Clinical Care Guideline for Improving Pediatric Acute Musculoskeletal Infection Outcomes.

Background: Acute pediatric musculoskeletal infections are common, leading to significant use of resources and antimicrobial exposure. In order to decrease variability and improve the quality of care, Children's Hospital Colorado implemented a clinical care guideline (CCG) for these infections. The purpose of this study is to evaluate clinical and resource outcomes PRE and POST this CCG.

A technique for pediatric chest wall reconstruction using custom-designed titanium implants: description of technique and report of two cases.

Purpose: We present a surgical technique for chest wall reconstruction using custom-designed titanium implants developed for two female patients to provide both chest wall symmetry and adequate stability for staged breast reconstruction.

Methods: A retrospective review was performed for two adolescent female patients with large chest wall defects who underwent the described technique. The etiology of the chest wall deficiency was secondary to Poland's syndrome in one patient, and secondary to surgical resection of osteosarcoma in the other patient.

Factors predictive of concomitant injuries among children and adolescents undergoing anterior cruciate ligament surgery.

Background: The timing of treatment for pediatric anterior cruciate ligament (ACL) injuries remains controversial. The risks of delaying reconstruction and the differences between age groups are poorly defined.

Purpose: To investigate factors that contribute to the prevalence and severity of concomitant chondral and meniscal injuries among patients aged 14 to 19 years versus those aged ≤14 years at the time of ACL reconstruction.

A deadly digital dressing: a case of surgical decompression for finger ischemia due to circumferential finger dressing.

Background: Tubular gauze dressings are commonly used, but have potential to cause iatrogenic finger ischemia.

Objectives: To inform health care providers of an avoidable complication and to discuss appropriate methods of prevention and treatment.

Case Report: We discuss a teenage female's finger that narrowly avoided amputation after a tubular gauze dressing caused iatrogenic ischemia.

The effect of sliding knots on the suture-tendon interface strength: a biomechanical analysis comparing sliding and static arthroscopic knots.

Background: The tissue-suture interface remains the most common site of failure in rotator cuff repairs. It is currently unknown if arthroscopic sliding knots injure the tissue and weaken the suture-tendon interface.

Purpose: To evaluate the effect sliding knots have on the strength of the suture-tendon interface.