Peds Ortho

A special episode recorded live at IPOS, the International Pediatric Orthopaedic Symposium. Esteemed guests include Jon Schoenecker from Vanderbilt, Will Mackenzie from Nemours, Michelle Wellborn from the Portland Shriners Hospital, Tom McPartland from Rutgers, Haemish Crawford from Starship Hospital in New Zealand, and Deborah Eastwood from Great Ormond Street Hospital in London. In lieu of sponsorship, the episode includes a feature on OrthoKids.org, POSNA's informational website for patients and parents (posters and other material for your clinic available at www.cliniccreative.net). Your hosts are Carter Clement from Children's Hospital of New Orleans, Craig Louer from Vanderbilt, and Nick Fletcher from Children's Healthcare of Atlanta. Music by A.A. Aalto.

Dustin Greenhill from St. Luke’s in Pennsylvania discusses femur fractures, subspecialty consultation before high-risk spine surgery, forearm fractures in obese children, and a variety of hip-related issues from recent publications. Your hosts are Julia Sanders from Children’s Hospital Colorado, Carter Clement from Children’s Hospital of New Orleans, Craig Louer from Vanderbilt, and Josh Holt from University of Iowa. This episode is sponsored by OrthoFix. Music by A. A. Aalto.

 

Papers discussed:

 

Greenhill, Allred, Feldman, Herman. Vascular Safe Zone During Percutaneous Pinning of the Distal Femur. JPO 2022.

 

Greenhill, Herman. Treatment of Pediatric Femoral Shaft Fractures. JAAOS 2022.

 

Bauer, Sienko, Roy, et al. The incidence of avascular necrosis in children with cerebral palsy after hip containment surgery. JCO 2022.

 

Visser, Lehman, Armstrong. Does Routine Subspecialty Consultation Before High-Risk Pediatric Spine Surgery Decrease the Incidence of Complications? JPO 2022.

 

Murphy, Howells, Gallagher, et al. Children's Hip Predictive (CHiP) Score: A Triage Tool for Hip Dislocation in Children Referred With Suspected Hip Dysplasia. JPO 2022.

 

Lyons, McGregor, Hoyt, et al. Do Forearm Fracture Characteristics and Outcomes Differ Between Obese and Non-Obese Children? Original Research. JPOSNA 2022.

 

Smith, Block, Eisenberg, Shoenecker, Clohisy, Nepple. Characterizing the Residual SCFE Deformity: Utility of the 45-degree Dunn View. JPO 2022.

Heather Kowalski of The University of Iowa joins the show to discuss her recent JPOSNA publications on resident education through state-of-the-art simulation and her efforts to promote diversity and inclusion in our field. She “stirs the pot” on a variety of controversial topics in pediatric trauma and limb length inequality. Your hosts are Josh Holt from University of Iowa, Carter Clement from Children’s Hospital of New Orleans, Craig Louer from Vanderbilt, and Julia Sanders from Children’s Hospital Colorado. Music by A.A. Aalto.

  

Main Event Articles:

 

1) Holt et al. Integrating Simulation for Developing Pediatric Supracondylar Humeral Fracture Reduction and Fixation Skills into an Orthopaedic Surgery Residency Program. JPOSNA 2022.

 

2) Holt et al. Integrating Simulation for Developing Slipped Capital Femoral Epiphysis Fixation Skills into an Orthopaedic Surgery Residency Program. JPOSNA 2022.

 

3) Thomas et al. A Vision for Using Simulation & Virtual Coaching to Improve the Community Practice of Orthopedic Trauma Surgery. Iowa Orthop J. 2020.

 

Lightning Round Articles:

 

1) Georgiadis et al. Motorized Plate Lengthening of the Femur in Children: A Preliminary Report. JPO 2022.

 

2) Mahan et al. Fully displaced pediatric supracondylar humerus fractures: Which ones need to go at night? JCO 2022.

 

3) Weinmayer et al. Angular deformities after percutaneous epiphysiodesis for leg length discrepancy. JCO 2022.

 

4) Miller et al. Unilateral versus bilateral reconstructive hip surgery in children with cerebral palsy: A survey of pediatric orthopedic surgery practice and decision-making. JCO 2022.

 

5) Vij et al. Ethnic and Sex Diversity in Academic Orthopaedic Surgery: A Cross-sectional Study. JAAOS Glob Res Rev. 2022.

Dr. Maryse Bouchard from The Hospital for Sick Children ("SickKids") in Toronto honors the show with her presence this month. The conversation focuses on her specialties of foot & ankle and limb deformity but also branches into other areas. Thanks to our sponsor, Nemours Children's Health. Your hosts are Craig Louer from Vanderbilt, Carter Clement from Children's Hospital of New Orleans, Josh Holt from Iowa, and Julia Sanders from Children's Hospital Colorado. Music by A.A. Aalto.

 

Main Event articles:

1. Addar A, Bouchard M. Clinically Detected Leg Length Discrepancy in Patients With Idiopathic Clubfoot Deformity: Prevalence and Outcomes. J Pediatr Orthop. 2022 Aug 1;42(7):e772-e776. doi: 10.1097/BPO.0000000000002178. Epub 2022 May 10. PMID: 35543605.
2. Trottier ÉR, Hatcher L, Feng J, Camp M, Bouchard M. Incidence of secondary interventions after early spica casting for diaphyseal femur fractures in young children. Can J Surg. 2022 Jul 5;65(4):E417-E424. doi: 10.1503/cjs.006521. PMID: 35790240; PMCID: PMC9337866.

Lightning Round articles:

 

1. Sisman A, Avci O, Cepni SK, Cullu E. Is There a Chance to Treat Modified Gartland Type IIB Pediatric Supracondylar Humerus Fractures With Closed Reduction and Casting? J Pediatr Orthop. 2022 Sep 1;42(8):e821-e827. doi: 10.1097/BPO.0000000000002210. Epub 2022 Jul 14. PMID: 35834371.
2. Mahan, S. T., Miller, P. E., May, C., Kasser, J. R., & Spencer, S. A. (2022). Bilateral Tarsal Coalitions: Are Postoperative Outcomes Different From Unilateral? Original Research. JPOSNA®, 4(3). Retrieved from https://jposna.org/index.php/jposna/article/view/428
3. Cummings JL, Hosseinzadeh P. Patient-Reported Pain and Function Outcomes in Children with Congenital Vertical Talus Treated With the Minimally Invasive Method. J Pediatr Orthop. 2022 Sep 2. doi: 10.1097/BPO.0000000000002259. Epub ahead of print. PMID: 36053022.
4. Badin D, Raad M, Sponseller PD. Tibial Tuberosity Fracture: A Highly Selective Injury. J Pediatr Orthop. 2022 Aug 24. doi: 10.1097/BPO.0000000000002247. Epub ahead of print. PMID: 35998240.
5. Paek S, Mo M, Hogue G. Treatment of paediatric Lisfranc injuries: A systematic review and introduction of a novel treatment algorithm. J Child Orthop. 2022 Jun;16(3):198-207. doi: 10.1177/18632521221092957. Epub 2022 May 10. PMID: 35800659; PMCID: PMC9254024.

Drs. Peter Waters, Kristen Carroll, and Steven Frick share their personal experiences and wisdom on surgeon wellness. The discussion is led by two members of the POSNA Wellness Committee: Lauren Hyer of the Greenville Shriners Hospital and Brian Scannell of Carolinas Medical Center. Your host is Carter Clement from Children’s Hospital of New Orleans. Music by A. A. Alto.

Jeremy Bauer and Daniel Bouton from the Portland Shriners Hospital are this month’s esteemed guests. They discuss 3 of their recent publications in JPO (listed below). They also weigh in on controversies in sports medicine and spine surgery. Your hosts are Carter Clement from Children’s Hospital of New Orleans, Josh Holt from University of Iowa, Craig Louer from Vanderbilt, and Julia Sanders from Children’s Hospital Colorado. Music by A. A. Alto.

 

1) The Effects of Lower Extremity Rotational Malalignment on Pediatric Patient-reported Outcomes Measurement and Information System (PROMIS) Scores. https://pubmed.ncbi.nlm.nih.gov/35818169/

 

2) 3D Gait Analysis and Patient-reported Outcomes of Femoral Osteotomies for Torsional Deformity. https://pubmed.ncbi.nlm.nih.gov/35968999/

 

3) Patient-Reported Outcome Measurement Information System (PROMIS) Scores in Pediatric Idiopathic Toe Walkers. https://pubmed.ncbi.nlm.nih.gov/35797178/

 

 

Lightning Round Articles

 

1) Incidence of Neonatal Developmental Dysplasia of the Hip and Late Detection Rates Based on Screening Strategy: A Systematic Review and Meta-analysis https://pubmed.ncbi.nlm.nih.gov/35980635/

 

2) Predictive Scoring for Recurrent Patellar Instability After a First-time Patellar Dislocation https://pubmed.ncbi.nlm.nih.gov/35797419/

 

3) Degree of Postoperative Curve Correction Decreases Risks of Postoperative Pneumonia in Patients Undergoing Both Fusion and Growth-friendly Surgical Treatment of Neuromuscular Scoliosis https://pubmed.ncbi.nlm.nih.gov/35709684/

 

4) Noninvasive Hemoglobin Monitoring for Postoperative Pediatric Orthopaedic Patients: A Preliminary Study https://pubmed.ncbi.nlm.nih.gov/35819308/

 

5) An Anatomic Study of the Proximal Tibial Epiphysis With Relevance to Percutaneous Epiphysiodesis Using Transphyseal Screws (PETS) https://pubmed.ncbi.nlm.nih.gov/35941093/

 

Dr. Sponseller from Johns Hopkins joins Peds Ortho this month to discuss his work on long term outcomes and pelvic osteotomies after sacral-alar-iliac (SAI) fixation. Dr. Sponseller shares his expertise on several controversies in spine surgery during our new “stirring the pot” segment, and we highlight recent papers on AIS, trauma, sports medicine, deformity, and infection.

 

Your hosts are Julia Sanders from Children’s Hospital Colorado, Carter Clement from Children’s Hospital of New Orleans, Craig Louer from Vanderbilt, and Josh Holt from University of Iowa. Music by A. A. Alto.

 

Papers discussed:

 

Mun, Vankara, Suresh, Margalit, Crasta, Sponseller. Pelvic Osteotomy in Patients With Previous Sacral-Alar-Iliac (SAI) Fixation. JPO.

 

Mun, Vankara, Suresh, Margalit, Kebaish, Sponseller. Sacral-Alar-Iliac (SAI) Fixation in Children With Spine Deformity: Minimum 10-Year Follow-Up. JPO.

 

Zloof, Ankory, Braun, et al. The Hereditary Nature of Adolescent Spinal Deformities: A Study of Over 600,000 Adolescents. Spine (Phila Pa 1976).

 

Stavinoha, Randhawa, Trivedi, Dingel, Shea, Frick. The Axillary Nerve Danger Zone in Percutaneous Fixation in the Pediatric Shoulder: The "1-Mountain-3-Valleys" Principle. JBJS.

 

Dahmen, Steman , Buck, et al. Treatment of Osteochondral Lesions of the Talus in the Skeletally Immature Population: A Systematic Review [published online ahead of print, 2022 May 20]. JPO.

 

Gerges, Messner, Lim, Chhina, Cooper. Efficacy and Safety of "Sleeper Plate" in Temporary Hemiepiphysiodesis and the Observation of "Tethering". JPO.

 

Bisht, Burns, Smith, Kang, Shrader, Belthur. The modified Kocher criteria for septic hip: Does it apply to the knee?. JCO.

Crystal Perkins from Children's Healthcare of Atlanta joins the show to discuss her recent research on pediatric hip dislocations and several additional topics and controversies in pediatric trauma and sports medicine. This episode was sponsored by Orthofix (www.orthofix.com). Your hosts are Josh Holt from University of Iowa, Carter Clement from Children's Hospital of New Orleans, and Julia Sanders from Children’s Hospital Colorado. Music by A. A. Aalto.

 

Articles discussed:

 

Clifton Willimon, Anthony C. Egger, Crystal A. Perkins.Traumatic Hip Dislocations in the Pediatric Patient: Injury Patterns, Need for Axial Imaging, Outcomes, and Selective Hip Arthroscopy. JPOSNA, May 2022.

 

Bhargavi Maheshwer, Evan M Polce, Kevin C Parvaresh et al. Establishing Clinically Significant Outcomes After Anterior Cruciate Ligament Reconstruction in Pediatric Patients. JPO, July 2022.

 

Allyson M Zakrzewski, Austin J Bryant, James J McCarthy. Can Over-containment Prevent Recurrence in Children With Cerebral Palsy and Hip Dysplasia Undergoing Hip Reconstruction? JPO, July 2022.

 

Andrew T Pennock, Benton E Heyworth, Tracey Bastrom, et al. Changes in superior displacement, angulation, and shortening in the early phase of healing for completely displaced midshaft clavicle fractures in adolescents: results from a prospective, multicenter study. J Shoulder Elbow Surg, Dec 2021.

Part II of the POSNA 2022 Annual Meeting content.  In this episode, we interview moderators and course chairs from the final days of the POSNA 2022 Annual Meeting in Vancouver, BC, Canada--INCLUDING the Awards Sessions, Friday's Concurrent Spine, Sports, and Hip Sessions, and the Saturday Critical Issues Symposia.

Your hosts are Dr. Craig Louer from Vanderbilt , Dr. Carter Clement from Children's Hospital of New Orleans, and Dr. Julia Sanders of Children's Hospital Colorado.  Music by A. A. Aalto.

 

Registration link for the Inaugural POSNA Community Webinar is below:

Come discuss Pediatric Orthopedics Cases & Careers in a regular interactive webinar hosted by the POSNA Resident Communications Committee (RCC).

When: Jun 28, 2022 07:00 PM Central Time (US and Canada)

Please Register and join:

https://zoom.us/webinar/register/WN_LKnNkpQIR_mH09wPvwSqJg

After registering, you will receive a confirmation email containing information about joining the webinar.

Part I of the POSNA 2022 Annual Meeting content.  In this episode, we interview moderators and course chairs from the first few days of the POSNA 2022 Annual Meeting in Vancouver, BC, Canada--INCLUDING the Pre-Course, Wednesday Scientific Sessions, POPS (Pediatric Orthopedic Practitioners Society) Conference, and the ever-popular Sub-Specialty Day.

Your hosts are Dr. Craig Louer from Vanderbilt , Dr. Carter Clement from Children's Hospital of New Orleans, and Dr. Julia Sanders of Children's Hospital Colorado.  Music by A. A. Aalto.  Support for this episode provided by Nemours Children's Health network.