Distal Femoral Physeal Bar Resection Combined With Guided Growth for the Treatment of Angular Limb Deformity Associated With Growth Arrest: A Preliminary Report.

Purpose: Distal femoral growth arrest can result in progressive deformities and functional disability. The treatment is challenging given the significant growth potential of the distal femoral physis. This study addresses the short-term outcomes after distal femoral physeal bar resection combined with guided growth for the treatment of angular limb deformity.

Medial Epicondyle Fractures: Current Practices and Preferences Between SLAOTI Members (Sociedad Latinoamericana de Ortopedia y Traumatología Infantil).

Background: Medial epicondyle fractures represent up to 20% of elbow fractures in children and adolescents. There is a growing body of literature to support surgical fixation for displaced fractures. However, controversy regarding imaging modality for displacement measurement and surgical indications remain controversial.

Complex Clubfoot Treatment With Ponseti Method: A Latin American Multicentric Study.

Background: Complex clubfoot is a term used to describe those feet that present after treatment with a short first metatarsal, severe plantar flexion of all metatarsals, rigid equinus, and deep folds through the sole of the foot and above the heel. Ponseti has described a modification of his original technique for the treatment of the deformity. Few series have reported the treatment outcomes of this group of patients.

Fat Graft and Bone Wax Interposition Provides Better Functional Outcomes and Lower Reossification Rates Than Extensor Digitorum Brevis After Calcaneonavicular Coalition Resection.

Background: Calcaneonavicular coalitions are the most common form of tarsal coalitions. The prefered treatment for symptomatic coalitions is surgical resection; however, there are no published studies that directly compare different interposition techniques. The purpose of the present study was to retrospectively compare pain relief, functional outcomes, and complications of children and adolescents who had a resection of a symptomatic calcaneonavicular coalition with interposition of fat graft, bone wax, or extensor digitorum brevis (EDB).

Treatment of Slipped Capital Femoral Epiphysis With the Modified Dunn Procedure: A Multicenter Study.

Introduction: Treatment of moderate to severe slipped capital femoral epiphysis (SCFE) is controversial. Over the last years, 3 institutions in Argentina adopted the modified Dunn procedure for capital realignment in selected cases of SCFE. Our aim in this study was to evaluate the clinical outcome and the rate of complications of patients who had undergone surgical hip dislocation and capital realignment.

Surgical Reconstruction for Talocalcaneal Coalitions With Severe Hindfoot Valgus Deformity.

Introduction: Coalition resection can restore motion, and improve pain in patients with talocalcaneal coalitions (TCCs) and an aligned foot. However, there is some debate regarding appropriate treatment of patients with associated valgus deformity. The purpose of this study was to present the outcomes and complications following surgical reconstruction, with or without coalition resection, in a series of patients with TCC and severe hindfoot valgus.

Guided growth with the tension band plate construct: a prospective comparison of 2 methods of implant placement.

Introduction: Since its introduction in 2007, the use of 8-plates has gained great popularity for the correction of diverse deformities in skeletally immature patients. In this study, we evaluate 2 different techniques of implant placement.

Methods: A consecutive series of patients with indication of guided growth around the knee (femur or tibia) were included in the study.

Percutaneous trigger thumb release in children: neither effective nor safe.

Background: Although percutaneous trigger thumb release has been extensively used in adults, the technique is not widespread in children. The purpose of this study was to evaluate the efficacy and safety of percutaneous trigger thumb release in the pediatric age group.

Methods: Twenty consecutive thumbs of 15 patients scheduled for surgical release of the A1 pulley were included in this cohort.

Triplane fracture of the distal femur: a case report.

Introduction: Triplane fractures are well-documented injuries occurring in the distal and proximal tibia, distal humerus, distal radius, and the hand. However, there are no reports in the distal femur. The aim of this study was to document an unusual fracture pattern, and to make recommendations about the evaluation and management of children with such injuries.

[Melorheostosis of the hand in a pediatric patient].

Melorheostosis is a rare benign sclerosing bone dysplasia. Its etiology is unknown. Both sexes can be affected.