Z-plasty refers to a local soft-tissue transposition using interdigitating triangular flaps and is simple but powerful surgical technique transpose skin, lengthen scars, shift topography. There are host of applications this within pediatric orthopaedics, given the spectrum traumatic, post-traumatic, congenital differences affecting growing child. The purpose Master’s Surgical Technique suppleme...

We present a case report demonstrating the experience of the department of pediatric orthopaedics of the University Orthopedic Hospital at Sofia Medical University in the treatment of an intertrochanteric proximal femoral fracture in a child with osteopetrosis. We performed open fracture reduction with stable 120° LCP (Locking Compression Plate) Pediatric hip osteosynthesis. Fracture consolidat...

An argument could be made that the most recognized name in history of pediatric orthopaedics belongs to Dr. Robert Salter. Every medical student last 50 years has at least heard his classification growth plate injuries and have been tested on it. His innovations contributions are numerous stood test time. In 2020, Journal Orthopaedics listed impactful orthopaedic literature, Salter’s is cited 5...

Although this “See one, Do Teach one” model of education has been utilized in North America over the last century, there is growing evidence/emphasis on surgical simulation as a means improving medical education, optimizing clinical outcomes, and promoting patient safety. In 2012, at International Pediatric Orthopaedic Symposium (IPOS®), Top Gun was introduced new pediatric orthopedic contest d...

PURPOSE Many primary care physicians believe that there are too few pediatric orthopaedic specialists available to meet their patients' needs. However, a recent survey by the Practice Management Committee of the Pediatric Orthopaedic Society of North America found that new referrals were often for cases that could have been managed by primary care practitioners. We wished to determine how many ...

Pediatric orthopaedic surgical procedures require a thoughtful multimodal approach to perioperative pain management that maximizes both patient comfort and safety. Local infiltrative anesthesia (LIA) has been commonly used with variety of formulations application methods. However, local provides limited anatomic coverage over relatively short length time. In comparison, regional can provide inc...

Patellar instability is a common occurrence in the skeletally immature patient population, and multiple treatment options exist. Nonoperative treatment is appropriate for patients without osteochondral injuries and includes bracing and physical therapy focusing on strengthening of the gluteals as well as the vastus medialis obliquus muscles. Risk factors for recurrent instability include patell...

The 2022 POSNA Annual Meeting Pre-Course was the last single topic pre-course for POSNA. Going forward, will commence in morning with a full academic agenda, including scientific talks and symposia. For pre-course, I wanted to choose that of vital importance required deeper dive: Diversity, Equity, Inclusion. commend our chair, Dr. Julie Samora, on developing executing an extraordinary program....