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Pediatric Orthopedic Surgery: Clinical Diagnosis, Treatment and Management
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Pediatric Orthopedic Surgery: Clinical Diagnosis, Treatment and Management

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Pediatrics".

Deadline for manuscript submissions: 25 September 2024 | Viewed by 2648

Special Issue Editor

Dr. Angelo Gabriele Aulisa

E-Mail Website
Guest Editor
1. IRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy
2. Department of Human Sciences, Society and Health, University of Cassino and Southern Lazio, Cassino, Italy
Interests: orthopedic surgery; sports medicine; musculoskeletal disorders; spinal cord injury; scoliosis

Special Issue Information

Dear Colleagues,

We are delighted to extend our deepest invitation to you for a Special Issue titled "Pediatric Orthopedic Surgery: Clinical Diagnosis, Treatment, and Management". This esteemed edition aims to explore the latest advancements and best practices in the field of pediatric orthopedic surgery.

With a focus on clinical diagnosis, treatment and management, this Special Issue seeks to enhance our understanding of the unique challenges and innovative solutions in pediatric orthopedics. Moreover, over the years, we have seen developments within all aspects of orthopedic surgery in children, using both surgical and non-surgical methods to correct and treat disease.

We invite researchers and experts from diverse backgrounds to contribute their original research, insightful reviews and thought-provoking perspectives.

By assembling a comprehensive collection of articles, we aspire to promote collaboration, disseminate knowledge and foster advancements in the field of pediatric orthopedic surgery.

Your expertise and contribution in this specialized field would be greatly valued and appreciated. We look forward to your active involvement in shaping this Special Issue and contributing to the broader scientific community.

Dr. Angelo Gabriele Aulisa
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. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly 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 2600 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

  • orthopedic disease
  • growing
  • children
  • innovation therapy
  • pediatric trauma surgery
  • pediatric orthopedic surgery
  • rehabilitation management
  • algorithms
  • infections

Published Papers (3 papers)

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Research

11 pages, 1083 KiB  
Article
Kinematic Effects of Derotational Osteotomy of the Humerus in Patients with Internal Shoulder Contracture Secondary to Erb’s Palsy—A Retrospective Cohort Study
by Anna-Lisa Pignet, Andreas Kranzl, Andrzej Hecker, Gerlinde Weigel, Lars-Peter Kamolz and Werner Girsch
J. Clin. Med. 2024, 13(10), 2759; https://doi.org/10.3390/jcm13102759 - 8 May 2024
Viewed by 274
Abstract
Background: Internal rotation contractures of the shoulder are common sequelae of conservatively treated obstetric brachial plexus palsy (OBPP) with incomplete spontaneous neurological recovery. Humerus derotation osteotomy has been suggested as a possible treatment option to improve arm positioning. However, consensus as to whether [...] Read more.
Background: Internal rotation contractures of the shoulder are common sequelae of conservatively treated obstetric brachial plexus palsy (OBPP) with incomplete spontaneous neurological recovery. Humerus derotation osteotomy has been suggested as a possible treatment option to improve arm positioning. However, consensus as to whether humerus derotation osteotomy can successfully restore limb function is missing. Methods: In the present controlled cohort study, we aimed at analyzing global upper extremity kinematics with a 3D-video analysis system in children with shoulder internal rotation contractures secondary to OBPP before, and one year after, humerus derotation osteotomy. Patients under 18 years of age that presented to our center with conservatively treated internal rotation contractures of the shoulder and subsequently underwent humerus derotation osteotomy were included. The unimpaired arm served as a respective control. Results: Pre-operatively, all patients showed severe internal rotation contractures of the shoulder of almost 60° at rest. At the follow-up, the position of the shoulder at rest was greatly shifted to 9° of internal rotation. The patients showed statistically significant improvement in maximum external rotation and abduction of the shoulder, as well as in maximum flexion of the elbow, and the range of motion of pro/supination. The maximum internal rotation of the shoulder, however, was diminished after the osteotomy. Conclusions: Our data indicated that derotational osteotomy is a promising procedure which can be used to correct for internal rotation contractures secondary to OBPP. Moreover, 3D-video analysis proved to be a useful tool that supplies the surgeon with both precise information about the degree of distortion pre-operatively, thus helping to decide on the amount of correction, and secondly, a measurement of the post-operative gain in upper extremity function. Full article
(This article belongs to the Special Issue Pediatric Orthopedic Surgery: Clinical Diagnosis, Treatment and Management)
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10 pages, 484 KiB  
Article
Evaluation of Gartland Classification, Baumann Angle and Anterior Humeral Line in Paediatrics Supracondylar Fractures: An Inter and Intra-Observer Reliability Study
by Valeria Calogero, Angelo Gabriele Aulisa, Silvia Careri, Giulia Masci, Giuseppe Mastantuoni, Francesco Falciglia and Renato Maria Toniolo
J. Clin. Med. 2024, 13(1), 167; https://doi.org/10.3390/jcm13010167 - 28 Dec 2023
Viewed by 1054
Abstract
Supracondylar fractures of the humerus are frequent paediatric injuries. The aims of this study were to evaluate the applicability and reproducibility of the Gartland and Wilkins classification, the Baumann angle (BA) and the Anterior Humeral Line (AHL). This retrospective monocentric observational study was [...] Read more.
Supracondylar fractures of the humerus are frequent paediatric injuries. The aims of this study were to evaluate the applicability and reproducibility of the Gartland and Wilkins classification, the Baumann angle (BA) and the Anterior Humeral Line (AHL). This retrospective monocentric observational study was conducted on 217 patients. Four observers assessed the pre-operative radiographs by applying the Gartland and Wilkins classification and the post-operative X-rays by measuring the BA and AHL. The kappa coefficient (K) and the Cohen’s kappa were used for the reliability of the Gartland classification; the Intraclass Correlation Coefficient (ICC) for that of the BA. The AHL was evaluated in a double manner by using first the K and the Cohen’s kappa and then the ICC. A total of 186 patients were eligible. Inter-observer reliability for the Gartland classification was K = 0.73–0.61 for type III, 0.65–0.61 for type Ia and 0.43–0.26 for type IIb. The Baumann angle mean value in the first data collection was 73.5 ± 6.85 (inter-observer ICC 0.74) and 72.9 ± 6.83 (inter-observer ICC 0.77) for the second data collection; AHL: inter-observer ICC 0.87 for the first evaluation and 0.80 for the second one. Gartland’s classification modified by Wilkins has a high degree of reliability. BA and AHL appear reproducible and reliable. Full article
(This article belongs to the Special Issue Pediatric Orthopedic Surgery: Clinical Diagnosis, Treatment and Management)
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11 pages, 633 KiB  
Article
Management of Open Pediatric Fractures: Proposal of a New Multidisciplinary Algorithm
by Angelo Gabriele Aulisa, Martina Marsiolo, Luca Basiglini, Cristian Aletto, Marco Giordano and Francesco Falciglia
J. Clin. Med. 2023, 12(19), 6378; https://doi.org/10.3390/jcm12196378 - 6 Oct 2023
Viewed by 1042
Abstract
Background: An algorithm for managing open fractures in children is still being debated; the present study suggests an evidence-based way to manage these patients in the emergency department. Methods: The literature on “Open fractures in children” was carefully analyzed using keywords. The primary [...] Read more.
Background: An algorithm for managing open fractures in children is still being debated; the present study suggests an evidence-based way to manage these patients in the emergency department. Methods: The literature on “Open fractures in children” was carefully analyzed using keywords. The primary sources were The Cochrane Library, PubMed, and Researchgate. Conclusion: We proposed an evidence-based algorithm for managing open fractures in children to standardize clinical practice and improve the care of these patients. Full article
(This article belongs to the Special Issue Pediatric Orthopedic Surgery: Clinical Diagnosis, Treatment and Management)
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