Special Issue "Pediatric Trauma and Rehabilitation"

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Orthopedics".

Deadline for manuscript submissions: closed (5 November 2023) | Viewed by 1836

Special Issue Editors

University Clinic of Orthopedics and Trauma Surgery, Department of Trauma Surgery, Medical University of Vienna, Vienna, Austria
Interests: pediatric trauma; conservative/operative treatment; prevention; epidemiology; rare injuries; new concepts; rehabilitation; reconstructive surgery
Department of Trauma Surgery, Medical University of Vienna, Vienna, Austria
Interests: trauma and orthopedic surgery; arthroscopic surgery on the knee and ankle; reconstructive surgery on the knee joint (ligament plasty); cartilage surgery; foot surgery; hip surgery (joint replacement); knee surgery (joint replacement)
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Special Issue Information

Dear Colleagues,

The WHO recommends the enhancement of both the quality and quantity of data on morbidity and outcomes of children’s injuries. This will facilitate targeted investment in injury prevention. Causes of injuries in infants, children and teenagers have a broad spectrum and and variety of causes, as sometimes the anatomical regions of interest vary between different age groups. Further, children and teenagers are often curious and tend to be more available to participate in sports trends with kick-scooters, skateboarding, snowboarding, on trampolines, etc. Therefore, the identification of injury patterns will always be of great intrest, as will their prevention and therapy. In the case of growing injuries, it is important to minimize possible long-term effects. Depending on the child’s age, the potential of spontaneous correction of fractures is different. This potential and the prognosis is not only age-related but more linked to the overall biological maturity of the patient. Therefore, it would be of interest if changes in fracture types and patterns have occurred among children and teenagers.

Further, infrequent injuries are associated with diminished experience. As such, in the attempt to develop possible recommendations it is important to re-evaluate and update old paradigms. Concluding, this should further lead to an update to the common treatment guidelines and an improvement in therapies for the paediatric population across different age groups.

Dr. Stephan Payr
Dr. Thomas Tiefenboeck
Guest Editors

Manuscript Submission Information

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Keywords

  • pediatric trauma
  • therapy
  • outcome
  • growth disturbances
  • epidemiology
  • prevention
  • rare injuries
  • recommendations
  • adolescents
  • sports

Published Papers (1 paper)

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Research

11 pages, 1176 KiB  
Article
Beneficial Perioperative Aspects Favor the Use of Percutaneous Crossed Pinning over Antegrade Nailing in Pediatric Supracondylar Fractures—A Retrospective Comparative Study
Children 2023, 10(5), 830; https://doi.org/10.3390/children10050830 - 02 May 2023
Viewed by 1227
Abstract
(1) Background: Displaced supracondylar humeral fractures in pediatric patients can be treated by either antegrade nailing (AN) or percutaneous crossed pinning (PCP). The aim of this study was to compare the intra- and perioperative management, complications and outcome of AN and PCP. (2) [...] Read more.
(1) Background: Displaced supracondylar humeral fractures in pediatric patients can be treated by either antegrade nailing (AN) or percutaneous crossed pinning (PCP). The aim of this study was to compare the intra- and perioperative management, complications and outcome of AN and PCP. (2) Methods: This retrospective study enrolled 271 individuals (median age 5 years, IQR 4–7 years) who underwent AN (n = 173) or PCP (n = 98). Patient history was analyzed for incidence of nerve injuries, postoperative treatment, postoperative malrotation, time of hospital stay, time to implant removal and revision rate. Operative procedures were investigated for duration and radiation exposure. (3) Results: PCP was associated with a significantly lower radiation exposure (dose area product: PCP mean 20.1 cGycm2 vs. AN mean 34.7 cGycm2, p < 0.001; fluoroscopy time: PCP mean 1.1 min, range 0.1–8.1 min, vs. AN mean 1.5 min, range 0.1–7.1 min, p < 0.001), duration of surgery (PCP mean 32.2 min vs. AN mean 48.3 min, p < 0.001) and time to implant removal (PCP mean 37 days vs. AN mean 113 days, p < 0.001). Cast removal was performed earlier in the AN group (PCP mean 30.2 days vs. AN mean 20.4 days, p < 0.001) and there were fewer iatrogenic nerve lesions (PCP: 24% vs. AN: 8%, p < 0.001). (4) Conclusions: In the investigated study population, the analyzed parameters seem to favor the use of PCP. The advantages of AN should be weighed against its drawbacks. For special indications, AN remains a relevant technique in supracondylar fracture treatment, and surgeons should be familiar with this procedure. Full article
(This article belongs to the Special Issue Pediatric Trauma and Rehabilitation)
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