Abstract：
:Pediatric supracondylar humerus fractures are common and often require surgical intervention by an orthopedic surgeon, who may or may not have pediatric subspecialty training. This study used a large national database to assess for potential differences in perioperative outcomes for pediatric supracondylar humerus fractures treated by pediatric and nonpediatric orthopedists. A retrospective comparative cohort analysis was performed using data from the National Surgical Quality Improvement Project-Pediatric (NSQIP-P) database 2012 to 2017. Patients 1 to 11 years old were assessed. Demographics, comorbidities, and the incidence of adverse outcomes were compared between pediatric and nonpediatric orthopedists using multivariate analysis controlling for patient characteristics. A total of 15,831 patients were included in the study. Of these, 85.2% were treated by pediatric orthopedists and 14.8% were treated by nonpediatric orthopedists. Demographics, comorbidity burden, operative time, and hospital length of stay were not significantly different between the study groups. With multivariate analysis controlling for patient factors, no differences were identified for 30-day adverse events, reoperation, or readmission whether surgery was performed by pediatric or nonpediatric orthopedists. Considering self-selection of surgeons who perform surgery for pediatric supracondylar humerus fractures, no differences in hospital or general outcome metrics were identified based on who performed these procedures. [Orthopedics. 2021;44(x):xx-xx.].
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Mets EJ,Grauer JN,McLynn RP,Frumberg DBdoi
10.3928/01477447-20201210-03subject
Has Abstractpub_date
2020-12-14 00:00:00pages
1-8eissn
0147-7447issn
1938-2367pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract：:There are conflicting reports regarding postoperative bleeding risks associated with discontinuation of antiplatelet therapy at least 7 days preoperatively. Most of the studies in the spine literature are based on surveys or anecdotal evidence. The majority of surgeons discontinue therapy 7 days preoperatively, but th...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20160419-04
更新日期：2016-07-01 00:00:00
abstract：:Fractures of the most distal part of the olecranon process differ from more proximal fractures because a plane of instability exists between the humerus and the radial head. Thus, the fixation of these fractures must resist the deforming forces of the forearm flexor muscles. The investigators fixed 10 paired cadaver u...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1989-11-01 00:00:00
abstract：:ABSTRACTThis prospective, double-blind trial was performed to determine whether 4 weeks' prophylaxis with enoxaparin after total hip replacement (THR) is more effective in protecting against deep vein thrombosis (DVT) than prophylaxis during hospitalization. Two hundred sixty-two patients undergoing THR were given eno...
journal_title：Orthopedics
pub_type： 社论
doi：10.3928/0147-7447-19970202-09
更新日期：1997-02-01 00:00:00
abstract：:Isolated fractures of the lateral malleolus are stable only if no other ligaments are torn. These fractures are unstable if accompanied by a tear of the deltoid or anterior tibiofibular ligament and it may be necessary to demonstrate the resulting talar instability by stress radiographs. Stable fractures are best trea...
journal_title：Orthopedics
pub_type： 社论
doi：10.3928/0147-7447-19810301-08
更新日期：1981-03-01 00:00:00
abstract：:Isolated injuries of the posterolateral corner of the knee are uncommon injuries in adults and are relatively unheard of in the pediatric population. This article reports a case of a 13-year-old boy who sustained an external rotation injury to his proximal tibia on a slightly flexed knee while playing football. Radiog...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20110826-22
更新日期：2011-10-01 00:00:00
abstract：:Fragility fractures of the distal radius represent an opportunity to diagnose and treat osteoporosis before further fractures occur. The goal of this study was to determine the prevalence of prescriptions for calcium/vitamin D supplementation and the prevalence of dual-energy x-ray absorptiometry (DEXA) scans in patie...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20141124-53
更新日期：2014-12-01 00:00:00
abstract：:Between April 1999 and February 2000, femoral component rotation and asymmetry (universal versus anatomic) were studied in a prospective randomized control trial in 101 consecutive patients undergoing total knee replacement. Patients were randomly assigned to four groups. The same surgical technique was used in all pa...
journal_title：Orthopedics
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：2002-10-01 00:00:00
abstract：:A retrospective review of 10 patients admitted to 4 regional hospitals between 1987 and 1997 in whom acute septic hip arthritis was diagnosed was performed to compare presentation, laboratory and radiographic findings, treatment, and outcome. Patients presented with fever, hip or groin pain, and an inability to bear w...
journal_title：Orthopedics
pub_type： 杂志文章,多中心研究
doi：
更新日期：2003-08-01 00:00:00
abstract：:Twenty-nine children underwent 36 Ilizarov procedures for a variety of limb deformities. We present the results in 11 patients, six with leg length discrepancies and five with achondroplasia, who underwent lengthening procedures using the Ilizarov method. Lengthening was accomplished in 15 of the 16 procedures (93%). ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1991-09-01 00:00:00
abstract：:Total hip or knee replacement patients who are overweight or obese often consider their disabling joint disease a cause for their increased weight. This prospective study investigated weight change in 100 patients after successful total joint replacement to determine whether surgical treatment of hip or knee arthritis...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2005-02-01 00:00:00
abstract：:Many studies have described the diversity of synovial sarcoma in terms of its biological characteristics and clinical features. Moreover, much effort has been expended on the identification of prognostic factors because of unpredictable behaviors of synovial sarcomas. However, with the exception of tumor size, publish...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20090922-12
更新日期：2009-11-01 00:00:00
abstract：:This in vivo magnetic resonance imaging study evaluated the deformation of the meniscal posterior horn during loading. Images of the medial and lateral meniscus were obtained in 20 normal knees in 0 degrees and 30 degrees of flexion, and the height of the posterior horn of both menisci was measured. Mean height of the...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20080101-28
更新日期：2008-01-01 00:00:00
abstract：:Both computed tomography (CT) and magnetic resonance imaging (MRI) scans are used for the diagnosis of lumbar nerve root canal stenosis by imaging measurement, but the findings have considerable variability and the specificity of these examinations is difficult to estimate. A prospective study was conducted to determi...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20100826-05
更新日期：2010-10-11 00:00:00
abstract：:Neurologic injury is a rare but devastating complication of spinal surgery that can result in mild sensory to severe motor deficits. Surgeons increasingly use electrophysiological spinal cord function monitoring, including somatosensory- and motor-evoked potentials, intraoperatively to provide information about spinal...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20120822-40
更新日期：2012-09-01 00:00:00
abstract：:Tuberculous tenosynovitis of the wrist or "compound palmar ganglion" is an uncommon lesion that requires early recognition and treatment for the best possible prognosis. It is an infrequent cause of chronic inflammation of the tendon sheaths about the hand and wrist, but it can destroy the enclosed tendons. A definite...
journal_title：Orthopedics
pub_type： 社论
doi：10.3928/0147-7447-19801101-09
更新日期：1980-11-01 00:00:00
abstract：:Between June 1989 and December 1994, a total of 19 patients (20 shoulders) underwent open repair of Bankart lesions using suture anchors. Subscapularis muscle and anterior capsule were cut as one layer and sutured end to end without overlap. Coracoid osteotomy was not necessary. Average follow-up was 53.6 months (rang...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：2000-06-01 00:00:00
abstract：:This study compared the radiographic and clinical outcomes of pediatric diaphyseal femur fractures treated by submuscular plating, flexible retrograde intramedullary nailing, or rigid antegrade intramedullary nailing with a trochanteric entry point in skeletally immature patients who were 8 years and older. A retrospe...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20160719-03
更新日期：2016-11-01 00:00:00
abstract：:Incidences of osteoporosis and fragility fractures are constantly increasing, which are associated with increased morbidity and mortality. When these patients undergo surgery, a higher number of postoperative complications may be expected because of poor bone quality and delayed healing. As a result, poorer primary st...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20110714-50
更新日期：2011-09-09 00:00:00
abstract：:Converting unicompartmental knee arthroplasty (UKA) to total knee arthroplasty can be difficult, and specialized techniques are needed. Issues include bone loss, joint-line, sizing, and rotation. Determining the complexity of conversion preoperatively helps predict the need for augmentation, grafting, stems, or constr...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20090728-32
更新日期：2009-09-01 00:00:00
abstract：:The aim of the study was to investigate the utility of a simple office-based tool in predicting the need for secondary intervention to obtain union in patients with tibial fractures. All patients 18 years and older with isolated tibial shaft fractures (OTA 41A, 42A-C, and 43A) treated with intramedullary nailing from ...
journal_title：Orthopedics
pub_type： 临床试验,杂志文章
doi：10.3928/01477447-20200521-07
更新日期：2020-07-01 00:00:00
abstract：:The value of primary knee radiographs was examined in 144 cases with acute anterior cruciate ligament rupture to determine the ability of the films to reveal or confirm the correct diagnosis. In 15% of the patients, the radiographs were found to give significant diagnostic help by revealing typical avulsion fractures ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1988-11-01 00:00:00
abstract：:Extremity intramuscular myxoma is an uncommon, deep, benign soft-tissue neoplasm. It is characterized clinically by slow growth and minimal symptoms. Resection achieving wide surgical margins is curative. This article presents the imaging characteristics of five extremity intramuscular myxomas. Images of this benign n...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1997-05-01 00:00:00
abstract：:It is challenging to reconstruct normal hip motion after a high hip dislocation. Although total hip arthroplasty (THA) with shortening osteotomy is a solution for high hip dislocation, osteotomy nonunion is a major complication. To improve the rate of osteotomy union, subtrochanteric transverse shortening osteotomy wa...
journal_title：Orthopedics
pub_type： 临床试验,杂志文章
doi：10.3928/01477447-20110124-24
更新日期：2011-03-11 00:00:00
abstract：:From November 1989 to September 1994, a total of 26 patients (18 men and 8 women) with acute displaced femoral neck fractures were treated with closed reduction and Knowles pinning combined with vascularized iliac bone grafting. Mean patient age was 37.5 years (range: 24-48 years). The mean time interval from injury t...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1999-05-01 00:00:00
abstract：:Antibiotics are commonly mixed with polymethylmethacrylate (PMMA) cement to suppress severe periprosthetic infections associated with total joint arthroplasty. The relationship between antibiotic concentration and the resulting elution kinetics remains unclear. The purpose of this study was to characterize the release...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20120327-19
更新日期：2012-04-01 00:00:00
abstract：:Young patients are expected to place increased demands on total hip arthroplasty (THA) because they are more active and have a longer life expectancy. The long-term outcome of the Charnley low-friction arthroplasty in young, active patients has been shown to be associated with a high degree of polyethylene wear and os...
journal_title：Orthopedics
pub_type： 临床试验,杂志文章
doi：10.3928/01477447-20100225-18
更新日期：2010-04-01 00:00:00
abstract：:This study assessed the outcome of pediatric both-bone forearm fractures treated with operative intervention. A retrospective review was conducted of 31 patients treated over a 40-month period. Fifteen patients were treated with flexible intramedullary nailing and 16 treated with open reduction and internal fixation. ...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20070501-08
更新日期：2007-05-01 00:00:00
abstract：:A prospective study was undertaken to compare vascularized fibular grafting (VFG) with core decompression for Ficat Grade II and III femoral head osteonecrosis. The study group included 39 hips in 34 patients-20 VFGs and 19 core decompressions. Independent evaluation of results was performed by an orthopedic surgeon a...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1996-10-01 00:00:00
abstract：:Heterotopic ossification and scapular notching are common following reverse total shoulder arthroplasty. Compared with the original Grammont-style prosthesis with a medialized center of rotation (COR) and a 155° neck-shaft angle, lateralization of COR and reduction of neck-shaft angle have been associated with decreas...
journal_title：Orthopedics
pub_type： 杂志文章
doi：10.3928/01477447-20180613-01
更新日期：2018-07-01 00:00:00
abstract：:Walking electromyography was performed in 12 below-knee amputees, who were amputated for peripheral vascular insufficiency. All were at least 1 year post-surgery and had no problems with the fit of their prostheses. Seven were community walkers and five were limited household ambulators. The quadriceps and hamstring m...
journal_title：Orthopedics
pub_type： 杂志文章
doi：
更新日期：1991-05-01 00:00:00
