Practice Variation among Pediatric Emergentologists and Pediatric Orthopaedic Surgeons in the Management of Wrist Buckle Fractures

2002 ◽  
Vol 9 (5) ◽  
pp. 528-528
Author(s):  
A. Plint
Keyword(s):  
Practice Variation ◽  
Orthopaedic Surgeons ◽  
Pediatric Orthopaedic

Assessment of Differences Regarding the Management of Pediatric Supracondylar Fractures Between Hand and Pediatric Orthopaedic Surgeons

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 598A-598A
Author(s):  
Thao Nguyen ◽  
Xuyang Song ◽  
Xiaomao Zhu ◽  
Joshua M. Abzug
Keyword(s):  
Supracondylar Fractures ◽  
Orthopaedic Surgeons ◽  
Pediatric Orthopaedic

scholarly journals Interobserver Reliability of Pirani and Dimeglio Scores in the Clinical Evaluation of Idiopathic Congenital Clubfoot

Children ◽  
2021 ◽  
Vol 8 (8) ◽  
pp. 618
Author(s):  
Vito Pavone ◽  
Andrea Vescio ◽  
Annalisa Culmone ◽  
Alessia Caldaci ◽  
Piermario La Rosa ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Clinical Evaluation ◽  
Interobserver Reliability ◽  
Strongly Correlated ◽  
Congenital Talipes Equinovarus ◽  
Orthopaedic Surgeons ◽  
Careful Preparation ◽  
Talipes Equinovarus ◽  
Pediatric Orthopaedic ◽  
Paediatric Orthopaedic

Background: Dimeglio (DimS) and Pirani (PirS) scores are the most common scores used in congenital talipes equinovarus (CTEV) clinical practice. The aim of this study was to evaluate the interobserver reliability of these scores and how clinical practice can influence the clinical outcome of clubfoot through the DimS and Pirs. Methods: Fifty-four feet were assessed by six trained independent observers through the DimS and PirS: three consultants (OS), and three residents (RS) divided into three pediatric orthopaedic surgeons (PeO) and three non-pediatric orthopaedic surgeons (NPeO). Results: The PirS and DimS Scores were strongly correlated. In the same way, OS and RS, PirS, and DimS scores were strongly correlated, and the interobserver reliability ranked “good” in the comparison between PeO and NPeO. In fully trained paediatric orthopaedic surgeons, an “excellent” interobserver reliability was found but was only “good” in the NPeO cohort. Conclusions: In conclusion, after careful preparation, at least six months of observation of children with CTEV, PirS and DimS proved to be valid in terms of clinical evaluation. However, more experience with CTEV leads to a better clinical evaluation.

Changes in the Practice of Pediatric Orthopaedic Surgeons Over the Past Decade

2018 ◽  
Vol 38 (8) ◽  
pp. e486-e489 ◽  
Author(s):  
Pooya Hosseinzadeh ◽  
Clarabelle A. DeVries ◽  
Ena Nielsen ◽  
Lindsay A. Andras ◽  
Megan Mignemi ◽  
...  
Keyword(s):  
Orthopaedic Surgeons ◽  
The Past ◽  
Pediatric Orthopaedic

Variation Among Pediatric Orthopaedic Surgeons When Diagnosing and Treating Pediatric and Adolescent Distal Radius Fractures

2019 ◽  
Vol 39 (6) ◽  
pp. 306-313 ◽  
Author(s):  
Karan Dua ◽  
Matthew K. Stein ◽  
Nathan N. O’Hara ◽  
Brian K. Brighton ◽  
William L. Hennrikus ◽  
...  
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Orthopaedic Surgeons ◽  
Pediatric Orthopaedic

scholarly journals OPERATIVE DECISION-MAKING FOR PEDIATRIC TIBIAL SPINE FRACTURES: ASSESSING THE EFFECT OF SURGEON EXPERIENCE AND RISK-AVERSION AND PATIENT AGE, SEX, INJURY TYPE, AND ATHLETIC LEVEL USING A MIXED EFFECTS MODEL

2019 ◽  
Vol 7 (3_suppl) ◽  
pp. 2325967119S0012
Author(s):  
Alexander J. Adams ◽  
Nathan N. O’Hara ◽  
Joshua M. Abzug ◽  
Aristides I. Cruz ◽  
Henry B. Ellis ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Operative Treatment ◽  
Risk Taking ◽  
Spine Fractures ◽  
Type Ii ◽  
Orthopaedic Surgeons ◽  
Tibial Spine ◽  
Fracture Displacement ◽  
Surgeon Training ◽  
Pediatric Orthopaedic

Background: Tibial spine fractures most commonly occur in children aged 8 to 14 years and are occasionally seen in adults. Although the annual incidence is 3 per 100,000 children, they account for 2-5% of pediatric knee injuries with effusions and are associated with substantial complications including ACL deficiency and arthrofibrosis. The rise in competitive youth sports has brought increased public attention to this injury. Meyers and McKeever Type II fractures are displaced anteriorly with an intact posterior hinge. This specific subtype of pediatric tibial spine fractures has controversy in the literature whether they should be treated non-operatively or operatively. The purpose of this study was to identify assess for variability amongst pediatric orthopaedic surgeons when treating pediatric type II tibial spine fractures. Methods: A discrete choice experiment was conducted to determine the patient and injury attributes that influence the management of type II pediatric tibial spine fractures by pediatric orthopaedic surgeons. A convenience sample of 14 pediatric orthopaedic surgeons reviewed 40 case vignettes (Figure 1) that included radiographs displaying fractures with varying degrees of displacement (range: 2.5 – 6.0 mm) and a brief description on the patient’s sex, age (8-17), mechanism of injury (fall, collision, hypertension, twist), and predominant sport (swimming, football, basketball, nonathlete). Surgeons were asked whether they would treat the fracture operatively or non-operatively. Physes were blinded. A mixed effects model was used to determine the patient attributes most likely to influence the surgeon’s decision for operative treatment of a tibial spine fracture. In addition, the association between surgeon propensity for operative treatment based on surgeon training, years in practice, and risk-taking behavior based on the Jackson Personality Inventory subscale was assessed. A receiver operating characteristic curve was used to determine probability of surgical treatment based on the degree of fracture displacement. Results: Surgeon demographics are summarized in Table 1. Overall, the 14 respondents selected operative treatment in 75% of the presented cases. The degree of fracture displacement was the only patient attribute that was significantly associated with treatment choice (p<0.001). Surgeons were 29% more likely to treat the fracture operatively with each additional millimeter of displacement. The probability of opting for surgical treatment exceeded 50% when the fracture had 3.5 or more millimeters of displacement. Significant variation in surgeon’s propensity for operative treatment of this fracture was observed (p=0.01). Nine of the 14 surgeons demonstrated a significant propensity for operative treatment of this injury. Surgeon training, years in practice, and risk-taking scores were not associated with the respondent’s preference for surgical treatment. Conclusions / Significance: There is substantial variation among pediatric orthopaedic surgeons when treating type II tibial spine fractures. The decision to operate is significantly based on the degree of fracture displacement. However, there is no standardization regarding how to treat type II tibial spine fractures and therefore better treatment algorithms are needed to optimize patient outcomes. Learning about the current treatment preferences among surgeons given different patient factors can highlight current variation in practice patterns and direct efforts toward promoting the most optimal treatment strategies. [Table: see text]

Industry Payments to Pediatric Orthopaedic Surgeons Reported by the Open Payments Database

2019 ◽  
Vol 39 (10) ◽  
pp. 534-540 ◽  
Author(s):  
Neil Pathak ◽  
Elbert J. Mets ◽  
Michael R. Mercier ◽  
Anoop R. Galivanche ◽  
Patawut Bovonratwet ◽  
...  
Keyword(s):  
Orthopaedic Surgeons ◽  
Pediatric Orthopaedic ◽  
Open Payments

An Analysis of Online Ratings of Pediatric Orthopaedic Surgeons

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jordan H. Jay ◽  
Nicholas E. Runge ◽  
Franz H. Vergara ◽  
Coleen S. Sabatini ◽  
Julius K. Oni
Keyword(s):  
Orthopaedic Surgeons ◽  
Online Ratings ◽  
Pediatric Orthopaedic

Formal Patient Complaints and Malpractice Events Against Pediatric Orthopaedic Surgeons

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
James P. Piper ◽  
Daniela F. Barreto Rocha ◽  
Daniel S. Hayes ◽  
Louis C. Grandizio
Keyword(s):  
Orthopaedic Surgeons ◽  
Patient Complaints ◽  
Pediatric Orthopaedic

Electronic Medical Record Use and Satisfaction Among Pediatric Orthopaedic Surgeons

2019 ◽  
Vol 39 (9) ◽  
pp. e722-e728
Author(s):  
Lawson A. Copley ◽  
Chester H. Sharps ◽  
Joseph A. Gerardi ◽  
Sumit K. Gupta ◽  
Kelly L. Vanderhaave ◽  
...  
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Orthopaedic Surgeons ◽  
Pediatric Orthopaedic
Sign in / Sign up

Export Citation Format

Share Document