Special Issue "Personalized Management of Pediatric Orthopaedic Surgery"

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Personalized Therapy and Drug Delivery".

Deadline for manuscript submissions: 10 October 2023 | Viewed by 628

Special Issue Editors

Department of General Surgery and Medical Surgical Specialties, University of Catania, 95123 Catania, Italy
Interests: pediatric orthopedics; joint replacement; trauma; pediatric trauma; hip; knee
Special Issues, Collections and Topics in MDPI journals
Department of Pediatric Orthopedic Surgery, Jeanne de Flandre Hospital, Lille University Centre, 59800 Lille, France
Interests: pediatric orthopedics; pediatric trauma; hip pediatric surgery; spine pediatric surgery
Special Issues, Collections and Topics in MDPI journals
Department of General Surgery and Medical Surgical Specialties, University of Catania, 95123 Catania, Italy
Interests: pediatric orthopedics; joint replacement; trauma; pediatric trauma; hip surgery; pelvic surgery; spine pediatric surgery

Special Issue Information

Dear Colleagues,

I cordially invite you to contribute to a Special Issue of the Journal of Personalized Medicine, dedicated to the individualized management of pediatric orthopedic surgery.

In recent decades, pediatric orthopedics has carved out its own place as a major specialist field with rapid advancements in the diagnosis and treatment of young patients with musculoskeletal disorders.

Correct management can result from factors that affect children of all ages, including injuries, congenital and acquired disorders, infections (osteomyelitis), tumors and neuromuscular, endocrine and metabolic diseases. Surgical approaches in the pediatric population are often complex, not only for the peculiarity of the growing skeleton, but mainly for the presence of growth plates, vulnerable parts of the bone.

Many specialists are involved in either traumatic surgical management or musculoskeletal disorders in children and adolescents, such as neurosurgeons, plastic, general, maxillofacial, ENT surgeons, orthopedics, radiologists and pediatric intensive physician.

The role of the pediatric orthopedist is crucial in the treatment of traumatic and orthopedic disorders. Anatomic disorders may involve the spine and upper and lower extremities, leading to variegate clinical features. Some bone pathologies may involve the gradual misalignment of bones and stress on growth plates during growth. Congenital deformities, such as clubfoot or hip development dysplasia, can lead to major bone development changes, causing severe dysfunction. Some connective tissue disorders can also affect bones, such as Marfan syndrome, imperfect osteogenesis and osteochondrodysplasia. Treating oncological, neuromuscular or septic pathologies is often complicated, requiring thorough competence and great expertise. In many cases, personalized orthopedic surgical approaches are mandatory.

The aim of this Special Issue is to present the latest research on personalized surgical management, focusing on traumatic, congenital, developmental, post-traumatic, neuromuscular, oncological and postinfectious disorders.

Prof. Dr. Vito Pavone
Prof. Dr. Federico Canavese
Dr. Marco Sapienza
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Personalized Medicine is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2000 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • children
  • pediatric orthopedics
  • traumatic disorders
  • orthopedic disorders
  • neuromuscular disorders
  • pediatric orthopedic surgery

Published Papers (1 paper)

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Research

Article
Relationship between Slip Severity and BMI in Patients with Slipped Capital Femoral Epiphysis Treated with In Situ Screw Fixation
J. Pers. Med. 2023, 13(4), 604; https://doi.org/10.3390/jpm13040604 - 30 Mar 2023
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Abstract
Background: Slipped capital femoral epiphysis (SCFE) is a hip disorder that occurs in adolescence before epiphyseal plate closure, causing anatomical changes in the femoral head. Obesity is known to be the single most important risk factor for idiopathic slipped capital femoral epiphysis [...] Read more.
Background: Slipped capital femoral epiphysis (SCFE) is a hip disorder that occurs in adolescence before epiphyseal plate closure, causing anatomical changes in the femoral head. Obesity is known to be the single most important risk factor for idiopathic slipped capital femoral epiphysis (SCFE), which is highly related to mechanical factors. Meanwhile, as increased slip angle increases major complications in patients with SCFE, slip severity is an important factor to evaluate prognosis. In obese patients with SCFE, higher shear stress is loaded on the joint, which increases the likelihood of slip. The study aim was to assess the patients with SCFE treated with in situ screw fixation according to the degree of the obesity and to find any factors affecting the severity of slip. Methods: Overall, 68 patients (74 hips) with SCFE who were treated with in situ fixation screw fixation were included (mean age 11.38, range: 6–16) years. There were 53 males (77.9%) and 15 females (22.1%). Patients were categorized underweight, normal weight, overweight, and obese depending on BMI percentile for age. We determined slip severity of patients using the Southwick angle. The slip severity was defined as mild if the angle difference was less than 30 degrees, moderate if the angle difference was between 30 and 50 degrees, and severe if the angle difference was greater than 50 degrees. To examine the effects of several variables on slip severity, we used a univariable and multivariate regression analysis. The following data were analyzed: age at surgery, sex, BMI, symptom duration before diagnosis (acute, chronic, and acute on chronic), stability, and ability to ambulate at the time of the hospital visit. Results: The mean BMI was 25.18 (range: 14.7–33.4) kg/m2. There were more patients with overweight and obese than those with normal weight in SCFE (81.1% vs. 18.9%). We did not find significant differences between overall slip severity and degree of obesity or in any subgroup analysis. Conclusions: We did not find a relationship between slip severity and degree of obesity. A prospective study related to the mechanical factors affecting the slip severity according to the degree of obesity is needed. Full article
(This article belongs to the Special Issue Personalized Management of Pediatric Orthopaedic Surgery)
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