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Epidemiology and Injury Morphology of Childhood Traumatic Fractures

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Orthopedics & Sports Medicine".

Deadline for manuscript submissions: 5 March 2025 | Viewed by 875

Special Issue Editors


E-Mail Website
Guest Editor
Department of Paediatrics, University of Pécs, Pécs, Hungary
Interests: pediatric trauma; pediatric hand; resorbable implants; pediatric burn injuries

E-Mail Website
Guest Editor
Division of Paediatric Surgery, Department of Paediatrics, University of Pecs, Pecs, Hungary
Interests: pediatric trauma; pediatric hand; resorbable implants; pediatric burn injuries

Special Issue Information

Dear Colleagues,

Pediatric traumatology is a constantly developing discipline, and absorbable implants are gaining more and more space in this field. The presentation of the experiences and the results of the method are essential for the new method to spread widely. In this Special Issue, we provide an opportunity to present the novelties in a high-quality scientific journal to specialists dealing with pediatric orthopedics and traumatology. Moreover, we are seeking the basic science of the studies of resorbable implants.

Dr. Gergö Józsa
Dr. Peter Vajda
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pediatric
  • pediatric burn injuries
  • pediatric trauma
  • pediatric hand fractures
  • resorbable implants

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Published Papers (1 paper)

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Research

12 pages, 571 KiB  
Article
Evaluation of Physical and Mental Health in Adults Who Underwent Limb-Lengthening Procedures with Circular External Fixators During Childhood or Adolescence
by Alessandro Depaoli, Marina Magnani, Agnese Casamenti, Marco Ramella, Grazia Chiara Menozzi, Giovanni Gallone, Marianna Viotto, Gino Rocca and Giovanni Trisolino
Children 2024, 11(11), 1322; https://doi.org/10.3390/children11111322 - 30 Oct 2024
Viewed by 662
Abstract
Background: Lower limb length discrepancy (LLD) in children and adolescents, often due to congenital or acquired conditions, is treated to achieve limb equality and alignment, optimizing function and minimizing cosmetic concerns for an active adulthood. This study evaluated the Health-Related Quality of Life [...] Read more.
Background: Lower limb length discrepancy (LLD) in children and adolescents, often due to congenital or acquired conditions, is treated to achieve limb equality and alignment, optimizing function and minimizing cosmetic concerns for an active adulthood. This study evaluated the Health-Related Quality of Life (HRQoL) and physical functioning of adults who underwent unilateral limb lengthening with circular external fixators (EFs) in childhood. Methods: Fifty patients treated at a median age of 14.9 years completed the Short Form 36 (SF-36) and Stanmore Limb Reconstruction Score (SLRS) questionnaires in adulthood, with a median follow-up of 8.9 years. Results: Among the 50 patients, 38 underwent a single limb lengthening (21 tibia, 12 femur, 5 both), while 12 required multiple cycles. The median residual LLD was 0.4 cm, with 12 patients (24%) having over 2 cm. Complications occurred in 67% of procedures, mainly due to prolonged healing. Physical and mental health scores were significantly lower than normative data. The mean Physical Component Summary was 52.2 ± 7.2 (p = 0.20). The mean Mental Component Summary was 43.9 ± 8.6 (p = 0.001), notably lower in congenital LLD cases. Many SLRS items (Pain, Social, Physical Function, Work, and Emotions) strongly correlated with SF-36 items. Conclusions: Adults treated with distraction osteogenesis for congenital LLD show normal physical but lower mental health scores compared to peers. Lengthening procedure characteristics did not significantly impact mental health. Routine psychological and social assessments are recommended to prevent long-term distress by providing appropriate support. Full article
(This article belongs to the Special Issue Epidemiology and Injury Morphology of Childhood Traumatic Fractures)
Show Figures

Figure 1

Figure 1
<p>Flowchart of inclusion of patients.</p>
Full article ">Figure 2
<p>Distribution of Physical Component Summary (PCS, in blue) and Mental Component Summary (MCS, in red) results compared with normative data by age and sex, in which the thick gray line represents the mean score and the dashed gray lines the ±1 SD values. Results of MCS were significantly lower (<b>a</b>), especially among patients treated for congenital etiologies of LLD (<b>b</b>).</p>
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