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[501－504] We shall break free of our obstacles and make measureless progress:chinese pediatric orthopedic multi-center clinical research experience

[Tang Xin]

DOI:10.3760/cma.j.cn101785-202404046-001

[Absract] Objective The Chinese Multicenter Pediatric Orthopedic Study Group (CMPOS),as the first academic organization in China characterized by clinical multicenter research in pediatric orthopedics,has been committed to promoting multicenter research across its member institutions since its establishment in 2013.Over the past ten years,CMPOS has achieved significant milestones,including the theoretical training in clinical research,homogenization of case data collection and organization,culti... [MORE...]

[PDF:5556KB](111)

[505－508] How to conduct clinical research in pediatric orthopedics: a complex but feasible task

[Federico Canavese¹, Chen Shunyou², Pan Yuancheng²]

DOI:10.3760/cma.j.cn101785-202405051-002

[Absract] Objective High-quality,standardized clinical research is an important means for pediatric orthopedic physicians to improve their diagnosis and treatment capabilities,stay at the forefront of the field,and objectively evaluate treatment efficacy.However,conducting clinical research in pediatric orthopedics is very complex,encompassing both opportunities and significant challenges.This article discusses how to conduct high-quality pediatric orthopedic clinical research from aspects such ... [MORE...]

[PDF:3711KB](104)

[509－520] Prediction model of final outcomes in children with developmental dysplasia of the hip treated by closed reduction

[Li Yiqiang¹, Liu Hang², Guo Yueming³, Shi Weizhe¹, Lin Xuemei¹, Xu Chenchen¹, Wei Shen¹, Liu Yuanzhong¹, Xu Hongwen¹, Chinese Multicenter Pediatric Orthopedic Study Group（CMPOS）]

DOI:10.3760/cma.j.cn101785-202404061-003

[Absract] Objective Objective To establish a prediction model for residual acetabular dysplasia (RAD) following closed reduction in developmental dysplasia of the hip (DDH),so as to guide the selection of timing for secondary pelvic osteotomy.Methods A retrospective analysis was performed on 449 patients (522 hips,mean age: 16.3±5.1 months) with DDH treated by closed reduction from 2004 to 2015.On pelvic radiograph,the degree of dislocation according to International Hip Dyspla... [MORE...]

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[521－526] Efficacy of one-stage posterior hemivertebrectomy and short segment fusion for congenital hemivertebra malformations:a multicenter clinical study

[Huang Qi¹, Xu Jianglong¹, Su Yuxi², Ye Weihua³, Tang Xin⁴, Chen Shunyou⁵, Zhou Zhiguo⁶, Zhao Zhanbo¹, Fu Guibing¹, Tang Shengping¹]

DOI:10.3760/cma.j.cn101785-202405076-004

[Absract] Objective Objective To evaluate the efficacy of one-stage posterior hemivertebrectomy and short segment fusion for congenital hemivertebra deformity in children at multiple medical centers.Methods This retrospective study included 35 children with single-level thoracic or lumbar hemivertebra who undergoing one-stage posterior hemivertebrectomy and short segment fusion at six medical centers between May 2016 and March 2021.The follow-up period was at least 2 years.Gene... [MORE...]

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[527－534] A multicenter prospective non-randomized controlled protocol on timing and indications of pelvic osteotomy for residual acetabular dysplasia after closed reduction of developmental dislocation of the hip

[Li Jingchun¹, Liu Yanhan¹, Li Yiqiang¹, Zhu Guanghui², Guo Yueming³, Li Ming⁴, Kang Xiaopeng⁵, Tang Shengping⁶, Shen Xiantao⁷, Shao Jingfan⁸, Chen Shunyou⁹, Jiang Fei¹⁰, Li Jin¹¹, Xu Hongwen¹, Chinese Multicenter Pediatric Orthopedic Study Group (CMPOS)¹²]

DOI:10.3760/cma.j.cn101785-202405072-005

[Absract] Objective Closed reduction under general anesthesia and plaster fixation in human position are commonly applied for treating developmental dislocation of the hip (DDH) under an age of 24 months.However,around one-third of patients still experience residual acetabular dysplasia after closed reduction.Although pelvic osteotomy is widely utilized for residual acetabular dysplasia,its accurate surgical timing and indications have remained elusive.This study was designed to explore timing a... [MORE...]

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[535－542] Global advances of pediatric orthopedics multi-center clinical researches from 2014 to 2023

[Xiong Zhu, Zeng Shuaidan, Zheng Kaize, Chen Huating, Tang Gen, Li Weiqing, Chen Xiaodi, Mei Qianqian, Tang Shengping]

DOI:10.3760/cma.j.cn101785-202405002-006

[Absract] Objective Objective To employ bibliometric methods to explore current status and hotspots of pediatric orthopedic multicenter research publications globally.Methods A comprehensive database search was conducted in China National Knowledge Infrastructure (CNKI),Wanfang Medical Database,China Science and Technology Journal Database and Web of Science for the relevant articles published from January 1,2014,to December 30,2023.Raw data were organized and analyzed by Micro... [MORE...]

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[543－549] Hepatectomy for multifocal hepatoblastoma:a single-center report

[Yang Wei, Liu Shan, Ren Qinghua, Wang Huanmin, Qin Hong, Cheng Haiyan, Chang Xiaofeng, Zhu Zhiyun, Feng jun, Han Jianyu, Yang Shen]

DOI:10.3760/cma.j.cn101785-202310006-007

[Absract] Objective Objective To explore the feasibility and effectiveness of hepatectomy for multifocal hepatoblastoma (HB).Methods A retrospective analysis was conducted for 21 hospital cases of multifocal HB patients from April 2014 to December 2022.Clinical characteristics,surgical procedures and long-term outcomes were collected and compared with 58 cases of unifocal hepatoblastoma patients with intermediate/high-risk group during the same period.Results Among 21 ch... [MORE...]

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[550－554] Value of multiple ultrasonic indicators in estimating the outcomes of congenital diaphragmatic hernia

[Liu Qin¹, Ren Hongyan¹, Wang Mingxue¹, Liu Yumeng¹, Ma Lishuang²]

DOI:10.3760/cma.j.cn101785-202309036-008

[Absract] Objective Objective To explore the value of multiple ultrasound indicators in the prognosis evaluation of congenital diaphragmatic hernia and provide scientific rationales for an accurate diagnosis and treatment of congenital diaphragmatic hernia (CDH). Methods From January 2018 to December 2022,preoperative ultrasonic images were retrospectively reviewed for 92 CDH children undergoing neonatal surgery.The relevant indicators included length of diaphragmatic defect (≤... [MORE...]

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[555－560] Impacts of glanular width and urethral plate width on tubularized incised plate urethroplasty complications in children with hypospadias

[Yang Zhilin¹, Zhang Peiliang², He Yingying³, Ke Zhicong¹, Yin Jianchun¹, Li Jiaqiang¹, Sun Fenghao¹, Li Shoulin¹]

DOI:10.3760/cma.j.cn101785-202209022-009

[Absract] Objective Objective To explore the impact factors of tubularized incised plate (TIP) urethroplasty complications Methods From January 2019 to June 2021,prospective review was conducted for 272 children with hypospadias undergoing TIP urethroplasty.Operative age,meatus location,urethral plate width,glans width,urethral defect,operative duration and postoperative complications of urethral fistula,urethral stricture and glanular dehiscence were recorded.They were assigne... [MORE...]

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[561－566] Changes and predictors for perioperative C-reactive protein in children with congenital scoliosis hemivertebral deformity

[Zhang Hanwen, Qi Xinyu, Liu Haonan, Zhao Mengqi, Guo Dong, Bai Yunsong, Li Chengxin, Zhang Xuejun]

DOI:10.3760/cma.j.cn101785-202203078-010

[Absract] Objective Objective To explore the changes and predictors for perioperative C-reactive protein (CRP) in children with congenital scoliosis hemivertebral deformity and summarize the relevant clinical experiences.Methods From October 2020 to October 2021,the clinical data were reviewed for 101 children with congenital scoliosis hemivertebral deformity.Posterior hemivertebra resection and internal fixation were performed.Factors including age,gender,height,weight,Stamp s... [MORE...]

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[567－571] Efficacy comparison of conventional laparoscopy versus robot-assisted transumbilical single-incision laparoscopy for benign ovarian lesions in children and adolescents

[Luo Mingshuang¹, Gao Heyun¹, Yi Yuexiong², Zhang Wei², Guo Yunkai¹, Yu Shanzhen¹, Zhang Xin¹, Zhang Wen¹]

DOI:10.3760/cma.j.cn101785-202310041-011

[Absract] Objective Objective To preliminarily compare the surgical efficacies of generation IV Leonardo da Vinci robot-assisted single-incision laparoscopy versus traditional single-incision laparoscopy for benign ovarian lesions in children and adolescents.Methods From January 2018 to March 2023,the relevant clinical data were retrospectively reviewed for children and adolescents undergoing fourth generation IV Da Vinci robot-assisted single-hole laparoscopy (R-LESS,n=... [MORE...]

[PDF:4356KB](105)

[572－577] Comparative study of closed reduction hip cast fixation versus elastic intramedullary nail fixation in treatment of femoral shaft fractures in preschool children

[Duan Lian, Li Lianyong]

DOI:10.3760/cma.j.cn101785-202304020-012

[Absract] Objective Objective To compare the clinical efficacy of closed reduction with spica casting (SC) versus flexible intramedullary nail (FIN) for femoral shaft fractures in preschool children.Methods A retrospective chart review was performed to identify children two to five years of age who had been treated for femoral shaft fracture.According to treatments,they were assigned into two groups of SC and FIN (n=20 each).Demographic profiles,associated injuries,injur... [MORE...]

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[578－583] Efficacies of nasal endoscopic cryogenic plasma adenoidectomy for pediatric adenoid hypertrophy

[Long Songliang¹, Zhang Xiaping²]

DOI:10.3760/cma.j.cn101785-202401048-013

[Absract] Objective Objective To explore the efficacy of nasal endoscopic hypothermia plasma adenoid resection for pediatric adenoid hypertrophy.Methods From February 2020 to February 2023,100 children with adenoid hypertrophy were recruited retrospectively.According to surgical approaches,they were assigned into two groups of nasal endoscopic cryogenic plasma adenoidectomy (cryogenic plasma) and nasal endoscopic adenoidectomy (conventional resection)(n=50 each).Operatio... [MORE...]

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[584－588] Clinical efficacies of 1.1 mm endoscopic technique for hydrocele and inguinal hernia in children

[Yu Zhongjing, Lin Zhenying, Li Huanyuan, Yang Mengcheng, Yuan Mabao, Li Guanzhao, Zhang Baoxin]

DOI:10.3760/cma.j.cn101785-202401014-014

[Absract] Objective Objective To explore the efficacy,advantages and disadvantages of treating pediatric hydrocele/inguinal hernia with a 1.1 mm diameter transumbilical single-port laparoscopy.Methods A retrospective analysis was conducted for the clinical data and follow-up findings of 30 children with hydrocele/inguinal hernia from January 2022 to August 2023.A STORZ 1.1 mm laparoscope was applied with a homemade Trocar.Based upon the size of incision and the number of punctu... [MORE...]

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[589－594] Research advances in the treatment of leg length discrepancy guided by bone age assessment and growth prediction in children

[Jiang Zexi, Mei Haibo]

DOI:10.3760/cma.j.cn101785-202312022-015

[Absract] Objective Leg length discrepancy (LLD) is a frequent symptom of common orthopedic diseases.The clinical manifestation of LLD smaller than 1 cm is insignificant so that there is no need for intervention.However,LLD larger than 1 cm leading to abnormal gait and spinal deformity should be treated properly.The management process of LLD patients includes bone age determination,growth prediction and selecting treatment options.Currently many methods are available for bone age assessment and ... [MORE...]

[PDF:7245KB](106)

[595－600] Applications and advances of near-infrared spectroscopy for monitoring perfusion during extracorporeal membrane oxygenation

[Wang Li, Peng Wei]

DOI:10.3760/cma.j.cn101785-202306030-016

[Absract] Objective As an effective support technique for circulatory/respiratory failure,extracorporeal membrane oxygenation (ECMO) has been gaining popularity for children in recent years.However,the incidence of brain,kidney,gastrointestinal tract and extremity damage remains high in ECMO-supported patients.Various traditional hemodynamic monitoring modalities are limited during ECMO support.Near-infrared spectroscopy (NIRS),a non-invasive,real-time and continuous monitoring mode,can monitor ... [MORE...]

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