Clinical Research and Quality Improvement of Pediatric Orthopedics

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Orthopedics & Sports Medicine".

Deadline for manuscript submissions: closed (20 December 2022) | Viewed by 5265

Special Issue Editor


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Guest Editor
The Department of Orthopaedics and Sports Medicine, Boston Children's Hospital, Boston, MA, USA
Interests: pediatric foot and ankle deformity; pediatric trauma; vitamin D deficiency and implications in orthopaedics; general pediatric orthopaedics; quality improvement in pediatric orthopaedics

Special Issue Information

Dear Colleagues,

I am pleased to announce a Special Issue in the journal Children covering topics in pediatric orthopedic research and quality improvement initiatives. Here, we hope to highlight the field of pediatric orthopaedics and including topics such as treatment of foot deformity, hip dysplasia, scoliosis, pediatric orthopaedic trauma, and more. Quality improvement projects and initiatives are also encouraged! While pediatric orthopaedics is often considered a small subspecialty, the problems that are addressed affect millions of kids worldwide. Pediatric orthopaedic research improves the understanding of these problems and improves the care of all children. Therefore, we want to highlight this research and quality improvement projects with this Special Issue.

Dr. Susan T. Mahan
Guest Editor

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Keywords

  • pediatric orthopedic trauma
  • pediatric orthopedic quality improvement
  • pediatric orthopedic research
  • pediatric foot deformity
  • hip dysplasia
  • scoliosis

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Published Papers (2 papers)

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Research

7 pages, 554 KiB  
Article
Growth until Peak Height Velocity Occurs Rapidly in Early Maturing Adolescent Boys
by Toshiharu Tsutsui, Satoshi Iizuka, Wataru Sakamaki, Toshihiro Maemichi and Suguru Torii
Children 2022, 9(10), 1570; https://doi.org/10.3390/children9101570 - 18 Oct 2022
Cited by 5 | Viewed by 3191
Abstract
The timing and tempo of growth rate varies inter-individually during adolescence and can have an impact on athletic performance. This study aimed to determine the difference in growth rate for each maturity status. We combined data collected both retrospectively and prospectively from 78 [...] Read more.
The timing and tempo of growth rate varies inter-individually during adolescence and can have an impact on athletic performance. This study aimed to determine the difference in growth rate for each maturity status. We combined data collected both retrospectively and prospectively from 78 adolescent boys aged 12 years old; growth charts were collected from their elementary school records, and the height of each participant was subsequently measured every six months over a period of two years. Take Off Age (TOA), Peak Height Velocity Age (PHVA), and Final Height Age (FHA) were estimated using the AUXAL 3.1 program. Growth Tempo 1 and 2 were calculated by dividing the height increase by the time difference between TOA and PHVA, and FHA, respectively. Our results showed three group differences based on the maturation status of PHVA: Growth Tempo 1 and 2 were both higher in the early than during middle and late maturation. Additionally, entering the height at each event as a covariate, the group differences for Growth Tempo 1 did not change; however, for Growth Tempo 2, group differences were eliminated. Therefore, we conclude that during early maturation, growth from TOA to PHVA occurs rapidly and in a shorter period. Full article
(This article belongs to the Special Issue Clinical Research and Quality Improvement of Pediatric Orthopedics)
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6 pages, 207 KiB  
Article
Postoperative Urinary Catheterization in Children Treated with or without Epidural Analgesia after Orthopedic Surgery: A Retrospective Review of Practice
by Yotam Lior, Shimon Haim, Idan Katz, Barry Danino, Yuval Bar-Yosef and Margaret Ekstein
Children 2022, 9(9), 1316; https://doi.org/10.3390/children9091316 - 29 Aug 2022
Viewed by 1563
Abstract
Epidural analgesia is effective and an accepted treatment for postoperative pain. Urinary retention is a known complication, but its description is mostly in the adult literature. Management of urinary catheter (UC) placement and removal is an important consideration in children receiving epidural analgesia. [...] Read more.
Epidural analgesia is effective and an accepted treatment for postoperative pain. Urinary retention is a known complication, but its description is mostly in the adult literature. Management of urinary catheter (UC) placement and removal is an important consideration in children receiving epidural analgesia. This is a single-center, retrospective observational study which examined UC management in children undergoing lower extremity orthopedic surgery under general anesthesia with or without epidural analgesia from January 2019–June 2021. Of 239 children included, epidural analgesia was used in 57 (23.8%). They were significantly younger and had more co-morbidities. In total, 75 UCs were placed in the OR, 9 in the ward, and 7 re-inserted. UC placement in the epidural group was more common (93% vs. 17%, p < 0.001) and remained longer (3 days vs. 1 day, p = 0.01). Among children without intra-operative UC, ward placement was more common in the epidural cohort (60% vs. 1.6%, p = 0.007). OR UC placement and ward re-insertion were more common in children with neuromuscular disease (61% vs. 22%, p < 0.001), (17% vs. 3%, p = 0.001), respectively. Based on these findings, we hypothesize that it is justifiable to routinely place a UC intra-operatively in children who undergo hip or lower extremity surgery and are treated with epidural analgesia, and caution is advised before early UC removal in orthopedic children with NMD. Full article
(This article belongs to the Special Issue Clinical Research and Quality Improvement of Pediatric Orthopedics)
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