Pediatric orthopaedics focuses on addressing musculoskeletal issues in children, from congenital conditions present at birth to developmental disorders that appear as they grow. Significant advancements have been made in managing these disorders and correcting pediatric fractures and deformities.
Management of Congenital and Developmental Disorders
Congenital Disorders
Conditions like clubfoot, spina bifida, and neuromuscular disorders require early intervention for optimal outcomes. Facilities such as Duke Children’s Hospital and UNC Orthopaedics employ multidisciplinary teams to utilize advanced techniques like the Ponseti method for clubfoot, involving serial casting and minor surgical procedures to correct the foot’s position.
For neuromuscular disorders, including cerebral palsy, a combination of physical therapy, orthotic devices, and surgical interventions is used to improve mobility and enhance the quality of life.
Developmental Disorders
Conditions developing during growth, such as developmental dysplasia of the hip (DDH), scoliosis, and limb length discrepancies, require timely intervention. DDH treatments range from bracing to surgical procedures to ensure proper hip joint development, tailored to the child’s severity and age.
Scoliosis, a common spinal deformity, is managed through various techniques. Mild cases may only need bracing, while severe curvatures might require surgical options like spinal fusion or the use of growing rods.
Techniques for Correcting Pediatric Fractures and Deformities
Pediatric fractures are complex due to growth plates, essential for bone development. Correction techniques include casting, internal fixation with pins or screws, and external fixation for severe cases. The objective is to stabilize the fracture while protecting the growth plate to ensure normal bone growth.
For deformities, especially of the spine and limbs, specialized programs at institutions like the Children’s Hospital of Philadelphia offer comprehensive care. Advanced technologies such as the EOS low-dose radiation system are used for precise imaging and surgical interventions. Techniques like vertebral body tethering and growth modulation correct deformities while allowing continued growth.
Comprehensive and Multidisciplinary Approaches
Renowned institutions like Duke Children’s Hospital, UNC Orthopaedics, and UF Health Pediatric Orthopaedics provide a full spectrum of services from diagnosis to rehabilitation. These centers emphasize a family-centered approach, ensuring treatment plans are tailored to each child’s needs and involve the family in every step.
Pediatric orthopaedics has made significant strides in managing congenital and developmental disorders, offering advanced and effective techniques for correcting fractures and deformities. With ongoing research and technological advancements, the future holds promise for even better outcomes for young patients.
For more detailed information on specific treatments and programs, visit the Duke Department of Orthopaedic Surgery, UNC Orthopaedics, University of Florida Orthopaedics, Yale New Haven Hospital, and Children’s Hospital of Philadelphia.
