010 our institution was performed. defined as...

The Ponseti serial casting method is the of choice in treating children with congenital clubfeet. arthrogrypotic clubfoot has traditionally been considered challenging to treat, higher rates recurrence and need for more corrective surgeries. However, initial reports have found promising results using treat feet. This study aims compare outcomes idiopathic versus clubfeet following treatment method.

Polydactyly is one of the more common congenital deformities with an incidence 0.8 to 1.4 per 1000. Traditionally Wassel Classification system has been used, which based on level duplication seen plain radiographs. Although it helpful in describing anatomic characteristics, somewhat limited regards surgical planning and postoperative outcomes. Chung colleagues, recently proposed a new classification that categorizes radial polydactyly morphologic features provides information be used...

The rates and risk factors contributing to failure after hip reconstruction among patients with cerebral palsy (CP) are not well established. In analyzing a large cohort of children CP who underwent reconstruction, the objectives this study establish (1) (2) associated factors.This retrospective included chart radiographic review between ages 1 18, diagnosis CP, reconstructive procedure at single children's hospital over 9-year period (2010 2018). Patients without least 2 years follow-up...

Introduction: Lateral humeral condyle fractures account for 12% to 20% of all distal humerus in the pediatric population. When surgery is indicated, fixation may be achieved with either Kirschner-wires or screws. The literature comparing outcomes these 2 different methods currently limited. purpose this study compare both complication and union rates forms operative treatment a multicenter cohort children lateral fractures. Methods: This retrospective was performed across 6 institutions....