BACKGROUND The Accreditation Council on Graduate Medical Education-mandated 80-hour work week has led many teaching hospitals to find adequate replacements for residents. In addition, the subspecialty of pediatric orthopaedics is currently experiencing a workforce shortage. At the authors' institution, Level I emergency department and hospital on-call duties alternate between orthopaedic reside...

Nonunion of fractures or osteotomies in the pediatric population is rare. The gold standard for the treatment of nonunions involves harvesting autologous iliac crest bone graft and sometimes internal fixation, which are invasive procedures. The purpose of this study was to evaluate the effectiveness of pulsed electromagnetic field on a non-united fracture or osteotomy in the pediatric populatio...

PURPOSE The aim of the present study was to evaluate the effect of a pulsed electromagnetic field on the healing of mandibular fractures. Pulsed electromagnetic fields have been shown to accelerate healing of fractures of the long bones. PATIENTS AND METHODS A total of 12 patients with mandibular fractures were selected for the present study. Each patient was treated by closed reduction using...

Objective: This study aims to compare the therapeutic effects of conservative manual reduction therapy and open reduction therapy on pediatric forearm fracture. Methods: A total of 68 patients with pediatric forearm fracture were chosen in our hospital as participants from January 2015 to January 2016. The patients were divided into the observation group (open reduction therapy) and the control...

PURPOSE To describe a series of orbital fractures and associated ophthalmic and craniofacial injuries in the pediatric population. METHODS A retrospective case series of 312 pediatric patients over a 9-year period (2002-2011) with orbit fractures diagnosed by CT. RESULTS Five hundred ninety-one fractures in 312 patients were evaluated. There were 192 boys (62%) and 120 girls (38%) with an a...

OBJECTIVE To evaluate the personal, fracture, treatment and complication characteristics among patients with pediatric femoral shaft fractures attended at the pediatric orthopedic service of the Joana de Gusmão Children's Hospital. METHODS This was a retrospective cross-sectional study on a population consisting of patients with femoral shaft fractures, aged between birth and 14 years and 11 ...

Concern for bone fragility in children and adolescents has led to increased interest in bone densitometry. Pediatric patients with genetic and acquired chronic diseases, immobility, and inadequate nutrition may fail to achieve the expected gains in bone size, mass, and strength, which leaves them vulnerable to fracture. In older adults, bone densitometry has been shown to predict fracture risk ...

BACKGROUND Because obstructive sleep apnea is known to be an important preexisting factor causing chronic disease, many investigations have been done recently. There have been few reports regarding the posterior pharyngeal airway after clockwise rotation of maxillomandibular complex. Because the 2-jaw surgery in class III patients could cause obstructive sleep apnea or snoring, we investigated ...