Simultaneous anterior cruciate ligament reconstruction and implant-mediated guided growth to correct genu valgum in skeletally immature patients
The results of the current study indicate that concomitant ACL reconstruction and lower extremity coronal plane angular deformity correction is a safe approach to treat coronal plane angular deformity concomitantly with ACL reconstruction in young patients who present with an acute ACL tear.
Extension of Tibial Spine Fractures Beyond the Tibial Spine: An MRI Analysis of 54 Patients
This study demonstrated that TSF beds were larger in younger patients, extended to the posterior third of the epiphysis in 54% of cases, and should be examined carefully for extension into weightbearing regions of the tibial plateau. In pediatric patients, the TSF often involves more of the tibial plateau than the anatomic footprint of the […]
Techniques in Pediatric Anterior Cruciate Ligament Reconstruction
This paper reviews pediatric anterior cruciate ligament reconstruction (ACLR) techniques, including combined extra- and intra-articular, all-epiphyseal, and transphyseal approaches, which are selected according to skeletal maturity to minimize the risk of growth plate injury.
Several assessments for patellofemoral instability yielded poor interrater reliability
Orthopedics Today reports on HSS study results published in Arthroscopy finding several assessments for patellofemoral instability yielded poor interrater reliability and includes commentary from first study author Peter D. Fabricant, MD, MPH, pediatric orthopedic surgeon at HSS. Dr. Fabricant said, “Surgical decision-making for children and adolescents with patellofemoral instability relies heavily on radiographic measurement parameters […]
The Incidence of Pediatric Tibial Spine Fractures Is Greater and Peaks Later in Male Patients
This study confirms a difference in incidence by sex for pediatric tibial spine fractures, with male patients having a greater peak incidence that also occurs at an older age. Most cases in this study were treated nonoperatively.
Study Finds Enhanced Milestone-Based Rehabilitation After ACL Surgery Offers Cost Benefits for Insurers
Patients who undergo more focused, enhanced milestone-based rehabilitation after anterior cruciate ligament (ACL) surgery experience better outcomes in the long run at a lower cost to the healthcare system, researchers at Hospital for Special Surgery (HSS) in New York City have found. The findings address a common but counterproductive trade-off in orthopedic surgery: Health insurers […]
Development and Validation of the Hospital for Special Surgery Anterior Cruciate Ligament Reconstruction Preoperative Expectations Survey
The Hospital for Special Surgery ACL-expectations score is a patient-derived, tested and reliable preoperative expectations measure with excellent psychometrics for active adults undergoing ACLR. We suggest future clinical studies in ACLR to incorporate this tool as a preoperative measure of patient expectations.
Return-to-play programs after ACL reconstruction are cost-effective for pediatric patients
Orthopedics Today reports on the findings of an HSS study led by pediatric orthopedic surgeon, Peter D. Fabricant, MD, MPH, which demonstrated a comprehensive return-to-play (RTP) program is cost-effective and reduces re-tear risk in young patients after anterior cruciate ligament (ACL) reconstructive surgery. Dr. Fabricant and colleagues created a decision-analysis model to compare the standard […]
CORR Synthesis: Can Guided Growth for Angular Deformity Correction Be Applied to Management of Pediatric Patellofemoral Instability?
In children and teens, coronal plane angular deformity is well described, and plays a role in the pathogenesis of numerous intraarticular knee pathologies, including patellar instability. Unlike in adults, where osteotomy would be needed to achieve correction of angular deformity, coronal plane angular deformity correction in skeletally immature patients can be performed using less-invasive, implant-mediated […]
Study Finds Most Surfing Injuries Involve Shoulder or Knee, Surgery Usually Not Required
Over the last few years, surfing has increased in popularity, with about 2.6 million recreational surfers in the United States. Efforts are under way to include competitive surfing in the Olympics. However, the number of reports on surfing-related injuries is limited and does not mirror the trend in popularity, according to researchers at Hospital for Special […]