A5091489858- Knee injuries and reconstruction techniques
- Sports injuries and prevention
- Shoulder Injury and Treatment
- Total Knee Arthroplasty Outcomes
- Bone fractures and treatments
- Lower Extremity Biomechanics and Pathologies
- Orthopedic Surgery and Rehabilitation
- Osteoarthritis Treatment and Mechanisms
- Shoulder and Clavicle Injuries
- Hip and Femur Fractures
- Cardiovascular Effects of Exercise
- Elbow and Forearm Trauma Treatment
- Trauma and Emergency Care Studies
- Injury Epidemiology and Prevention
- Hip disorders and treatments
- Tendon Structure and Treatment
- Musculoskeletal synovial abnormalities and treatments
- Foot and Ankle Surgery
- Musculoskeletal Disorders and Rehabilitation
- Trauma Management and Diagnosis
- Anesthesia and Pain Management
- Pediatric Pain Management Techniques
- Orthopedic Infections and Treatments
- Adhesion, Friction, and Surface Interactions
- Orthopaedic implants and arthroplasty
Children's Hospital of Philadelphia
2016-2025
University of Pennsylvania
2016-2025
Boston Children's Hospital
2006-2025
Stanford University
2021-2025
Harvard University
2025
The University of Texas Southwestern Medical Center
2023-2025
Hospital for Special Surgery
2016-2024
University of Minnesota
2021-2024
Pennsylvania Hospital
2024
Vanderbilt University
2024
Background: In skeletally immature patients with an anterior cruciate ligament (ACL) tear and significant growth remaining, the risk of inducing a disturbance early reconstruction must be balanced against further intra-articular damage by delaying treatment until closer to skeletal maturity. Hypothesis: Increased time from injury ACL in children ≤14 years age will associated increased meniscal chondral injuries at reconstruction. Study Design: Cohort study; Level evidence, 3. Methods: With...
Background: Most surgeons believe that graft choice for anterior cruciate ligament (ACL) reconstruction is an important factor related to outcome; however, revision may be limited due previously used grafts. Hypotheses: Autograft use would result in increased sports function, activity level, and decreased osteoarthritis symptoms (as measured by validated patient-reported outcome instruments). failure reoperation rate 2 years after ACL reconstruction. Study Design: Cohort study; Level of...
Background: Titanium elastic nails are commonly used to stabilize femoral fractures in school-aged children, but there have been few studies assessing the risks and benefits of this procedure compared with those traditional traction application a spica cast. This prospective cohort study was designed evaluate these two methods treatment, specific focus on first year after injury, period when treatment method should greatest impact. Methods: Eighty-three consecutive six sixteen years age,...
In October 2017, the International Olympic Committee hosted an international expert group of physiotherapists and orthopaedic surgeons who specialise in treating researching paediatric ACL injuries. Representatives from American Orthopaedic Society for Sports Medicine, European Paediatric Society, Traumatology, Knee Surgery & Arthroscopy, Arthroscopy Pediatric North America Sociedad Latinoamericana de Artroscopia, Rodilla y Deporte attended. Physiotherapists with clinical research experience...
Treating ACL injuries in prepubescent patients requires balancing the risk of chondral and meniscal associated with delaying treatment against growth disturbance from early surgical reconstruction. Multiple physeal respecting techniques have been described to address this vulnerable population; however, none restore native attachments while keeping graft fixation entirely epiphysis.We describe a technique all-epiphyseal reconstruction for use skeletally immature patients. Intraoperative CT...
The factors that lead to patients failing multiple anterior cruciate ligament (ACL) reconstructions are not well understood.Multiple-revision ACL reconstruction will have different characteristics than first-time revision in terms of previous and current graft selection, mode failure, chondral/meniscal injuries, surgical charactieristics.Case-control study; Level evidence, 3.A prospective multicenter database was utilized for the time period from March 2006 June 2011. Patients were divided...
Background Tibial tuberosity fractures in adolescents are uncommon. We retrospectively reviewed all tibial (10–19) who presented to our level 1 pediatric trauma center over a 7-year period review fracture morphology, mechanism of injury, management including return play, as well complications. Additionally, we present the literature and treatment algorithm. Methods clinical charts radiographs consecutive patients with between 01 January 2000 2007. Data parameters included following: age...
In October 2017, the International Olympic Committee hosted an international expert group of physiotherapists and orthopaedic surgeons who specialise in treating researching paediatric anterior cruciate ligament (ACL) injuries. Representatives from American Orthopaedic Society for Sports Medicine, European Paediatric Society, Traumatology, Knee Surgery Arthroscopy, Arthroscopy Pediatric North America, Sociedad Latinoamericana de Artroscopia, Rodilla y Deporte attended. Physiotherapists with...
Recovery from anterior cruciate ligament reconstruction (ACLR) requires an intensive course of postoperative rehabilitation. Although guidelines outlining evidence-based rehabilitation recommendations have been published, actual practice patterns physical therapists are unknown.To analyze the current landscape clinical as it pertains to progression and use time objective criteria in following ACLR.In this cross-sectional study, online survey was distributed members Academy Orthopaedic...
Healthcare providers are increasingly searching for ways to provide cost-efficient, high-quality care. Previous studies on evaluating cost used estimated cost-to-charge ratios, which inherently inaccurate. The purpose of this study was quantify actual direct savings from performing pediatric orthopaedic sports day surgery at an ambulatory center (ASC) compared with a university-based children's hospital (UH).Custom-scripted accounting software queried line-item costs period 3 fiscal years...
Background: Anterior cruciate ligament (ACL) injuries are common in pediatric and adolescent patients. Understanding this population's injury characteristics treatment strategies is vital for managing high-risk group. Purpose: To report the descriptive epidemiology of a large cohort skeletally immature patients with complete ACL tears. Study Design: Cross-sectional study; Level evidence, 2. Methods: Consecutive diagnosed tears were enrolled at 10 institutions across United States. Treatment...
The purpose of this study was to evaluate anterior cruciate ligament reconstructions performed in adolescents with open physes and a skeletal age at least 14 years. At one center, from 1992 1996, 19 (ages, 11 15 years) years underwent arthroscopic reconstruction using an Achilles tendon allograft placed through drill holes across the both distal femur proximal tibia. Fifteen patients returned for reevaluation average 25 months postoperatively (range, 12 60 months); remaining four were...
Tibial eminence fractures are rare injuries in children and adolescents. Displaced require reduction fixation. Operative stabilization can be accomplished with either open or arthroscopic Whereas loss of extension has been reported, there no reports the literature that quantify motion provide guidance for treatment.To report a series patients who developed knee stiffness after operative treatment displaced tibial fractures.Case series; Level evidence, 4.Review medical records imaging studies...
In Brief BACKGROUND: This is an audit of the continuous peripheral nerve blockade (CPNB) program that was implemented at our institution to provide postoperative analgesia after orthopedic procedures in children. METHODS: We reviewed departmental regional anesthesia registry and medical records consecutive children who received CPNB for The Children's Hospital Philadelphia between February 2003 July 2006. Patients were prospectively followed until cessation effects and/or resolution any...
The optimal treatment of medial epicondyle fractures in pediatric athletes remains unclear.To evaluate the outcomes operative and nonoperative management young athletes.Case series; Level evidence, 4.The records all children with over a 5-year period, minimum 2 years follow-up at tertiary referral center, were reviewed. Patients intra-articular entrapment fracture fragment or ulnar nerve excluded. Treatment decisions made primarily based on injury mechanism elbow laxity instability....
All-epiphyseal anterior cruciate ligament (ACL) reconstruction is a well-described technique for skeletally immature patients. The purpose of this study was to elucidate the early complication rate and identify associated risk factors rerupture after procedure in children.We retrospectively reviewed patients who underwent all-epiphyseal ACL reconstructions performed at large, tertiary care children's hospital between January 2007 April 2013. Relevant postoperative data including development...
In the skeletally immature population, incidence of anterior cruciate ligament (ACL) injuries and ACL reconstructions appears to be increasing. Differences in surgical techniques, physiology, emotional maturity may alter rehabilitation progression impact outcomes when compared with adults. Reports objective strength recovery performance-based outcome measures after pediatric reconstruction (ACLR) are limited.Retrospective case series.Level 4.All patients that underwent all-epiphyseal ACLR...