The Ponseti method is reportedly effective for treating clubfoot in children up to 9 years of age. However, whether age at the beginning treatment influences rate successful correction and relapse unknown. We therefore retrospectively reviewed 68 consecutive with 102 idiopathic clubfeet treated by technique four Portuguese hospitals. followed patients a minimum 30 months (mean, 41.4 months; range, 30-61 months). were divided into two groups according their treatment; Group I was younger than...

The aim of this study was to elucidate developmental dysplasia the hip (DDH) diagnosis and treatment preferences among members Pediatric Orthopaedic Society North America (POSNA) European Paediatric (EPOS).A 54-question survey on DDH distributed POSNA EPOS members. Descriptive statistics were performed.A total 459 responses analyzed. Ultrasound preferred modality for diagnosing in infants less than six months old; few surgeons radiographs. In all, 57% had radiology technicians perform...

The Ponseti method is widely used in clubfoot treatment. Long-term follow-up shows high patient satisfaction and excellent functional outcomes. Clubfoot tendency to relapse a problem yet solve. Given the importance of bracing prevention, we ought discuss current knowledge controversies about bracing.We describe types braces used, with its advantages disadvantages, suggesting schedules duration. We identify problems pinpoint strategies promote adherence bracing.When treating by method,...

Vascularized periosteal transplants have proven to be highly effective and rapid in promoting bone healing biologically complex nonunions children, with several reported donor sites. This study aimed assess the feasibility of harvesting a vascularized diaphyseal femoral flap (VDFPF) from cadavers evaluate its clinical application two cases bilateral congenital pseudarthrosis tibia. investigated branches deep vessels (DFV) supplying diaphysis 19 previously latex-injected cadavers. The femur...

Background: Hereditary spastic paraplegias (HSPs) are a heterogeneous group of neurodegenerative disorders characterized by progressive and predominant spasticity the lower limbs, in which dominant, recessive, X-linked forms have been described.While autosomal dominant HSP has extensively studied, recessive is less well known considered rare condition.Objective: To analyze clinical presentation large patients with from Portugal Algeria to define homogeneous groups that could serve as guide...

The Ponseti technique for treating clubfoot has been popularized idiopathic and more recently several syndromic causes of clubfoot. We asked whether it could be used to treat recurrent following failed posteromedial release. retrospectively reviewed 58 children (83 clubfeet) treated by the deformity after release in three centers. minimum followup was 24 months (average, 45 months; range, 24-80 months). determined initial final Pirani scores range motion ankle subtalar joint. Plantigrade...

The treatment of unstable slipped capital femoral epiphysis (SCFE) remains controversial. Surgical dislocation and open reduction has the potential to significantly reduce rate avascular necrosis (AVN) by allowing direct preservation head blood supply. purpose this study was determine if SCFE means surgical hip reduced risk AVN compared with closed percutaneous pinning.We reviewed medical records radiographs patients treated at our institution between years 2000 2008. Sex, age, side slip,...

Purpose Paediatric foot surgery is often performed to restore anatomical shape or range of movement (ROM). The purpose this study was determine how morphology and ROM are associated with function in children aged five 16 years age. Methods Participants included 89 patients disorders 58 healthy controls. In addition measuring children's alignment ankle ROM, parents completed the Oxford Ankle Foot Questionnaire (OxAFQ). Results Mean age 10.3 for 10.6 controls; 53 had clubfoot. All measurements...

Abstract The aim of this paper is to review the topic neonatal fractures upper limb, describing different types focusing on etiology, epidemiology, risk factors, clinical approach, diagnosis, treatment and prognosis these injuries. We included all research studies, both experimental observational, published in English, French, Portuguese Spanish. information was obtained using keywords limb fracture, clavicle fracture or humerus from following resources: MEDLINE database, Embase ® database...

Habitual hip subluxation and dislocation are potentially disabling features of the trisomy 21 syndrome. We describe outcomes after a femoral varus derotation osteotomy to achieve maintain stability community ambulation.All individuals with 21, who underwent surgery at our institution between 1998 2008, were searched using hospital databases. The clinical notes radiographs reviewed from presentation final follow-up. Nine children (16 hips) aged below 10 years, identified. All had target...

This retrospective study examined whether pediatric lateral condyle nonunions could be successfully managed by percutaneous screw fixation. We report the outcome of this minimally invasive technique avoiding open reduction and bone grafting associated with risk avascular necrosis (AVN), infection, stiffness.The hospital radiology database was searched between 1998 2008. identified 16 consecutive patients aged 2 to 10 years, treated assessed clinical radiographic outcomes from presentation...

(1) Background: Diaphyseal forearm fractures are a common injury in children and adolescents. When operative treatment is needed, elastic stable intramedullary nailing (ESIN) the most surgical procedure. Although there no clear evidence, hardware removal after fracture healing performed many patients. Often, primary minimal invasive incision needs to be widened during implant removal. In order decrease burden of care pediatric fractures, significant efforts were made develop biodegradable...

Purpose: Our purpose was to analyze the impact of Pavlik Harness treatment on children motor skills development, comparing a control group. Methods: A total 121 were included: 55 cases (children with Developmental Dysplasia Hip) and 66 healthy controls. Cases recruited from 2017 2021 followed up 2022. Controls (healthy without orthopedic pathology) 2020 The primary endpoint time achievement three gross milestones (sitting support, hands-and-knees crawling, walking independently). Results:...

Subungual exostosis is a rare benign osteocartilaginous tumor, of unknown etiology, that affects the subungual part distal phalanx and predominantly adolescent females. The objective this study to evaluate results surgical treatment in pediatric patients by means excision nail preservation. We present retrospective study, including with who underwent single institution, over 6-year period, describe technique used, characteristics lesions, obtained terms function, satisfaction complications....

Although elbow fractures have a high incidence in the pediatric population, of capitellum are almost exclusively observed individuals older than 12 years age. Due to their rarity children, reports with large numbers cases lacking literature and surgical treatment options poorly defined. We present case an 11-year-old Portuguese girl displaced fracture right elbow, typical Hahn-Steinthal or Type 1 fracture, which was followed for one year. The outcome this described. Our patient underwent...

The objective of the study was to assess functional outcomes and quality life patients treated for tibial tubercle avulsion fractures (TTAFs). Retrospective under 18 years age from June 2011 May 2018. Demographic data included age, gender, mechanism injury, side, fracture classification, associated injuries, predisposing factors, type treatment. Clinical results knee range motion, pain, return sports, overall satisfaction, outcomes, complications. At final follow-up, Tegner Lysholm Knee...

Purpose The overriding fifth toe is a congenital triplane deformity that may cause aesthetic and functional concerns in children adolescents. This study aims to evaluate the results obtained when using Butler's arthroplasty treat this forefoot deformity. Methods We performed retrospective study, including all patients undergoing from January 1995 December 2012. Clinical records were reviewed determine age at date of surgery, gender, laterality, preoperative symptoms, success correction,...

Scientific education and a clinical background allow orthopaedic surgeons to perform leading research. Several resources, skills techniques may be developed maximize their research potential. Surgeon-researchers should develop Specific, Measurable, Achievable, Realistic, Time-defined (SMART) goals. It is critical define timeline – which can 1 year, 3 years, 5 years re-evaluate goals plan identify potential obstacles. Physician-scientists are product of training, funding, practice setting,...

This study aims to evaluate functional and esthetic outcomes of thumb duplication correction in pediatric age.Retrospective including all patients with undergoing surgical treatment between 2012 2017. We analyzed demographic data, technique, considering Tada, Horii, Tien scores, according the following parameters: active mobility metacarpophalangeal interphalangeal joints, stability, alignment, family's opinion about cosmetic function thumb. The Wassel-Flatt classification was used classify...

Finger deformities are a common reason for medical observation in children. Subtle clinical differences can have significant impact on the diagnosis and treatment of these patients. Identification basic diagnostic principles trigger thumb, finger, clasped thumb is paramount importance to all general practitioners, pediatricians, orthopedic surgeons who involved care The purpose this article review most important concepts regarding topics, focusing etiology, epidemiology, presentation,...

Esse estudo visa o uso de inibidores SGLT2 no tratamento da insuficiência cardíaca, impacto na mortalidade e hospitalizações. A pesquisa foi realizada indexador PubMed utilizando os termos ‘’SGLT2 inhibitors AND heart failure with reduced ejection fraction mortality reduction.’’. Os resultados apontam que tal condição grave requer uma monitorização continua envolvendo medidas variadas, como do co-transportador sódio-glicose tipo 2 (SGLT2), demonstrando redução 26% risco cardiovascular dos...

The main challenge in reconstruction after malignant bone tumour resection young children remains how and when growth-plates can be preserved which options remain if impossible.We describe different strategies to assure best possible long-term function for undergoing of tumours.Different resources are available treat with bones tumours: a) preoperative planning simulates scenarios limb reconstruction, facilitating decision-making surgical reconstructive techniques individual patients; b)...

The aim of this study is to assess the functional, emotional, and social adaptation pediatric patients submitted a hand ray resection treat traumatic injury. Retrospective undergoing resection, in period 2013–2022, performed two hospital institutions. Inclusion criteria: age less than 18 years, primary/secondary due etiology follow-up time more 1 year. Data concerning demographic information, lesion location, mechanism surgical description were collected. Functional outcomes (QuickDASH...