Paediatric Orthopaedic Trauma in Clinical Practice

2015 ◽  
Keyword(s):  
Clinical Practice ◽  
Orthopaedic Trauma ◽  
Paediatric Orthopaedic

scholarly journals Interobserver Reliability of Pirani and Dimeglio Scores in the Clinical Evaluation of Idiopathic Congenital Clubfoot

Children ◽  
2021 ◽  
Vol 8 (8) ◽  
pp. 618
Author(s):  
Vito Pavone ◽  
Andrea Vescio ◽  
Annalisa Culmone ◽  
Alessia Caldaci ◽  
Piermario La Rosa ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Evaluation ◽  
Interobserver Reliability ◽  
Strongly Correlated ◽  
Congenital Talipes Equinovarus ◽  
Orthopaedic Surgeons ◽  
Careful Preparation ◽  
Talipes Equinovarus ◽  
Pediatric Orthopaedic ◽  
Paediatric Orthopaedic

Background: Dimeglio (DimS) and Pirani (PirS) scores are the most common scores used in congenital talipes equinovarus (CTEV) clinical practice. The aim of this study was to evaluate the interobserver reliability of these scores and how clinical practice can influence the clinical outcome of clubfoot through the DimS and Pirs. Methods: Fifty-four feet were assessed by six trained independent observers through the DimS and PirS: three consultants (OS), and three residents (RS) divided into three pediatric orthopaedic surgeons (PeO) and three non-pediatric orthopaedic surgeons (NPeO). Results: The PirS and DimS Scores were strongly correlated. In the same way, OS and RS, PirS, and DimS scores were strongly correlated, and the interobserver reliability ranked “good” in the comparison between PeO and NPeO. In fully trained paediatric orthopaedic surgeons, an “excellent” interobserver reliability was found but was only “good” in the NPeO cohort. Conclusions: In conclusion, after careful preparation, at least six months of observation of children with CTEV, PirS and DimS proved to be valid in terms of clinical evaluation. However, more experience with CTEV leads to a better clinical evaluation.

Clinical practice in prevention of fracture-related infection: An international survey among 1197 orthopaedic trauma surgeons

Injury ◽  
2019 ◽  
Vol 50 (6) ◽  
pp. 1208-1215 ◽  
Author(s):  
Jan Puetzler ◽  
Charalampos Zalavras ◽  
Thomas F. Moriarty ◽  
Michael H.J. Verhofstad ◽  
Stephen L. Kates ◽  
...  
Keyword(s):  
Clinical Practice ◽  
International Survey ◽  
Orthopaedic Trauma ◽  
Trauma Surgeons

Management of acute paediatric fractures treated surgically in the UK: a cross-sectional study

2021 ◽  
Author(s):  
MS Rashid ◽  
S Dorman ◽  
S Humphry ◽  
Keyword(s):  
National Standards ◽  
Humeral Fractures ◽  
Orthopaedic Trauma ◽  
Forearm Fractures ◽  
Supracondylar Fractures ◽  
Kirschner Wires ◽  
Radius Fractures ◽  
Supracondylar Humeral Fractures ◽  
Both Bones ◽  
Paediatric Orthopaedic

Introduction The epidemiology of acute paediatric orthopaedic trauma managed surgically across the NHS is poorly described. Compliance against national standards for the management of supracondylar humeral fractures is also unknown at a national level. Methods Collaborators in 129 NHS hospitals prospectively collected data on surgically managed acute paediatric orthopaedic trauma cases. Data were collected over a seven-day period and included demographics, injury characteristics, operative details and timing of surgery. A national audit was also undertaken to evaluate compliance with the British Orthopaedic Association Standards for Trauma Guideline 11: Supracondylar Fractures of the Humerus in Children. Results Data were captured on 770 surgically treated cases. The three most common injuries were forearm fractures of both bones (n = 235), distal radius fractures (n = 194) and supracondylar elbow fractures (n = 89). The mode day of injury was Friday (n = 136) and the mode day of surgery was Saturday (n = 138). 88% of supracondylar fractures received surgery on the day of presentation or the following day. Only 14% of supracondylar fractures were treated surgically after 8pm; 33/89 used 2.0mm Kirschner wires, 38/89 used 1.6mm wires and 2/89 used 1.2mm wires. Conclusion Forearm fractures of both bones, distal radius fractures and supracondylar humeral fractures were the three most common injuries treated surgically. There is wide variation in compliance against national standards in the management of supracondylar humeral fractures with 88% undertaking surgery on the day of or the day following presentation but only 37% using the recommended 2.0mm Kirschner wires.

scholarly journals Epidemiology of paediatric orthopaedic-related trauma injuries sustained across a lockdown period during the COVID-19 pandemic

2021 ◽  
Vol 29 (3) ◽  
pp. 230949902110661
Author(s):  
Joel ZY Soo ◽  
Ruiqin B Sio ◽  
Mohammad Ashik ◽  
Kenneth PL Wong ◽  
Kerk Hsiang Chua ◽  
...  
Keyword(s):  
Secondary School ◽  
School Children ◽  
Traumatic Injury ◽  
Orthopaedic Trauma ◽  
Recreational Facilities ◽  
Patient Demographics ◽  
Elbow Injuries ◽  
Paediatric Orthopaedic ◽  
Comparison Patient ◽  
Primary And Secondary School

Objectives Lockdowns have been implemented by countries to slow down SARS-CoV-2 transmission. Singapore’s lockdown was enforced between 7 April 2020 and 1 June 2020. The objective of this study was to compare the epidemiology of paediatric orthopaedic trauma injuries during and immediately after the lockdown, with a non-pandemic period in 2019. Methods All paediatric outpatients and inpatients seen in our hospital following an orthopaedic-related traumatic injury from the 8-week lockdown and 8 weeks post-lockdown were evaluated. Cases for matched periods in 2019 were identified retrospectively for baseline comparison. Patient demographics, venue of injury, anatomic location of injury, caregiver supervision and location of procedures performed in the hospital were assessed. Results 968 and 2810 injuries were observed in 2020 and 2019, respectively. While the proportion of injuries sustained by pre-schoolers and toddlers increased, those sustained by primary and secondary school children decreased in 2020 ( p < 0.001). Majority of the injuries during the lockdown were sustained at home compared to schools or public recreational facilities ( p < 0.001). Hand (26.2%) and elbow (20.8%) injuries were the most common during the lockdown. The proportion of procedures performed in the Children’s Emergency during the lockdown was more than twice that of the same period in 2019 ( p < 0.001). Conclusion Our study showed a 2.9-fold decrease in orthopaedic-related injuries seen during the peri-lockdown period compared to a non-pandemic period. Pre-schoolers seem to be most vulnerable to injuries during the lockdown. Hand and elbow injuries were most common.

scholarly journals The increase in paediatric orthopaedic trauma injuries following the end of the curfew during the COVID-19 period

2021 ◽  
pp. 1-6
Author(s):  
Mahmut Kalem ◽  
Emre Anıl Özbek ◽  
Hakan Kocaoğlu ◽  
Abdullah Merter ◽  
Mustafa Onur Karaca ◽  
...  
Keyword(s):  
Length Of Hospital Stay ◽  
Neuromuscular Control ◽  
High Energy ◽  
Trauma Patients ◽  
Age Group ◽  
Orthopaedic Trauma ◽  
Level Of Evidence ◽  
Lower Extremity Muscle ◽  
Paediatric Age ◽  
Paediatric Orthopaedic

Purpose The aim of this study was to compare the injury patterns of orthopaedic trauma patients in the paediatric age group who presented to our hospital during and after lifting the curfew due to the pandemic, with the patients of the same age group who presented to our institution during the same time period last year. Methods Patients, aged 0 years to 18 years, who presented to our clinic between 21 March 2020 and 31 May 2020 (during curfew) (Group A1, n = 111), between 01 June 2020 and 31 August 2020 (Group A2, n = 214) and during the same periods in 2019 Group B1 (n = 220) and Group B2 (n = 211) were included. Patients with pathological fractures, traumas occurring earlier than the aforementioned date range and those consulted while being hospitalized in another department were excluded from study. Patients’ demographics, the department they presented to, the anatomical region affected by trauma, trauma mechanism, the location of trauma, the treatment applied and the length of hospital stay were recorded. Results The prevalence of outdoor traumas (72.9% versus 61.1%), high-energy traumas (40.1% versus 26.5%), the rate of the patients treated with surgery (28% versus 17.1%) and the rate of admission to the emergency department (90.2% versus 58.3%) were significantly higher in Group A2 when compared with Group B2 (p < 0.05). Conclusion The significant increase was observed in the number of outdoor injuries, high-energy traumas and fracture patterns that require surgical treatment during the first three months following the lift of the curfew, in comparison with the corresponding dates from last year. We think that children’s lower extremity muscle strength and neuromuscular control was decreased due to staying home for a prolonged period of time. Level of Evidence Level III, Case-control study.

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