Showing 1 - 12 of 50 reports matching: Pediatric Orthopaedics
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Synopsis: 90 pediatric patients undergoing lower-extremity orthopaedic surgery with caudal epidural nerve blocks were randomized to one of three groups: (1) adjuvant intravenous dexamethasone, (2) adjuvant caudal epidural dexamethasone, and (3) placebo (saline). The purpose of this trial was to determine the effect of dexamethasone on postoperative analgesia and vomiting. The results of Read More »
Level 2 RCT
Synopsis: 50 children with cerebral palsy scheduled for single-event multilevel surgery (SEMLS) were included in this randomized trial. Each patient received general anesthesia and then epidural analgesia with bupivacaine and either clonidine or standard fentanyl , according to randomization. The purpose of Read More »
Level 2 RCT
Synopsis: 60 youth and adolescent patients with osteogenesis imperfecta (OI) were randomized to either high-dose vitamin D supplementation (2000IU daily) or low-dose vitamin D supplementation (400IU daily). The purpose of this study was to evaluate if high-dose supplementation led to a significant increase in areal bone mineral density (aBMD) z-score of the lumbar spine compared to low-dose supplementation over 1 year. Overall, there was Read More »
Level 2 RCT
Synopsis: 51 pediatric patients scheduled for corrective osteotomy were randomized to undergo the procedure with an analgesia regimen initiated either 5 minutes prior to or 5 minutes after skin incision. The purpose of this study was to determine if significant improvements in postoperative pain, rescue analgesic use, the frequency of intravenous patient-controlled analgesia (IV-PCA) button use, and incidence of nausea and vomiting were associated with preemptive analgesia when compared to standard analgesia throughout a 48-hour post-surgery period. A significantly higher Read More »
Level 2 RCT
Synopsis: 201 patients with juvenile idiopathic arthritis (JIA) were randomized to a naproxen group or a celecoxib group to compare the changes in systolic blood pressure (SBP) over 6 weeks, for the purpose of analyzing the safety and efficacy of NSAID treatment in pediatric patients. Results showed no Read More »
Author verified Level 2 RCT
Synopsis: 52 paediatric patients with a displaced supracondylar fracture of the humerus scheduled for K-wire fixation were randomized to either a lateral pin configuration or a crossed pin configuration. The purpose of this study to evaluate if lateral K-wire fixation offered non-inferior results regarding the loss of reduction when compared to crossed K-wire fixation. The quality of Read More »
Conference Report
Synopsis: 100 children between the ages of 2-10 years, with a closed, non-displaced, type 1 supracondylar humeral fracture or a closed, acute elbow injury with a positive posterior fat pad sign were randomly assigned a standard long-arm hard, fiberglass cast or a soft, removable long-arm fiberglass cast. The purpose of this study was to compare the use of the soft removable cast to the traditional hard cast in terms of fracture displacement, range of motion, pain, and patient satisfaction. The results displayed Read More »
Conference Report
Synopsis: 33 children (131 castings) with idiopathic clubfoot were randomized to one of three treatments aiming to decrease neonatal pain response during Ponseti manipulation: (1) 20% oral sucrose solution, (2) bottled milk (breast/non-breast), or (3) water. The purpose of this study was to determine which treatment resulted in the greatest decrease in neonatal pain response, while additionally measuring heart rate and oxygen saturation before, during, and after-casting. Results demonstrated that Read More »
Conference Report
Synopsis: 96 adolescent patients with idiopathic scoliosis were randomly allocated to Paper/Paper, Paper/Internet, Internet/Paper, or Internet/Internet groups in terms of administration modalities for the Scoliosis Patient Questionnaire: Version 30 (SRS-30) and the Pediatric Outcomes Data Collection Instrument (PODCI). Patients were initially administered the first mode as per their group allocation, and then two weeks later administered the second mode. The purpose of Read More »
Conference Report
Synopsis: 183 paediatric patients with an extremity fracture not requiring surgery were randomized to analgesia through either oral morphine or ibuprofen. The purpose of this study was to evaluate whether oral morphine was more effective than ibuprofen for pain management over the first 24 hours after administration. Over 70% of Read More »
Author verified Level 1 RCT
Synopsis: 15 randomized controlled trials (4 RCTs on intervention and 11 RCTs on prevention) were included in this meta-analysis/systematic review to determine the effectiveness of conservative treatments to treat and prevent low back pain in children/adolescents. Pooled analysis revealed that patients who participated in an exercise program indicated pain intensity improvement in comparison to patients with no treatment. However, back education Read More »
Level 1 Meta Analysis
Synopsis: 245 children with presumed diagnosis of radial-head subluxation were treated by either triage nurses or physicians in the emergency department in this cluster-randomized controlled trail, based on day of presentation. The purpose of this study was to determine whether nurse-initiated treatment was inferior to physician-initiated treatment with respect to the success rate of reduction. Results indicated that Read More »
Author verified Level 2 RCT