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Pediatric Orthopaedic Surgery content, ranging from new literature to coverage of POSNA Annual Meetings and more!

  1. 11h ago

    Deep Dive in DDH - Residual Dysplasia

    Deep Dive in DDH is a three-part limited series where experts in the field of DDH have been invited to discuss the controversies in the management of hip dysplasia. Episode 1 was published in August and discussed management of DDH in infants under 6 months of age. Episode 2 was published in January and discussed the controversies in the management of developmental hip dislocations in the operating room. For the final episode we are joined by Drs. Rachel Goldstein from Children’s Hospital of Los Angeles and Steve Frick from Atrium Health in Charlotte. This episode focuses on evaluation and management of residual dysplasia including nonoperative management with bracing, surveillance, and if/when to operate. Hosted by Will Morris (Scottish Rite for Children). Music by A. A. Aalto. Referenced Publications: Gans I, Flynn JM, Sankar WN. Abduction bracing for residual acetabular dysplasia in infantile DDH. J Pediatr Orthop. 2013 Oct-Nov;33(7):714-8. doi: 10.1097/BPO.0b013e31829d5704. PMID: 23812157. Swarup I, Talwar D, Sankar WN. Part-time Abduction Bracing in Infants With Residual Acetabular Dysplasia: Does Compliance Monitoring Support a Dose-dependent Relationship? J Pediatr Orthop. 2021 Feb 1;41(2):e125-e129. doi: 10.1097/BPO.0000000000001704. PMID: 33165268. Morris WZ, Kak A, Mayfield LM, Kang MS, Jo CH, Kim HKW. Does brace treatment following closed reduction of developmental dysplasia of the hip improve acetabular coverage? Bone Joint J. 2023 Dec 1;105-B(12):1327-1332. doi: 10.1302/0301-620X.105B12.BJJ-2023-0255.R1. PMID: 38035597. Albinana J, Dolan LA, Spratt KF, Morcuende J, Meyer MD, Weinstein SL. Acetabular dysplasia after treatment for developmental dysplasia of the hip. Implications for secondary procedures. J Bone Joint Surg Br. 2004 Aug;86(6):876-86. doi: 10.1302/0301-620x.86b6.14441. PMID: 15330030. Novais EN, Pan Z, Autruong PT, Meyers ML, Chang FM. Normal Percentile Reference Curves and Correlation of Acetabular Index and Acetabular Depth Ratio in Children. J Pediatr Orthop. 2018 Mar;38(3):163-169. doi: 10.1097/BPO.0000000000000791. PMID: 27261963. Haider S, Mayfield L, Kim HK, Gill CS, Sucato DJ, Podeszwa DA, Morris WZ. The Impact of Age on Outcomes Following Secondary Reconstructive Surgery for Residual Dysplasia in DDH. J Pediatr Orthop. 2026 Jan 1;46(1):e61-e66. doi: 10.1097/BPO.0000000000003067. Epub 2025 Jul 21. PMID: 40686010; PMCID: PMC12688450. Koura T, Tetsunaga T, Yamada K, Inoue T, Okuda R, Masada Y, Tetsunaga T, Okazaki Y, Ozaki T. MRI at 5 years predicts upsloping acetabular sourcil at skeletal maturity in developmental dysplasia of the hip. Hip Int. 2026 May 6:11207000261436397. doi: 10.1177/11207000261436397. Epub ahead of print. PMID: 42093127. Sucato DJ, Brabham CE, De La Rocha A, Podeszwa DA, Karol LA. Radiographic Outcome Following Treatment of Residual Hip Dysplasia with Pemberton Versus Salter Osteotomy: Comparison of Results in Patients Followed to Skeletal Maturity. J Bone Joint Surg Am. 2025 Jan 1;107(1):46-52. doi: 10.2106/JBJS.23.01346. Epub 2024 Nov 7. Erratum in: J Bone Joint Surg Am. 2025 Aug 20;107(16):e82. doi: 10.2106/JBJS.ER.23.01346. PMID: 39509475.

    54 min
  2. Apr 24

    "Get some peanuts" with Arianna Trionfo

    Arianna Trionfo from Nemours joins the show this month to discuss her recent research on early weightbearing after flatfoot reconstruction in CP. The gang also delves into DDH, trauma, congenital scoliosis and more in the lightning round. Your hosts are Carter Clement from Manning Family Children’s, Tyler McDonald from University of South Alabama, Steph Logterman from Central Texas Pediatric Orthopedics, and Will Morris from TSRH. Music by A.A. Aalto.   The Effect of Immediate Weight Bearing After Planovalgus Foot Reconstruction in Ambulatory Children With Cerebral Palsy. Church et al. JPO. PMID: 41178517. https://pubmed.ncbi.nlm.nih.gov/41178517/   Screening MRI in Congenital EOS: Is It Safe to Delay Advanced Imaging to Decrease Early Anesthesia? Mostafa et al. JPO. PMID: 41582879. https://pubmed.ncbi.nlm.nih.gov/41582879/   Treatment of Displaced Femoral Neck Fractures in Children: Mid-Term Outcomes and Predictors of Failure. Liu et al. JPO. PMID: 41587289. https://pubmed.ncbi.nlm.nih.gov/41587289/   To Wean or Not to Wean: A Randomized Controlled Trial of Pavlik Harness Weaning in Infantile Developmental Dysplasia of the Hip. Kuka et al. JPO. PMID: 41641599. https://pubmed.ncbi.nlm.nih.gov/41641599/   Is the Hip Located? What is the Value of Advanced Imaging at the Time of Spica Exchange for Infantile Hip Dysplasia? Beck et al. JPO. PMID: 41552950. https://pubmed.ncbi.nlm.nih.gov/41552950/   Revisiting Traditional Risk Factors: Implications for Risk Stratification in Developmental Dysplasia of the Hip. Nielsen et al. JPO. PMID: 41563881. https://pubmed.ncbi.nlm.nih.gov/41563881/   The Effect of Pre-Bending Flexible Nails on Outcomes Following Stabilization of Paediatric Forearm Fractures. Levitt et al. JPO. PMID: 41358790. https://pubmed.ncbi.nlm.nih.gov/41358790/

    42 min
  3. Feb 4

    How to get Tighter Hips with Kevin Klingele

    Dr. Kevin Klingele, fellowship director and chief of pediatric orthopaedics at Nationwide Children’s, joins the show to discuss his recent research on ligamentum teres reconstruction. As an interlude, Dr. Dan Perry also returns to the podcast to provide an update on the SCIENCE Trial, comparing surgery and non-surgical care for children with displaced medial epicondyle fractures. Your hosts are Carter Clement from Manning Family Children’s in New Orleans, Will Morris from TSRH, Tyler McDonald from USA, Stephanie Logterman from the Arnold Palmer Hospital for Children, and Josh Holt from Iowa. Music by A.A. Aalto.   References:   “Open Reduction With Ligamentum Teres Reconstruction—Preliminary Results of a Novel Technique for the Management of Pediatric Developmental Dysplasia of Hip.” Englert et al. JPO 2025.   “Early-Onset Perthes Disease in Patients Under 4 Years of Age: Natural Disease History, Radiographic Findings, and Prognostic Factors.” Garcia-Fernandez et al. JPO 2025.   “More Amputations and Open Fractures: Pediatric Utility Task Vehicle (UTV) Injuries Are More Severe Than All-terrain Vehicle (ATV) Injuries.” Jaggers et al. JPO 2026.   “Long-Term Outcome of Idiopathic Increased Femoral Anteversion in 58 Untreated Individuals at a Mean Age of 46.2 Years.” Gronseth et al. JPO 2026.   “Improving Postoperative Pain Management in Pediatric Supracondylar Humerus Fractures With Local Anesthesia.” Gunda et al. JPO 2026.   “Risk Factors for Nonunion After Femoral Rotational Osteotomy for Idiopathic Anteversion and Retroversion in Adolescents.” Roper et al. JPO 2026.   “Off With the Head: Decreasing Complications With Headless Compression Screws for Tibial Tubercle Fracture Fixation.” Menapace et al. JPO 2026.

    1h 6m
  4. Jan 15

    Deep Dive in DDH - Operative Management of Developmental Hip Dislocations

    Deep Dive in DDH is a three-part limited series where experts in the field of DDH have been invited to discuss the controversies in the management of hip dysplasia. Episode 1 was published in August and discussed management of DDH in infants under 6 months of age. In Episode 2, we are joined by Eduardo Novais at Nemour Children’s Health in Jacksonville and Salil Upasani of Rady Children’s Hospital and discuss the controversies in the management of developmental hip dislocations in the operating room including the process to decide between closed and open reduction, the use of concomitant osteotomies, adjunctive imaging, and casting protocols. Hosted by Will Morris (Scottish Rite for Children). Music by A. A. Aalto. Referenced Publications: Novais EN, Hill MK, Carry PM, Heyn PC. Is Age or Surgical Approach Associated With Osteonecrosis in Patients With Developmental Dysplasia of the Hip? A Meta-analysis. Clin Orthop Relat Res. 2016 May;474(5):1166-77. doi: 10.1007/s11999-015-4590-5. PMID: 26472583; PMCID: PMC4814411. Schmaranzer F, Justo P, Kallini JR, Ferrer MG, Miller P, Bixby SD, Novais EN. Hip Morphology on Post-Reduction MRI Predicts Residual Dysplasia 10 Years After Open or Closed Reduction. J Bone Joint Surg Am. 2024 Jan 17;106(2):110-119. doi: 10.2106/JBJS.23.00333. Epub 2023 Nov 22. PMID: 37992184; PMCID: PMC12205695. Morris WZ, Chilakapati S, Hinds SA, Herring JA, Kim HKW. The Clinical Significance of Infolded Limbus on Postreduction Arthrogram in Developmental Dysplasia of the Hip. J Pediatr Orthop. 2022 Apr 1;42(4):e309-e314. doi: 10.1097/BPO.0000000000002070. PMID: 35132011. Morris WZ, Hinds S, Worrall H, Jo CH, Kim HKW. Secondary Surgery and Residual Dysplasia Following Late Closed or Open Reduction of Developmental Dysplasia of the Hip. J Bone Joint Surg Am. 2021 Feb 3;103(3):235-242. doi: 10.2106/JBJS.20.00562. PMID: 33252590. Gans I, Sankar WN. The medial dye pool revisited: correlation between arthrography and MRI In closed reductions for DDH. J Pediatr Orthop. 2014 Dec;34(8):787-90. doi: 10.1097/BPO.0000000000000187. PMID: 24787303. Novais EN, Hollnagel KF, Bixby SD, Ferrer MG, Williams DN, Kim YJ, Schmaranzer F. Predictive value of post-reduction gadolinium-enhanced magnetic resonance imaging in detecting avascular necrosis after closed and open reduction for developmental dysplasia: A minimum 5-year follow-up study. J Child Orthop. 2025 Jul 6;19(4):329-338. doi: 10.1177/18632521251350524. PMID: 40630930; PMCID: PMC12230044. Paez C, Badrinath R, Holt J, Bomar JD, Mubarak SJ, Upasani VV, Wenger DR. Ligamentum Teres Transfer During Medial Open Reduction in Patients with Developmental Dysplasia of the Hip. Iowa Orthop J. 2021;41(1):47-53. PMID: 34552403; PMCID: PMC8259203.

    42 min
5
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Pediatric Orthopaedic Surgery content, ranging from new literature to coverage of POSNA Annual Meetings and more!

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