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Children
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Advances in Orthopedic Problems and Their Treatment in Children
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Advances in Orthopedic Problems and Their Treatment in Children

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

Deadline for manuscript submissions: closed (31 July 2023) | Viewed by 3774

Special Issue Editor

Dr. Luigi Tarallo

E-Mail Website
Guest Editor
Orthopaedic Surgery and Traumatology Department, Azienda Ospedaliero-Universitaria Policlinico di Modena, University of Modena and Reggio Emilia, 41125 Modena, MO, Italy
Interests: shoulder and elbow surgery; paediatric traumatology; arthroscopy; hand surgery

Special Issue Information

Dear Colleagues,

“A child is not a young adult” is the golden rule for every specialist physician working in the various paediatric orthopaedic fields. From traumatology to oncology, in this population, each pathological condition of the wide orthopaedic spectrum presents specific patho-physiological mechanisms, definite classifications, distinct treatments, and also different outcomes from those presented by the adults. Moreover, various topics do not yet have an international consensus, and new technologies are emerging in the diagnostic and therapeutic processes. This Special Issue focuses on all aspects of advanced and new paediatric orthopaedic surgery and traumatology topics, seeks a precise update, and highlights recent concepts; thus, the central theme of this collection is very wide and interesting. We look forward to receiving your high-quality contributions, including reviews and original papers based on the most advanced knowledge of orthopaedic surgery and traumatology in children.

Dr. Luigi Tarallo
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • paediatric traumatology
  • shoulder paediatric surgery
  • elbow paediatric surgery
  • arthroscopy in children and adolescents
  • bone disease in children
  • paediatric musculo-skeletal oncology
  • developmental musculo-skeletal diseases
  • paediatric flat foot
  • intramedullary nailing in children
  • upper limb surgery in children
  • lower limb surgery in children

Published Papers (3 papers)

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Research

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10 pages, 622 KiB  
Article
The Impact of COVID-19 on Multidisciplinary Care Delivery to Children with Cerebral Palsy and Other Neuromuscular Complex Chronic Conditions
by Hillary Brenda Nguyen, Neha Mulpuri, Danielle Cook, Michael Greenberg, M. Wade Shrader, Ryan Sanborn, Kishore Mulpuri and Benjamin J. Shore
Children 2023, 10(9), 1555; https://doi.org/10.3390/children10091555 - 15 Sep 2023
Cited by 1 | Viewed by 999
Abstract
The COVID-19 pandemic has caused unprecedented challenges in the care of children with cerebral palsy (CP) and other neuromuscular complex chronic conditions (NCCCs). The purpose of this study is to explore the direct impact of the COVID-19 pandemic on healthcare delivery. From May [...] Read more.
The COVID-19 pandemic has caused unprecedented challenges in the care of children with cerebral palsy (CP) and other neuromuscular complex chronic conditions (NCCCs). The purpose of this study is to explore the direct impact of the COVID-19 pandemic on healthcare delivery. From May to August 2020, medical professionals caring for CP and NCCC patients across multiple countries and disciplines completed a self-administered cross-sectional survey comparing practices before and during the COVID-19 pandemic. Of the 79 healthcare workers from eight countries who participated—predominantly pediatric orthopedic surgeons (32%), pediatricians (30%), and pediatric physiatrists (23%)—most of them felt that caring for NCCC patients during the pandemic presented unique difficulties, and they reported a significant decrease in the in-person NCCC clinic volume (p < 0.001), multidisciplinary appointments (p < 0.001), surgical cases (p = 0.008), and botulinum toxin/phenol injections. Most providers affirmed that institutional guidelines for perioperative emergent/urgent and elective procedures, workplace settings, and technology were modified to accommodate the ongoing public health crisis. The usage of telemedicine significantly increased for NCCC patient visits (p < 0.001). During the COVID-19 pandemic, many children with NCCCs lost access to routine, multidisciplinary care. Telemedicine became an integral part of communication and management. In the setting of the COVID-19 pandemic and with the threat of future healthcare disruptions, these data lay the foundation for trending the evolution of healthcare delivery and accelerating best practice guidelines for children with CP and NCCCs. Full article
(This article belongs to the Special Issue Advances in Orthopedic Problems and Their Treatment in Children)
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10 pages, 737 KiB  
Article
Examination of Upper Extremity Length Discrepancy in Patients with Obstetric Brachial Plexus Paralysis
by Murat Danisman, Abdulsamet Emet, Ismail Aykut Kocyigit, Ercan Hassa and Akin Uzumcugil
Children 2023, 10(5), 876; https://doi.org/10.3390/children10050876 - 13 May 2023
Viewed by 1349
Abstract
Since the natural course of obstetric brachial plexus palsy is variable, several problems are encountered. One important question, in considering patients with OBPP under observation in outpatient clinical settings, is whether children will have length discrepancies in their arms. The aim of this [...] Read more.
Since the natural course of obstetric brachial plexus palsy is variable, several problems are encountered. One important question, in considering patients with OBPP under observation in outpatient clinical settings, is whether children will have length discrepancies in their arms. The aim of this study was to determine differences in the length of the affected extremity, in comparison to the opposite upper extremity. As such, 45 patients, aged 6 months to 18 years, with unilateral brachial plexus palsy developed due to obstetric reasons, were included in the study. Affected and healthy side humerus, ulna, radius, 2nd metacarpal and 5th metacarpal lengths were evaluated according to gender, age, side, Narakas classification, primary and secondary surgery. Statistically significant differences were found in the change rates of affected/healthy humerus, radius, 2nd metacarpal and 5th metacarpal lengths according to age (93%, 95%, 92%, 90% and 90%, respectively). Affected/healthy change rates of ulna, radius, 2nd metacarpal and 5th metacarpal lengths were found to differ statistically (p < 0.05) according to the Narakas classification variable (94%, 92%, 95%, 94% and 94%, respectively). There were no statistically significant differences in the ratios of affected/healthy change in the lengths of the humerus, ulna, radius and 5th metacarpal compared to the primary surgery (p > 0.05). The ratios of affected/healthy change in ulna, radius and 5th metacarpal lengths were found to differ statistically (p < 0.05) according to secondary surgeries (93%, 91%, 91% and 92%, respectively). Joint and bone deformities and bone shortening were observed after changes that occurred in the postnatal and growing periods due to obstetric brachial plexus palsy. Every increase in function to be gained in the upper extremity musculature was also potentially able to reduce problems, such as shortness. Full article
(This article belongs to the Special Issue Advances in Orthopedic Problems and Their Treatment in Children)
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Other

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13 pages, 665 KiB  
Systematic Review
Management and Outcomes of Tibial Eminence Fractures in the Pediatric Population: A Systematic Review
by Beatrice Limone, Francesco Zambianchi, Giorgio Cacciola, Stefano Seracchioli, Fabio Catani and Luigi Tarallo
Children 2023, 10(8), 1379; https://doi.org/10.3390/children10081379 - 13 Aug 2023
Cited by 2 | Viewed by 1051
Abstract
Background: Tibial eminence fractures (TEF) of Meyers–McKeever type II-III-IV usually require surgical management. No consensus in the literature has been achieved regarding the best treatment option. The aims of the present systematic review were (1) to analyze the current literature and describe the [...] Read more.
Background: Tibial eminence fractures (TEF) of Meyers–McKeever type II-III-IV usually require surgical management. No consensus in the literature has been achieved regarding the best treatment option. The aims of the present systematic review were (1) to analyze the current literature and describe the outcomes of surgical treatment for TEF; and (2) to compare the outcomes of different surgical options using arthroscopic reduction and internal fixation (ARIF) with sutures or screws and open reduction and internal fixation (ORIF). Methods: A search was carried out with Pubmed, Medline, and Cochrane. Key terms were used “tibial” AND “eminence” or “spine” or “intercondylar” AND “paediatric” or “children” AND “fracture” or “avulsion” AND “treatment”. Twelve articles met the inclusion criteria. Demographic data, clinical outcomes, and complication rates were evaluated for each study. Means/standard deviation and sum/percentage were used for continuous and categorical variables, respectively. Chi-square or t-student tests were applied. A p-value < 0.05 was considered statistically significant. Results: ORIF showed superior clinical outcomes (Tegner (p < 0.05) and Lysholm (p < 0.001) scores) relative to ARIF and a lower incidence of arthrofibrosis (p < 0.05) and implant removal (p < 0.01). The Tegner, IKDC, and Lysholm scores showed statistically significant superior results following arthroscopic sutures compared to arthroscopic screws (p < 0.001). The incidence of arthrofibrosis was higher after arthroscopic sutures (p < 0.05), the implant removal was higher after screw fixation (p < 0.001) Conclusions: Better clinical results with low complication rates were achieved with ORIF surgery rather than ARIF; arthroscopic suture fixation resulted in higher clinical results compared to arthroscopic screw fixation and reduced the incidence of postoperative complications. Full article
(This article belongs to the Special Issue Advances in Orthopedic Problems and Their Treatment in Children)
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