The Resident Review

5/17/2017  |  by Todd Ritzman, MD

Neuromuscular Cerebral Palsy

In this post we will review the surgical treatment of scoliosis in children with cerebral palsy. You will find two interesting cases provided by Dr. Todd Ritzman. Decision making for operative treatment of scoliosis in children with cerebral palsy is not always straightforward.

For your review, we have attached an article (Whitaker AT, Sharkey M, Diab M. Spinal Fusion for Scoliosis in Patients with Globally Involved Cerebral Palsy: An Ethical Assessment. J Bone Joint Surg Am. 2015;97:782-7) which is a sobering and excellent review of the complexity, inherent risk, and difficult risk-benefit discussion in neuromuscular spine deformity surgery. This article is a ‘must read’ for surgeons who will be embarking on this difficult decision making process with parents / caregivers of patients with GMFCS V cerebral palsy. I hope you enjoy the questions and the article.

View Spinal Fusion Article
 

4/5/2017  |  by Pooya Hosseinzadeh, MD

Editor's Note

Coming up this month: we're focusing on the diagnosis and treatment of neuromuscular disorders in children.

3/9/2017  |  by Ken J. Noonan, MD & Michelle S. Caird, MD

Female IPOS Scholars Sweep the Podium

Female orthopaedic residents claimed the top three overall scores in the 5th annual Top Gun Surgical Simulation Competition, held during the 13th annual International Pediatric Orthopaedic Symposium (IPOS) in Orlando, Florida, from Dec. 6–10, 2016.

10/1/2016  |  by Pooya Hosseinzadeh, MD

Editor's Note

This month we focus on the diagnosis and treatment of traumatic injuries in children.

4/25/2016  |  by Richard McCarthy, MD

Ethical Guidelines

Ethics in orthopaedics, Dr. McCarthy presents a challenging case that most will find themselves struggling with; the dilemma of what is truly right for patients and society.

4/18/2016  |  by Kevin M. Neal, MD

The Case for Quality Improvement in Pediatric Orthopedics

In the last decade, healthcare has seen a much greater emphasis on quality, safety, and value. It is anticipated that this emphasis will continue, including a change to reimbursement models that emphasize value rather than our current system that emphasizes volume. One option to improve value is to decrease unexplained clinical variance. For example, different surgeons at the same institution may have markedly different ways of treating the same problem. Especially if the costs differ greatly, the institution, patients, and payers naturally want to know if the different treatment algorithms promote improved quality. Pediatric Orthopedic Surgeons, especially those in training or early in their careers need to understand the reasons for this emphasis on quality, and how it is likely to affect their practices.

4/11/2016  |  by Pooya Hosseinzadeh, MD

Minimally Invasive Method for Treatment of Congenital Vertical Talus (Dr. Matthew Dobbs Interview)

Congenital Vertical Talus (CVT) is rare congenital condition presenting with rigid equinovalgus deformity of the foot. CVT can be seen as an isolated condition or as part of a syndrome. Traditionally CVT was treated with extensive soft tissue release. Dr. Matthew Dobbs has reported excellent outcome with a minimally invasive method in treatment of this rare rigid deformity. Dr. Dobbs discusses his novel technique in detail in response to our questions.