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Children
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New Trends in Pediatric Orthopedic Trauma
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New Trends in Pediatric Orthopedic Trauma

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

Deadline for manuscript submissions: 15 June 2024 | Viewed by 3358

Special Issue Editors

Prof. Dr. Mark Eidelman

E-Mail Website
Guest Editor
Pediatric Orthopedics, Ruth Rappaport Children’s Hospital, Rambam Health Care Campus, Haifa, Israel
Interests: pediatric orthopedics; deformity correction; pediatric hip; pediatric trauma
Dr. Pavel Kotlarsky

E-Mail Website
Guest Editor Assistant
Pediatric Orthopedics, Ruth Rappoport Children’s Hospital, Haifa, Israel
Interests: pediatric orthopedics; orthopedic surgery; sports injuries treatment and rehabilitation

Special Issue Information

Dear Colleagues,

Pediatric orthopedic trauma has immense importance in the realm of children’s health and wellbeing. Children are particularly vulnerable to orthopedic injuries due to their active lifestyles and developing musculoskeletal systems. The prompt and appropriate management of pediatric musculoskeletal injuries is crucial to prevent long-term complications, promote optimal healing, and restore function. Early intervention and comprehensive care can substantially improve the physical and emotional recovery of young patients, allowing them to regain their mobility, independence, and overall quality of life.

Over the last few decades, pediatric orthopedics has witnessed substantial advancements, including improvements in diagnostic imaging and surgical equipment, advanced implant design, and the evolution of surgical techniques. The purpose of this Special Issue is to provide updated information and current trends in the treatment of pediatric orthopedic trauma, thus helping healthcare providers to stay current and provide the highest quality of care to patients.

Contributions from all colleagues are welcome.

Prof. Dr. Mark Eidelman
Guest Editor

Dr. Pavel Kotlarsky
Guest Editor Assistant

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 orthopedics
  • pediatric trauma
  • fractures
  • fixation of fractures
  • musculoskeletal injuries
  • open reduction internal fixation
  • closed reduction internal fixation
  • closed reduction percutaneous pinning

Published Papers (3 papers)

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Research

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14 pages, 7891 KiB  
Article
Hip Joint Stability during and after Femoral Lengthening in Congenital Femoral Deficiency
by Jędrzej Tschurl, Milud Shadi and Tomasz Kotwicki
Children 2024, 11(4), 500; https://doi.org/10.3390/children11040500 - 22 Apr 2024
Viewed by 418
Abstract
Background: Hip stability remains a major preoccupation during femoral lengthening in Congenital Femoral Deficiency (CFD). We aimed to review hip stability in Paley type 1a CFD patients undergoing femoral lengthening. Methods: A total of 33 patients with unilateral CFD, who were treated between [...] Read more.
Background: Hip stability remains a major preoccupation during femoral lengthening in Congenital Femoral Deficiency (CFD). We aimed to review hip stability in Paley type 1a CFD patients undergoing femoral lengthening. Methods: A total of 33 patients with unilateral CFD, who were treated between 2014 and 2023, were retrospectively reviewed. In 20/33 cases (60.6%) the SUPERhip preparatory surgery was performed at a mean age of 4.3 years (range 2.7–8.1). The femoral lengthening using an external fixator was performed at a mean age of 7.8 years (range 4.3–14.3). Results: All patients presented with a stable hip joint after preparatory surgery and during femoral lengthening. Six cases of hip instability at a mean of 637 days after the external fixator removal were observed (range 127 to 1447 days). No significant differences between stable and unstable hips were noted for (1) Center-Edge Angle: 23.7 vs. 26.1 deg; (2) Acetabular Inclination: 12.8 vs. 11.7 deg; and (3) Ex-Fix Index: 35.6 days/cm vs. 42.4 days/cm; p > 0.05. Late hip instability was related to Coxa Vara and decreased femoral antetorsion before lengthening. Conclusions: Late hip joint instability in Paley type 1a CFD patients may occur long after femoral lengthening despite hip morphology appearing to be normal on radiograms before and at the end of femoral lengthening. Coxa Vara, femoral torsional deformity, and posterior acetabular deficiency might be risk factors for hip instability. Full article
(This article belongs to the Special Issue New Trends in Pediatric Orthopedic Trauma)
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13 pages, 1066 KiB  
Article
The Significance of Selecting an Appropriate Patient-Reported Outcome Measure (PROM): A Cross-Cultural Adaptation of the Specific Paediatric International Documentation Committee Subjective (Pedi-IKDC) Knee Form
by Viktorija Brogaitė Martinkėnienė, Donatas Austys, Andrius Šaikus, Andrius Brazaitis, Giedrius Bernotavičius, Aleksas Makulavičius and Gilvydas Verkauskas
Children 2023, 10(12), 1930; https://doi.org/10.3390/children10121930 - 14 Dec 2023
Viewed by 898
Abstract
Introduction: The selection of an appropriate PROM is a crucial aspect in assessing outcomes. Questionnaires that have not been designed or validated for a paediatric population are routinely used. Using a questionnaire requires translation, cultural adaptation, and testing the psychometric properties of the [...] Read more.
Introduction: The selection of an appropriate PROM is a crucial aspect in assessing outcomes. Questionnaires that have not been designed or validated for a paediatric population are routinely used. Using a questionnaire requires translation, cultural adaptation, and testing the psychometric properties of the translated questionnaire. There is no applicable questionnaire in our country for children with knee-specific conditions in sports orthopaedics. Therefore, this study aims to translate, culturally adapt, and assess the psychometric properties of the Paediatric IKDC (Pedi-IKDC) questionnaire within the Lithuanian paediatric population. Methods: The translation was conducted in accordance with international standards. Patients aged 11–17 years with various knee disorders participated in three surveys and completed the Pedi-IKDC, Lysholm, and PedsQL questionnaires. Interviews with patients following the translation process, in addition to floor and ceiling effects, were used to assess content validity. Cronbach alpha (α) statistics and the intraclass correlation coefficient (ICC) were applied to measure internal consistency and reproducibility, respectively. The standard error of measurement (SEM) and smallest detectable change (SDC) were calculated to assess reliability. Pearson correlations were calculated between Pedi-IKDC and Lysholm PedsQL scores to determine criteria validity. The effect size (ES) and standardised response mean (SRM) were calculated to assess the responsiveness to change. Results: Cronbach’s alpha (α) was 0.91 for the total score, 0.75 for symptoms, and 0.92 for the sport/function component. The ICC for overall scores was 0.98, with each question ranging from 0.87 to 0.98. The SEM was 2.97, and the SDC was 8.23. Lysholm and PedsQL physical functioning domain scores had moderate correlations (0.8 > r > 0.5), and the overall PedsQL score had a weak correlation (0.5 > r > 0.2) to the Pedi-IKDC score. The floor and ceiling effects were 3.3% and 1.6%, respectively. The SRM was 1.72 and the ES was 1.98. Conclusions: The Lithuanian Pedi-IKDC version is an appropriate evaluation instrument for assessing outcomes in children with knee disorders. All of the psychometric features produced acceptable results. Full article
(This article belongs to the Special Issue New Trends in Pediatric Orthopedic Trauma)
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Review

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21 pages, 1258 KiB  
Review
Traffic Accidents in Children and Adolescents: A Complex Orthopedic and Medico-Legal Approach
by Ștefan Popa, Carmen Iulia Ciongradi, Ioan Sârbu, Ovidiu Bîcă, Irene Paula Popa and Diana Bulgaru-Iliescu
Children 2023, 10(9), 1446; https://doi.org/10.3390/children10091446 - 24 Aug 2023
Cited by 2 | Viewed by 1635
Abstract
Traffic accidents involving children and adolescents present complex challenges from both the medico-legal and orthopedic standpoints. Despite the implementation of road traffic safety laws, pediatric road traffic injuries continue to be a significant contributor to mortality rates, physical harm, and hospitalization on a [...] Read more.
Traffic accidents involving children and adolescents present complex challenges from both the medico-legal and orthopedic standpoints. Despite the implementation of road traffic safety laws, pediatric road traffic injuries continue to be a significant contributor to mortality rates, physical harm, and hospitalization on a global scale. For children and young people, automobile accidents are considered to be the primary culprit of mortality in developed nations. Even in highly developed nations, trauma is a significant factor in infant mortality. Each age category, from childhood to young adulthood, has its fracture patterns, as their skeletons are considerably different from those of adults. The consequences of traffic accidents extend beyond the immediate physical trauma. The medico-legal aspects surrounding these incidents add another layer of complexity, as legal repercussions may affect the responsible adult or parent, particularly in cases involving child fatalities. To effectively address traffic accidents in children and adolescents, a comprehensive approach is necessary. This approach should involve not only medical professionals but also legal experts and policymakers. Collaboration between orthopedic specialists, medico-legal professionals, law enforcement agencies, and relevant government bodies can facilitate the development and implementation of strategies aimed at prevention, education, the enforcement of traffic laws, and improved infrastructure. By addressing both the medical and legal aspects, it is possible to enhance road safety for children and adolescents, reducing the incidence of injuries and their associated long-term consequences. In this review, we aimed to summarize traffic accidents in children and adolescents from a complex orthopedic and medico-legal approach. Full article
(This article belongs to the Special Issue New Trends in Pediatric Orthopedic Trauma)
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