Jun 22–28, 2026 · 31 new studies, 10 reviews · Pediatric Orthopaedics archive · All weeks
The new Pediatric Orthopaedics research The Reduction sent the week of Jun 22–28, 2026, with the week’s most recent reviews, each with a one-line summary.
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Tension-band plate correction rates were comparable between mucopolysaccharidoses and idiopathic angular deformities, demonstrating effectiveness in syndromic patients.
Lateral collateral ligament sign in ACL-deficient pediatric knees occurs independent of generalized joint hyperlaxity, suggesting ACL-specific instability indicator.
Radiographic tether breakage in vertebral body tethering remains 50% with second-generation devices; surgeon-observed breakage improved significantly with newer technology.
Uninvolved legs in unilateral clubfoot show external hip rotation and bimalleolar axis changes but no clinically significant impact on thigh-foot angle or foot loading.
Staged centralisation and pollicisation for radial longitudinal deficiency with pre-pollicisation pinch training achieved early grasp and fine motor skills.
Proximal ulnar osteochondromas in hereditary multiple osteochondromas predispose to radial head dislocation; surgical resection prevents subluxation or dislocation.
Complications of Implant Removal of Pediatric Femoral Shaft Fractures.
Implant removal after pediatric femur fracture fixation has low complication rates; plates require longer operative time and greater blood loss than nails.
Operative management of femoral shaft fractures in ages 4-6 years increased 94% despite limited evidence; family-centered considerations likely drive adoption.
Intraoperative Hip Arthrography to Guide Decision-Making in Cerebral Palsy Hip Reconstruction.
Intraoperative hip arthrography in cerebral palsy hip reconstruction reduced pelvic osteotomy rates by 34% without increasing failure rates, enabling more selective and individualized surgical decision-making.
Art and Pediatric Orthopaedics: Bosch, Chronicler of Medieval Disability.
Medieval artist Bosch's depiction of musculoskeletal deformities illustrates historical continuity in pediatric orthopedic goals of restoring mobility and independence.
Evaluation of Language Diversity Among Orthopaedic Surgeons.
Only 8.3% of orthopaedic surgeons speak languages beyond English, creating significant disparities with patient populations and limiting language-concordant care.
DTI detects functional and structural alterations in post-traumatic distal tibial physeal bars that correlate with bar size, potentially serving as imaging biomarker.
Spanish-language online resources on pediatric scoliosis are written above recommended reading levels and have poor credibility, highlighting a need for better patient education materials for Spanish-speaking families.
Off-road vehicle injuries cause increasing rates of lower extremity fractures in US, with notable rise in ankle, knee, and pelvis fractures after 2018.
Systematic health-related social needs screening in pediatric orthopaedics increases resource referrals and service enrollment from 25% to 61%.
Motorized extramedullary femoral lengthening achieved median 3.8 cm lengthening in young children with 56% experiencing complications, comparable to other lengthening techniques.
Straightening the facts: early versus late adolescent surgery in idiopathic scoliosis.
Adolescent idiopathic scoliosis surgery before age 14 achieved superior radiographic correction maintained over 2 years versus age 14+, with similar clinical outcomes.
Twenty-Five Years of Global Private Investment in Pediatric Orthopaedic Start-ups.
Private investment in pediatric orthopaedic start-ups represents only 10% of orthopaedic investments overall, highlighting significant underfunding of pediatric device and technology development.
Substantial discordance (16-25%) exists among skeletal maturity systems in adolescent scoliosis; Risser staging frequently overestimates maturity versus Sanders and CVM.
Does Hi-PoAD technique work for congenital scoliosis: a single centre case series.
Hi-PoAD technique achieves meaningful deformity correction in congenital scoliosis with low complication rates, extending its utility beyond adolescent idiopathic scoliosis.
Pediatric e-scooter orthopaedic injuries increased over 20 years, predominantly fractures of upper extremities in male children; most treated same-day.
Vectored traction with Gardner-Wells tongs significantly reduces pressure-related complications during pediatric prone spine surgery without perioperative vision loss.
Breech presentation, family history, oligohydramnios, and female sex increase DDH risk three to four-fold; targeted screening warranted for these high-risk groups.
Concussions and closed head injuries in male youth ice hockey increased 290% from 2004-2023, with head-to-ice contact the leading mechanism in children.
Calcaneal lengthening osteotomy significantly improves pain and radiographic alignment in children with both rigid and flexible flatfeet, with comparable outcomes between groups at short-term follow-up.
Preoperative steroid use, low albumin, and prolonged PT predict neurological complications after pediatric scoliosis fusion; antifibrinolytic use is protective.
79.5% of children treated for clubfoot with Ponseti method participate in sports, similar to siblings, supporting excellent functional outcomes long-term.
Evaluation of a Pediatric Surgical Risk Calculator for Postoperative Outcomes in Spinal Deformity.
ACS-NSQIP calculator substantially underestimates overall complication risk in pediatric spinal deformity surgery, particularly for extensive fusions and neuromuscular scoliosis.
LOP-adjusted tourniquet use achieved adequate hemostasis in 95.6% of pediatric limb surgeries with no complications, reducing pressure compared to fixed adult values.
When radial polydactyly coexists with thumb hypoplasia, addressing both anomalies together yields good function and appearance, so surgeons should actively screen for hypoplasia.
Modified Bilhaut-Cloquet procedure achieves near-normal thumb size and high satisfaction for Wassel IV–VII polydactyly with two small duplicates, making it a reliable combination technique.
What's New in Wide-Awake Local Anesthesia No Tourniquet (WALANT) Hand Surgery?
WALANT hand surgery provides noninferior outcomes, high patient satisfaction, environmental benefits, and cost savings compared to regional/general anesthesia.
Pediatric Finger Fractures: Preventing Big Problems After Small Fractures.
Most pediatric finger fractures heal well nonoperatively, but recognizing problematic patterns guides surgical indications for optimal outcomes.
Ewing sarcoma tumor microenvironment includes immunosuppressive cells and molecules impairing anti-tumor immunity; targeting these offers therapeutic potential.
Advancements and applications of 3D printing in pediatric orthopedics: A comprehensive review.
Three-dimensional printing enhances surgical precision and reduces operative time in pediatric orthopedic applications for deformities, tumors, and spinal pathology.
Length-unstable pediatric femur fractures require selecting between flexible nails, submuscular plates, or rigid nails based on age, weight, and fracture pattern.
Low-grade spondylolisthesis responds to conservative care; high-grade disease is progressive and requires fusion; pedicle screw techniques achieve >90% fusion rates.
Cavovarus foot describes three-dimensional deformity; classification by affected tripod leg (hindfoot, forefoot, first metatarsal) guides surgical planning.
Congenital Upper-Limb Differences: A 6-Year Literature Review.
Recent advances include refined classification systems, improved syndactyly techniques, promising radialization for radial deficiency, and recognition of good psychosocial adaptation in children.
Radiation exposure from scoliosis radiographs may cause up to 5,600 excess breast cancers and 420 additional deaths annually; low-dose biplanar imaging should be used whenever possible.
Pediatric Flexor Tendon Injuries.
Pediatric flexor tendon injuries require age-appropriate examination, delayed diagnosis management, and tailored postoperative protocols for successful outcomes.
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