Publications by authors named "Julia C Kirby"
Background: Discoid lateral meniscus (DLM) is the most common congenital abnormality of the meniscus. Tears are common; treatment is frequently not definitive, often requiring reoperation.
Purpose: To report the clinical manifestations, physical characteristics, operative treatments and findings, complications, and reoperations of DLM in pediatric patients from multiple centers across North America.
Background: Lower extremity valgus is a commonly described factor associated with patellofemoral instability (PFI) and, if identified before skeletal maturity, can be treated with guided growth. The prevalence of valgus alignment in the pediatric and adolescent PFI population is largely unknown.
Purpose: The aim of this study was to report the prevalence of valgus alignment in adolescent patients presenting with PFI; with secondary assessment of high-grade valgus (zone II or III), coronal asymmetry, and associations of these findings with body mass index (BMI).
Tibial Spine Fractures in the Child and Adolescent Athlete: A Systematic Review and Meta-analysis.
Am J Sports Med
April 2024
Article Synopsis
- Tibial spine fractures (TSFs) are rare but can lead to serious issues in children, with no universally accepted treatment method established.
- A systematic review analyzed 47 studies involving 1922 pediatric TSFs, concluding that both open and arthroscopic surgeries were commonly used, with a slight preference for arthroscopic techniques.
- The findings indicated nonunion rates in certain fracture types, higher risk of range of motion loss in severe fractures, and secondary ACL injuries more prevalent in less severe cases.
Background: The impact of a physically demanding occupation on clinical outcomes after anterior cruciate ligament (ACL) reconstruction (ACLR) is largely unknown.
Purpose/hypothesis: The purpose of this study was to assess the influence of occupation on 12-month outcomes after ACLR in male patients. It was hypothesized that patients undertaking manual work would not only have better functional outcomes in terms of strength and range of motion but also higher rates of joint effusion and greater anterior knee laxity.
Background: Despite recent evidence that medial patellofemoral ligament reconstruction (MPFLR) in the skeletally immature patient is both safe and effective, there are limited data evaluating postoperative coronal- and sagittal-plane growth and radiographic patellofemoral parameters in this population.
Purpose: The primary purpose was to assess radiographic measures of coronal-plane alignment, longitudinal growth, patellar congruence, and trochlear dysplasia after MPFLR in a skeletally immature population. A secondary purpose was to assess this population compared with a matched cohort with a focus on trochlear dysplasia prevalence and the effect of MPFLR on patellar height.
Introduction: Despite advances in burn care, there is still a group of patients with serious burn injury who fail to respond to therapies or for whom active treatments are unsuccessful. As the demographic and causative factors of burn related mortality may differ between treating units and countries, we aimed to investigate clinical aspects of patients that die whose injuries are considered either survivable or non-survivable on admission.
Methods: A retrospective 11-year medical record review (2000-2011) of patients admitted to the Victorian Adult Burns Service (VABS), Melbourne, Australia, with a fatal burn injury was undertaken.
Epidemiology and management of maxillofacial fractures in an Australian trauma centre.
J Plast Reconstr Aesthet Surg
February 2014
Article Synopsis
- Trauma is a major cause of injury and death, with a significant number of trauma patients also having maxillofacial injuries, which this study analyzed at Alfred Trauma Hospital over a three-year period.
- The study reviewed records of 980 patients and found that the majority affected were young males, with assaults being a common cause, and orbital fractures being the most prevalent type.
- Postoperative complications occurred in 13.8% of patients who underwent surgery, with multiple fractures leading to a higher likelihood of both needing surgery and facing complications.