Showing 13 - 24 of 52 reports matching: Pediatric Orthopaedics
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Synopsis: 15 randomized controlled trials (4 RCTs on intervention and 11 RCTs on prevention) were included in this meta-analysis/systematic review to determine the effectiveness of conservative treatments to treat and prevent low back pain in children/adolescents. Pooled analysis revealed that patients who participated in an exercise program indicated pain intensity improvement in comparison to patients with no treatment. However, back education Read More »
Level 1 Meta Analysis
Synopsis: 245 children with presumed diagnosis of radial-head subluxation were treated by either triage nurses or physicians in the emergency department in this cluster-randomized controlled trail, based on day of presentation. The purpose of this study was to determine whether nurse-initiated treatment was inferior to physician-initiated treatment with respect to the success rate of reduction. Results indicated that Read More »
Author verified Level 2 RCT
Synopsis: 139 children and adolescents with moderate to severe osteogenesis imperfecta (OI) were randomized to evaluate the safety and efficacy of oral alendronate (ALN). The trial primarily focused on the assessment of lumbar spine bone mineral density (LS BMD) alongside several secondary critera/data: clinical, radiological, biochemical, and multiple bone-related measurements and fracture details. Results demonstrated that Read More »
Author verified Level 2 RCT
Synopsis: Three hundred and ten patients, aged 3 months to 18 years, exhibiting tonic-clonic status epilepticus were randomized to determine a superior treatment between lorazepam and diazepam. Goals of treatment were cessation of status epilepticus by 10 minutes, without recurrence within 30 minutes. Patients were evaluated Read More »
Author verified Level 1 RCT
Synopsis: 100 children under 16 years of age with a closed fracture of the forearm were randomly assigned into 1 of 2 treatment groups to compare the safety and fracture stability of split circumferential synthetic semi-rigid casting to closed casting 4-6 weeks after intervention. No compartment syndrome occurrences were observed in either treatment group at final follow up, but moderate skin breakdown occurred in two patients (one in each group). Secondary displacement of Read More »
Author verified Level 2 RCT
Synopsis: 240 children who had undergone closed reduction and percutaneous pinning for either a suprocondylar humeral fracture or a lateral humeral condyle fracture were randomized to receive acetaminophen, ibuprofen or a placebo tablet, one hour prior to pin removal. The purpose of this study was to compare the effects of these treatment approaches with respect to pain relief, measured both subjectively (on the Wong-Baker scale) and objectively (by recording patient heart rate). Results indicated that Read More »
Author verified Level 1 RCT
Synopsis: 27 children below the age of 9 months and with metatarsal adductus were randomized to treatment with either serial casting or an orthosis. Intervention was discontinued once footprints and clinical examination indicated the deformity had resolved. Both groups demonstrated Read More »
Author verified Level 2 RCT
Synopsis: 16 radial club hands of Heikel grade 3 and 4 were randomized to undergo either centralization or radialization. The purpose of the study was to compare the two techniques with respect to clinical, functional and radiological outcomes. Results after 1 Read More »
Conference Report
Synopsis: 199 children with deformed closed long bone fractures were randomized to either receive a standard concentration of intranasal fentanyl (SINF) or a high concentration of INF (HINF) to determine if there were any differences in efficacy of the two concentrations. Following assessments in Read More »
Author verified Level 1 RCT
Synopsis: 59 ASA I and II children undergoing orthopedic surgery were randomized to either receive: 1) intrathecal bupivacaine and intravenous saline, 2) intrathecal bupivacaine in combination with clonidine and intravenous saline, or 3) bupivacaine and intravenous clonidine in saline, in order to compare their effects on postoperative analgesia/sedation and intraoperative propofol requirements. Following assessments over a 12 hour period, the results indicated that regardless of intrathecal or intravenous administration, clonidine was effective in extending the amount of the time until the first dose of propofol was needed following surgery, and in reducing the total amount of propofol required. However, only intrathecal Read More »
Level 2 RCT
Synopsis: 40 paediatric patients (aged 1-12) were randomized to determine the efficacy of regional anaesthetic administration for post-operative analgesia in orthopaedic extremity surgeries. Patients received local injections of either bupivacaine anaesthetic (study group) or control seurm physiologic (control group), and were followed-up for 48 hours postoperatively for outcomes of pain, opioid requirement, and incidence of postoperative complications. Results indicated that Read More »
Level 2 RCT
Synopsis: 26 children (33 club feet) in the first 3 months of life with idiopathic club feet were included in this study to determine the risks and benefits of below-knee casting compared to standard above-knee casting for Ponseti's method. The outcomes included time to tenotomy or time to full correction when tenotomy was not required, risk of failure due to displacement of the cast or extended length of treatment, Pirani score and complications. Overall, below-knee casting Read More »
Level 2 RCT