Publications by authors named "Pat Kiely"

Article Synopsis
  • Angular deformity in the lower limbs can lead to pain, mobility issues, and joint damage, with guided growth now favored over previous treatments for young patients.
  • A review of data from a pediatric center from 2007 to 2023 found that out of 282 treated knees, 19.5% experienced treatment failure, particularly in cases involving trauma, infection, tumors, and certain genetic disorders.
  • Overall, guided growth achieved an 80.5% success rate, especially effective for idiopathic cases, and continues to be recommended for managing angular deformities.
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Background: Early-onset scoliosis (EOS) is frequently associated with complex spine and chest wall deformities that may lead to severe cardiopulmonary impairment and malnutrition. The aim of this study is to evaluate the change in the nutritional status of EOS patients after treatment with magnetically controlled growing rod instrumentation (MCGR) in a single center.

Methods: We prospectively collected data of patients treated with MCGR for EOS in a single center.

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Study Design: Systematic review and meta-analysis.

Objectives: This study's objective is to provide a critical review of the current literature regarding the changes in pulmonary function (PF) in Adolescent idiopathic scoliosis (AIS) patients who have undergone posterior spinal fusion and instrumentation (PSF), with and without thoracoplasty (TP).

Methods: A comprehensive search was performed using the following databases: EMBASE, PubMed, EBSCOhost (CINAHL and Medline) and OpenGrey.

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Introduction: Twenty-five-hydroxy-vitamin D3 (25-OH-vit D) is a prohormone that is essential for normal calcium homeostasis and bone metabolism. Understanding its role is an important component of the proper care of the pediatric orthopaedic patient. The aim of this study was to determine whether children in Ireland with fractures have increased prevalence of 25-OH-Vit D deficiency compared with age matched controls and to ascertain the relationship between a low 25-OH-vit D level and the incidence of fractures in Irish children.

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If the articular facets of the vertebra grow in an asymmetric manner, the developed bone geometry causes an asymmetry of loading. When the loading environment is altered by way of increased activity, the likelihood of acquiring a stress fracture may be increased. The combination of geometric asymmetry and increased activity is hypothesised to be the precursor to the stress fracture under investigation in this study, spondylolysis.

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The primary aim of this study was to analyze the current level of evidence available on the surgical management of Slipped Capital Femoral Epiphysis (SCFE). Secondary aims were to correlate the level of evidence with the impact factor of the journal to evaluate the level of evidence over time, and to evaluate the geographic distribution of the studies. Therapeutic studies published in English between January 1991 and August 2014 that reported on SCFE were identified via electronic search was performed using the databases PubMed, EMBASE, and the Cochrane Library.

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Background: The demand for paediatric orthopaedic care is growing, and providing the service required is an increasingly challenging task. Physiotherapist-led triage clinics are utilised in adult orthopaedics to enable the provision of care to patients who may not require a surgical consult. The Physiotherapy Orthopaedic Triage Clinic (POTC) was established in Our Lady's Children's Hospital Crumlin in response to increasing demands on the paediatric orthopaedic service.

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Study Design: A quality-control Internet-based study using recognized quality-scoring systems.

Objective: To evaluate the quality of information available on the Internet.

Summary Of Background Data: Quality of health information on the Internet is of much concern and the emphasis for appraisal of Internet Web sites is needed.

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