TY - JOUR
T1 - Management of Syndesmotic Injuries in Children and Adolescents
T2 - Results of a Cross-Sectional Survey of Pediatric Orthopaedic Surgeons
AU - CORTICES Study Group
AU - Williams, Caroline E.
AU - Stewig, Blair
AU - Lee, Sang Won
AU - Shore, Benjamin J.
AU - May, Collin J.
AU - Janicki, Joseph
AU - Hedequist, Daniel
AU - Heyworth, Benton
AU - Brighton, Brian
AU - Denning, Jaime Rice
AU - Ramalingam, Wendy
AU - Murphy, Joshua S.
AU - Sanders, Julia
AU - Goldstein, Rachel Y.
AU - Koehler, Ryan
AU - Baldwin, Keith
AU - Jennifer Laine, Laine
AU - Truong, Walter
AU - Spence, David
AU - Schoenecker, Jonathan
AU - Beebe, Allan
AU - Rickert, Kathleen D.
AU - Upasani, Vidyadhar V.
AU - Blumberg, Todd
AU - Lindberg, Antoinette
AU - Hill, Jaclyn
AU - Rosenfeld, Scott D.
AU - Copley, Lawson A.
AU - Johnson, Megan
AU - Ramo, Brandon
AU - Riccio, Anthony I.
AU - Swarup, Ishaan
AU - Li, G. Ying
AU - Miller, Mark
N1 - Publisher Copyright:
Copyright © 2024 by the American Academy of Orthopaedic Surgeons.
PY - 2024/8/15
Y1 - 2024/8/15
N2 - Introduction:Although syndesmotic injury management in adults has shown improved outcomes with suture-button versus screw fixation, this has not been demonstrated in pediatric populations. This study investigates trends in syndesmotic injury management by conducting a survey of pediatric orthopaedic surgeons.Methods:The Children's Orthopaedic Trauma and Infection Consortium for Evidence-Based Studies group was surveyed for information regarding their surgical fixation preference for syndesmotic ankle injuries.Results:A survey response of 100% (30/30 members) was obtained. Most of the respondents practiced in a metropolitan setting (86.7%) and reported working in a pediatric specialty hospital (73.3%). 86.7% (n = 26) treated 0 to 5, 10% (n = 3) treated 6 to 10, and 3.33% (n = 1) treated over 10 pediatric syndesmotic ankle injuries in the past year. 70% (n = 21) of respondents preferred suture-button fixation while 30% (n = 9) preferred screw fixation. Furthermore, 50% (n = 15) of respondents reported a change in their implant preference since the start of their practice, with "avoidance of secondary surgery"and "extrapolation from outcomes in adults"as the most cited reasons at 86.7% and 73.3%, respectively.Discussion:Our findings indicate that the shift from screw to suture-button fixation is due to an interest in avoiding secondary surgery for implant removal and by extrapolating results from adult studies.
AB - Introduction:Although syndesmotic injury management in adults has shown improved outcomes with suture-button versus screw fixation, this has not been demonstrated in pediatric populations. This study investigates trends in syndesmotic injury management by conducting a survey of pediatric orthopaedic surgeons.Methods:The Children's Orthopaedic Trauma and Infection Consortium for Evidence-Based Studies group was surveyed for information regarding their surgical fixation preference for syndesmotic ankle injuries.Results:A survey response of 100% (30/30 members) was obtained. Most of the respondents practiced in a metropolitan setting (86.7%) and reported working in a pediatric specialty hospital (73.3%). 86.7% (n = 26) treated 0 to 5, 10% (n = 3) treated 6 to 10, and 3.33% (n = 1) treated over 10 pediatric syndesmotic ankle injuries in the past year. 70% (n = 21) of respondents preferred suture-button fixation while 30% (n = 9) preferred screw fixation. Furthermore, 50% (n = 15) of respondents reported a change in their implant preference since the start of their practice, with "avoidance of secondary surgery"and "extrapolation from outcomes in adults"as the most cited reasons at 86.7% and 73.3%, respectively.Discussion:Our findings indicate that the shift from screw to suture-button fixation is due to an interest in avoiding secondary surgery for implant removal and by extrapolating results from adult studies.
UR - http://www.scopus.com/inward/record.url?scp=85202010047&partnerID=8YFLogxK
U2 - 10.5435/JAAOSGlobal-D-24-00128
DO - 10.5435/JAAOSGlobal-D-24-00128
M3 - Article
AN - SCOPUS:85202010047
SN - 2474-7661
VL - 8
JO - Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
JF - Journal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
IS - 8
M1 - e24.00128
ER -