Utility of Follow-up Radiographs in Type 1 Supracondylar Humerus Fractures.

Objective: Supracondylar humerus (SCH) fractures are common among pediatric patients, with the severity categorized using the Gartland classification system. Type 1 SCH fractures are nondisplaced and treated with immobilization, while more displaced fractures require surgery. The need for follow-up radiographs, particularly for type 1 fractures, is an area where evidence is lacking.

Comparison of nonoperative versus operative management in pediatric gustilo-anderson type I open tibia fractures.

Background: Recent studies suggest pediatric Gustilo-Anderson type I fractures, especially of the upper extremity, may be adequately treated without formal operative debridement, though few tibial fractures have been included in these studies. The purpose of this study is to provide initial data suggesting whether Gustilo-Anderson type I tibia fractures may be safely treated nonoperatively.

Methods: Institutional retrospective review was performed for children with type I tibial fractures managed with and without operative debridement from 1999 through 2020.

Closed reduction in the treatment of tibial tubercle fractures.

Introduction: Open reduction and internal fixation (ORIF) is considered the standard care for displaced tibial tubercle fractures, but closed reduction and internal fixation (CRIF) can also be successful. Our aim was to compare outcomes between ORIF and CRIF for tibial tubercle fractures.

Materials And Methods: Children younger than 18 years presenting for a tibial tubercle fracture at a single institution.

Obesity in Pediatric Trauma.

Obese children with high-energy injuries present with more severe injuries, more extremity injuries, and higher Injury Severity Scores. They are at increased risk for complications, prolonged ventilation, and ICU stay and have increased mortality. Obesity is associated with altered bone mass accrual and higher fracture rates.

The Utility of Routine Postoperative Radiographs After Pinning of Pediatric Supracondylar Humerus Fractures.

Background: The purpose of this study was to determine the frequency with which postoperative radiographs resulted in a change in management following closed reduction and percutaneous pinning of displaced pediatric supracondylar humerus fractures. We hypothesize that only the initial postoperative radiograph will lead to changes in management of operative supracondylar humerus fractures.

Methods: A retrospective review was performed at 2 level I pediatric trauma centers.

Factors predictive of second recurrence in clubfeet treated by ponseti casting.

Background: Ponseti serial casting is the most commonly used method in North America to treat children with clubfeet. Despite initial correction, recurrence is common. tibialis anterior tendon transfer (TATT) is commonly used to treat recurrent clubfeet.