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Children
Special Issues
Treatment of Childhood Fractures and Trauma
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Treatment of Childhood Fractures and Trauma

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

Deadline for manuscript submissions: 10 February 2025 | Viewed by 1800

Special Issue Editors

Dr. Ferdinand Wagner

E-Mail Website
Guest Editor
1. Department of Orthopaedics and Trauma Surgery, Musculoskeletal Universitycenter Munich (MUM), LMU University Hospital, LMU Munich Marchioninistrasse 15, 81337 Munich, Germany
2. Department of Pediatric Surgery, Dr. von Hauner Children’s Hospital, LMU University Hospital, 80337 Munich, Germany
3. Institute of Health and Biomedical Innovation, Queensland University of Technology (QUT), Brisbane, QLD, Australia
Interests: pediatric trauma; posttraumatic deformities; polytrauma management
Prof. Dr. Oliver J. Muensterer

E-Mail Website
Guest Editor
Department of Pediatric Surgery, Dr. von Hauner Children’s Hospital, LMU University Hospital, Lindwurmstrasse 4, 80337 Munich, Germany
Interests: pediatric trauma; pediatric burns; pediatric foregut disease; esophageal atresia; minimal-invasive pediatric surgery

Special Issue Information

Dear Colleagues,

Pediatric trauma is a common occurrence and carries a substantial risk of long-term morbidity and disability. However, expertise in this area is often diluted because most pediatric trauma is managed in facilities that mainly treat adult patients. Treatment of children, however, requires special expertise. Treatment of two age groups are particularly controversial: those very young (under 5 years of age) and adolescents. In young children, a nonoperative approach often yields better results. If operative intervention is considered, care must be taken not to compromise long-term growth by injury to the growth plates. In the older group, the question arises of at what stage adolescent patients should be subjected to adult surgical methods.

This issue focuses on patients in the aforementioned age groups, comparing different contemporary and innovative therapeutic methods, as well as nonoperative and operative algorithms. We will address the treatment of post-traumatic deformities and indications for surgical intervention. In addition, international experts discuss current pediatric polytrauma management, and how to deal with nonaccidental trauma.

We hope that, with this Special Issue, we can provide a guide for this special patient population.

Dr. Ferdinand Wagner
Prof. Dr. Oliver J. Muensterer
Guest Editors

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

  • pediatric trauma
  • pediatric trauma imaging
  • growth guidance
  • pediatric polytrauma management
  • nonaccidental trauma in children

Published Papers (2 papers)

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Research

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11 pages, 425 KiB  
Article
Validation of the Conventional Trauma and Injury Severity Score and a Newly Developed Survival Predictive Model in Pediatric Patients with Blunt Trauma: A Nationwide Observation Study
by Chiaki Toida, Takashi Muguruma, Masayasu Gakumazawa, Mafumi Shinohara, Takeru Abe and Ichiro Takeuchi
Children 2023, 10(9), 1542; https://doi.org/10.3390/children10091542 - 12 Sep 2023
Cited by 1 | Viewed by 911
Abstract
To date, there is no clinically useful prediction model that is suitable for Japanese pediatric trauma patients. Herein, this study aimed to developed a model for predicting the survival of Japanese pediatric patients with blunt trauma and compare its validity with that of [...] Read more.
To date, there is no clinically useful prediction model that is suitable for Japanese pediatric trauma patients. Herein, this study aimed to developed a model for predicting the survival of Japanese pediatric patients with blunt trauma and compare its validity with that of the conventional TRISS model. Patients registered in the Japan Trauma Data Bank were grouped into a derivation cohort (2009–2013) and validation cohort (2014–2018). Logistic regression analysis was performed using the derivation dataset to establish prediction models using age, injury severity, and physiology. The validity of the modified model was evaluated by the area under the receiver operating characteristic curve (AUC). Among 11 predictor models, Model 1 and Model 11 had the best performance (AUC = 0.980). The AUC of all models was lower in patients with survival probability Ps < 0.5 than in patients with Ps ≥ 0.5. The AUC of all models was lower in neonates/infants than in other age categories. Model 11 also had the best performance (AUC = 0.762 and 0.909, respectively) in patients with Ps < 0.5 and neonates/infants. The predictive ability of the newly modified models was not superior to that of the current TRISS model. Our results may be useful to develop a highly accurate prediction model based on the new predictive variables and cutoff values associated with the survival mortality of injured Japanese pediatric patients who are younger and more severely injured by using a nationwide dataset with fewer missing data and added valuables, which can be used to evaluate the age-related physiological and anatomical severity of injured patients. Full article
(This article belongs to the Special Issue Treatment of Childhood Fractures and Trauma)
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Review

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20 pages, 741 KiB  
Review
Management of Pediatric Solid Organ Injuries
by Bailey D. Lyttle, Regan F. Williams and Steven Stylianos
Children 2024, 11(6), 667; https://doi.org/10.3390/children11060667 - 30 May 2024
Viewed by 493
Abstract
Solid organ injury (SOI) is common in children who experience abdominal trauma, and the management of such injuries has evolved significantly over the past several decades. In 2000, the American Pediatric Surgical Association (APSA) published the first societal guidelines for the management of [...] Read more.
Solid organ injury (SOI) is common in children who experience abdominal trauma, and the management of such injuries has evolved significantly over the past several decades. In 2000, the American Pediatric Surgical Association (APSA) published the first societal guidelines for the management of blunt spleen and/or liver injury (BLSI), advocating for optimized resource utilization while maintaining patient safety. Nonoperative management (NOM) has become the mainstay of treatment for SOI, and since the publication of the APSA guidelines, numerous groups have evaluated how invasive procedures, hospitalization, and activity restrictions may be safely minimized in children with SOI. Here, we review the current evidence-based management guidelines in place for the treatment of injuries to the spleen, liver, kidney, and pancreas in children, including initial evaluation, inpatient management, and long-term care, as well as gaps that exist in the current literature that may be targeted for further optimization of protocols for pediatric SOI. Full article
(This article belongs to the Special Issue Treatment of Childhood Fractures and Trauma)
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