An Early Evaluation of Remote Site Visits for ACGME Program Applications.

Background: Prior to the COVID-19 pandemic, accreditation site visit interviews occurred in-person. In response to the pandemic, the Accreditation Council for Graduate Medical Education (ACGME) developed a remote site visit protocol.

Objective: To perform an early assessment of the remote accreditation site visits for programs applying for initial ACGME accreditation.

Adult outcomes following amputation or lengthening for fibular deficiency.

Background: Fibular deficiency results in a small, unstable foot and ankle as well as a limb-length discrepancy. The purpose of this study was to assess outcomes in adults who, as children, had had amputation or limb-lengthening, commonly used treatments for fibular deficiency.

Methods: Retrospective review of existing data collected since 1950 at six pediatric orthopaedic centers identified 248 patients with fibular deficiency who were twenty-one years of age or older at the time of the review.

Reliability of the metaphyseal-diaphyseal angle in tibia vara as measured on digital images by pediatric orthopaedic surgeons.

Background: Levine and Drennan described the tibial metaphyseal-diaphyseal angle (MDA) in an attempt to identify patients with infantile Blount's disease. Pediatric orthopaedic surgeons have debated not only the use, but also the reliability of this measure. Two techniques have been described to measure the MDA.

Management of open fractures in pediatric patients: current teaching in Accreditation Council for Graduate Medical Education (ACGME) accredited residency programs.

The purpose of this study was to determine the method of treatment for open fractures in pediatric patients that is used and taught at academic orthopedic residency programs. A web-based survey was constructed and emailed to program directors of orthopedic residencies. Seventy programs out of a total of 140 surveyed programs responded.

Management of open fractures in adult patients: current teaching in ACGME accredited residency programs.

The purpose of this study is to determine the methods of treatment for open fractures that are currently used by academic orthopaedic residency programs. A Web-based survey was constructed and e-mailed to program directors of orthopaedic residencies. Seventy-four programs out of a total of 140 (53%) surveyed programs responded.

Lack of seasonal variation in idiopathic talipes equinovarus.

Background: One proposed etiology of idiopathic talipes equinovarus is an in utero enterovirus infection. Enterovirus infections demonstrate seasonal variation in temperate climates.

Methods: We collected data on 1202 children with idiopathic talipes equinovarus born in the Northeastern United States, Midwestern United States, and the United Kingdom to investigate a seasonal variation in this congenital deformity.

Cheilectomy of the hip in children.

Cheilectomy of the hip is a salvage operation for patients with pain and limitation of motion caused by a mechanical blockage of an abnormally shaped femoral head. Eight patients ranging in age from 8 to 15 years were retrospectively reviewed in order to evaluate the intermediate-term results of cheilectomy to address the separate problems of pain, range of motion, and function. A mean follow-up of 5 years is reported.

Leg length inequality and epiphysiodesis: review of 96 cases.

A retrospective analysis of 96 patients who underwent an epiphysiodesis procedure for leg length discrepancy was performed. Forty patients were identified who had an open Phemister-type epiphysiodesis. Fifty-six patients underwent a percutaneous epiphysiodesis procedure.