Orthopedic Research

Regional anesthesia as an alternative to procedural sedation for forearm fracture reductions in the pediatric emergency department. Sulton CD, Fletcher N, Murphy J, Gillespie S, Burger RK. Pediatr Emerg Care. 2024 Feb 1.

Bony remodeling of adolescent displaced clavicle fractures: A FACTS study. Pennock AT, Bastrom TP, Perkins CP, Willimon SC, Busch MT, et al. Am J Sports Med. 2023 March.

Variability in Evaluation and Treatment of Tibial Tubercle Fractures Amongst Pediatric Orthopaedic Surgeons. Fields MW, Kaushal NK, Patel NM, McCormick SK, Eberson CP, Schmitz ML, Swarup I, Blanco JS, Crawford LM, Edobor-Osula OF. J Pediatr Orthop B. 2022 Mar 1.

Flexible intramedullary nailing of pediatric femoral fractures. JBJS Essential Surgical Techniques. Murphy, J.S., Koehler, K., Johnson, M., Hosseinzadeh, P. JBJS Essential Surgical Techniques. March 2021.

Descriptive epidemiology of adolescent clavicle fractures: results from the FACTS prospective multicenter cohort study. Ellis, H.B., Li, Y., Bae, D.S., Willimon, S.C., Heyworth, B.E., et al. Orthop J Sports Med. 2020.

Complications in the treatment of femur fractures in patients with pre-existing spinal cord injury. Perkins, C., Buck, J.S., Karunakar, M. Bulletin Hosp Joint Diseases. 2019.

A quartet of elastic stable intramedullary nails for more challenging pediatric femur fractures. Busch M.T., Perkins C.A., Nickel, B.T., Blizzard, D.J., Willimon, S.C. J Pediatr Orthop. 2019 Jan.

Olecranon fractures in children and adolescents: Outcomes based on fracture fixation. Perkins, C.A., Busch, M.T., Christino, M.A., Axelrod, J., Devito, D.P., Fabregas, J.A., Flanagan, J.C., Murphy, J.M., Olszewski, D., Schmitz, M.L., Schrader, T., Willimon, S.C. J Child Orthop. 2018 Oct.

Reliability of radiographic assessments of adolescent midshaft clavicle fractures by the FACTS multicenter study group. Li, Y., Donohue, K.S., Willimon, S.C., et al. J Orthop Trauma. 2017.

Adolescent clavicle nonunions: Potential risk factors and surgical management. Pennock, A.T., Willimon, S.C., Busch, M.T., et al. J Shoulder Elbow Surg. 2017.

Functional outcomes following nonoperative versus operative treatment of clavicle fractures in adolescents. Herzog, M.M., Busch, M.T., Willimon, S.C., et al. J Child Orthop. 2017.

Intra-articular physeal fractures of the distal femur: A frequently missed diagnosis in adolescent athletes. Pennock, A.T., Ellis, H.B., Willimon, S.C., et al. Orthop J Sports Med. 2017.

The use of a transolecranon pin in the treatment of pediatric flexion type supracondylar humerus fractures. Green, B.M., Stone, J.A., Fletcher, N.D. J Pediatr Orthop. 2017.

Carpal Injuries in Sport, in Upper Extremity Injuries in Young Athletes. Faust, K.C., Peljovich, A.E. Springer. 2019.

Early predictors of microsurgical reconstruction in brachial plexus birth palsy. Shah, A.S., Kalish, L.A., Bae, D.S., Peljovich, A.E., Cornwall, R., Bauer, A.S., Waters, P.M. Iowa Orthop J. 2019.

Recovery of motor nerve injuries associated with displaced, extension-type pediatric supracondylar humerus fractures. Shore, B.J., Gillespie, B.T., Miller, P.E., Bae, D.S., Waters, P.M. J Pediatr Orthop. 2019 Oct.

Hand Injuries in Baseball. Metz, J. Lourie G.M. Baseball Sports Medicine. 2019.

Outcomes Of Operative Treatment Of Triangular Fibrocartilage Tears In Pediatric And Adolescent Athletes. Fishman F.G., Barbar J, Lourie G.M., Peljovich A.E. Journal of Pediatric Orthopedics. 2018 Nov.

Etiology, diagnosis and treatment of dynamic nerve compression syndromes of the elbow among high-level pitchers: A review of seven cases. Von Bergen, T.N., Lourie, G.M. The Orthopaedic Journal of Sports Medicine. 2018 Oct.

Ulnar nerve injury in pediatric midshaft forearm fractures: A case series. Federer, E.F., Murphy, J.M., Calandruccio, J.H., DeVito, D,P., Kozin, S.H., Slappey, G.S., Lourie, G.M. Journal of Orthopedic Trauma. 2018 Sept.

Do Weightbearing restrictions cause excess weight gain in children with Legg-Calve-Perthes Disease? Novotny SA, Hailer YD, Laine JC, Schrader T, et al. J Pediatr Orthop. 2023 Jan 1.

Slipped capital femoral epiphysis associated with endocrinopathy: a narrative review. Shaw KA, Shiver AL, Oakes T, Fletcher ND. JBJS Rev. 2022 Feb 7.

Controversies in the management of unstable slipped capital femoral epiphysis. Davey S, Fisher T, Schrader T. Orthop Clin North Am. 2022 Jan.

Slipped Capital Femoral Epiphysis Associated with Endocrinopathy: A Narrative Review. Shaw, K.A., Shiver, A.L., Oakes, T., Fletcher, N.D., et al. JBJS Rev. 2022 Feb 7.

Reliability and Validity of Visual Estimation of Femoral Head Hypoperfusion on Perfusion MRI in Legg-Calve-Perthes Disease. International Perthes Study Group, including, Schrader, T. J Pediatr Orthop. 2021 Oct.

Hip Morphology in Early-stage LCPD: Is There an Argument for Anatomic-specific Containment? International Perthes Study Group, including, Schrader, T. J Pediatr Orthop. 2021.

Tractionless hip arthroscopy for septic arthritis in children. Ellis, H., Copley, L., Pennock, A.T., Nepple, J.J., Willimon, S.C., Mayer, S., Yen, Y. Arthroscopy Techniques. 2021 Feb 19.

Validation of pediatric self-report patient-reported outcomes measurement information system (PROMIS) measures in different stages of Legg-Calve-Perthes Disease. Matsumoto, H., Hyman, J.E., Shah, H.H., Sankar, W.N., Laine, J.C., Mehlman, C.T., Schrader, T., Kelly, D.M., Rosenfeld, S.B., Janicki, J.A., Thacker, M.M., Trupia, E., Mcguire, M.F., Kim, H.K.W., International Perthes Study Group. J Pediatr Orthop. 2020 May.

Increased hip intracapsular pressure decreases perfusion of the capital femoral epiphysis in a skeletally immature porcine model. Upasani V.V., Badrinath R, Farnsworth C.L., Jeffords M.E., Hallare J.A., Ahmed S.I., Schrader T.S. J Pediatr Orthop. 2020 Apr.

Septic arthritis of the hip-risk factors associated with secondary surgery. Murphy R.F., Plumblee L., Barfield W.B., Murphy J.S., Fuerstenau N, Spence D.D., Kelly D.M., Dow M.A., Mooney J.F. 3rd. J Am Acad Orthop Surg. 2018 Dec 4.

Arthroscopic management of pigmented villonodular synovitis of the hip in children and adolescents. Willimon, S.C., Schrader, T.S., Perkins, C.A. Ortho J Sports Med. 2018.

Intraoperative monitoring of epiphyseal perfusion in slipped capital femoral epiphysis. Schrader, T.S., Jones, C.R., Kaufman, A.M., et al. J Bone Joint Surg Am. 2016 Jun.

Prospective Multi-Center Preliminary Validation of Limb Deformity-Modified Scoliosis Instruments in Pediatric Patients with Limb Deformity. Moon T, Carnita E, Amakoutou K, Jasty N, Sachwani N, Flanagan JC, Liu RW. J Pediatr Orthop. 2024 Mar 1.

Scientific, technological, surgical, and prosthetic advances in pediatric limb deficiency. Schmitz ML, Hernandez R. Atlas of Amputations and Limb Deficiencies (5th ed.). Wolters Kluwer Health. 2023.

Limb Deficiencies and Amputations. Coulter C, Hernandez R, Giavedoni B, Stanger M, Campbell SK, Palisano RJ, Orlin M, Schreiber J, eds. Physical Therapy for Children. 2023.

Physical Therapy Management in Children with Congenital and Acquired Limb Differences. Coulter C, Cannoy J, Krajibich I, Pinzur M. Potter B, and Stevens P. Atlas of Amputations and Limb Deficiencies. American Academy of Orthopedic Surgeons. 2023.

Walking kinematics in young children with limb loss using early versus traditional prosthetic knee prescription protocols. Geil MD, Safaeepour Z, Giavedoni B, Coulter CP. PLoS ONE. 2020.

Descriptive epidemiology of upper extremity septic arthritis in children – review of a retrospective multicenter database. Li Y, Snaborn RM, Cook D, CORTICES Study Group (Murphy, McLaughlin), et al. J Pediatr Orthop. 2023 Jan 1.

Age and CRP associated with improved tissue pathogen identification in children with blood culture negative osteomyelitis: results from the CORTICES multicenter database. Burns JD, Upasani VV, Bastrom TP, CORTICES study group (Murphy, McLaughlin). J Pediatr Orthop. 2023 Sep 1. Epub ahead of print.

Access to care among patients with osteogenesis imperfecta during the COVID-19 pandemic. Malina SN, Flanagan JC, Loechner KJ, Wu M. Arch Osteoporos. 2023 Nov 28.

Osteogenesis imperfecta patients wish orthopedic surgeons had better strategies to help with… -Results of a patient and parent-oriented survey. Flanagan J, Tosi L, Carter E, Hart T, Franzone J, Wallace M. Children (Basel). 2023 Aug 4.

Intraoperative Hardware Failure of the Fassier-Duval Rescue System in a Pediatric Patient with Osteogenesis Imperfecta. Kahan ME, Angerett NR, and Flanagan JC. Case Reports in Pediatrics. 2021.

Minimize Implants Maximize Outcomes Study Group. The effect of implant density on adolescent idiopathic scoliosis fusion: The results of the minimize implants maximize outcomes randomized clinical trial. Larson AN, Polly DW, Sponseller PD, Kelly MP, Richards BS, Garg S, Parent S, Shah SA, Weinstein SL, Crawford CH, Sanders JO, Blakemore LC, Oetgen ME, Fletcher ND, Kremers WK, Marks MC, Brearley AM, Aubin CE, Sucato DJ, Labelle H, Erickson MA. J Bone Joint Surg Am. 2024 Feb 7.

Prospective multicenter preliminary validation of limb deformity-modified scoliosis instruments in pediatric patients with limb deformity. Moon TJ, Canitia E, Amakoutou K, Jasty N, Sachwani N, Flanagan JC, Liu RW. J Pedatr Orthop. 2023 Dec 22.

Breaking the Rules in Three Dimensions: What to Expect After a Thoracic-only Fusion With Structural Thoracic and Thoracolumbar Curves. Catanzano A, Upasani VV, Bryan TP, Yaszay B, Newton PO; Harms Study Group (Fletcher ND). J Pediatr Orthop. 2023 Dec 8.

Pregnancy and childbirth after spinal fusion for adolescent idiopathic scoliosis. Landrum M, Nocka HR, Ashebo L, Hilmara D, MacAlpine E, Flynn JM, Ho M, Newton PO, Sponseller PD, Lonner BS, Cahill PJ; Harms Study Group (Fletcher ND). J Pediatr Orthop. 2023 Dec 1.

BrAIST-Calc: Prediction of individualized benefit from bracing for adolescent idiopathic scoliosis. Dolan LA, Weinstein SL, Dobbs MB, Flynn JMJ, Green DW, Halsey MF, Hresko MT, Krengel WF 3rd, Mehlman CT, Milbrandt TA, Newton PO, Price N, Sanders JO, Schmitz ML, Schwend RM, Shah SA, Song K, Talwalkar V. Spine (Phila Pa 1976). 2023 Nov 23.

Pain medication use two years after adolescent idiopathic scoliosis fusion surgery. Bastrom TP, Kelly MP, Upasani VV, Newton PO; Harms Study Group (Fletcher ND). Spine (Phila Pa 1976). 2023 Aug 15.

Consensus-based best practice guidelines for the management of spinal deformity and associated tumors in pediatric neurofibromatosis type 1: screening and surveillance, surgical intervention, and medical therapy. Xu AL, Suresh KV, Murphy JS, Pediatric Spine Study Group, et al. J Pediatr Orthop. 2023 Aug 1; online ahead of print.

SRS-22r self-image after surgery for adolescent idiopathic scoliosis at 10-year follow-up. Stone LE, Upasani VV, Pahys JM, Fletcher ND, et al. Spine (Phila Pa 1976). 2023 May 15.

Avoiding PICU admission following PSF for neuromuscular scoliosis in non-ambulatory cerebral palsy managed with ERAS protocol. Shaw KA, Harris H, Sachwani N, Ruska T, Murphy JS, Fletcher ND. Spine Deform. 2023 May 11.

Accuracy of rod contouring to desired angles with and without a template: Implications for achieving desired spinal alignment and outcomes. Sardi JP, Ames CP, Coffey S, Good C, Dahl B, Kraemer P, Gum J, Devito D, Brayda-Bruno M, Lee R, Bell CP, Bess S, Smith JS. Global Spine J. 2023 Mar.

Drain options after vertebral body tethering. Haber L, Starring H, Newcomb N, Larson AN, Desai B, Roybal J, Fant W, Milbrandt T, Boeyer M, Marks M, Newton P, Samdani A, Miyanji F, Hoernschemeyer D; Harms Study Group Investigators (Fletcher ND). Spine Deform. 2023 Mar.

Effects of distraction-based distal fixation on pelvic parameter development in early onset scoliosis. Shaw KA, Fletcher N, West J, Sachwani N, Romine M, El-Hawary R, Murphy J. Spine Deformity. 2023 Mar.

Operative differences for posterior spinal fusion after vertebral body tethering: Are we fusing more levels in the end? Boeyer ME, Groneck A, Alanay A, Neal KM, Larson AN, Parent S, Newton P, Miyanji F, Haber L; Harms Study Group (Fletcher, ND), Hoernschemeyer DG. Eur Spine J. 2023 Feb.

The reliability of the AO spine upper cervical classification system in children: results of a multi-center study. O’Neill NP, Mo AZ, Fletcher ND, et al. J Pediatr Ortho. 2023 April.

Machine learning for benchmarking adolescent idiopathic scoliosis surgery outcomes. Gupta A, Oh IY, Kim S, Fletcher ND, HARMS study group, et al. Spine. 2023 May.

Risk factors for the development of DJK in AIS patients undergoing posterior spinal instrumentation and fusion. Segal DN, Ball J, Fletcher ND, et al. Spine Deform. 2022 Mar.

1- vs 2-year follow-up after posterior spinal fusion for AIS: what additional information is gained. Shaw KA, Orland K, Fletcher ND. Spine Deform. 2022 Nov.

Continued increase in cost of care despite decrease in stay after posterior spinal fusion for adolescent idiopathic scoliosis. Shaw KA, Ange B, George V, Murphy JS, Fletcher ND. J AAOS Glob Res Rev. 2022 Mar.

To tether or fuse? Significant equipoise remains in treatment recommendations for idiopathic scoliosis. Shaw KA, Welborn, Murphy JS, et al. Spine Deform. 2022 July.

Complications following posterior spinal fusion for adolescent idiopathic scoliosis: a retrospective cohort study using the modified Clavien-Dindo-Sink system. Keil LG, Himmelberg SM, Fletcher ND, et al. Spine Deform. 2022 May.

Ten-year follow-up of lenke 5 curves treated with spinal fixation. Fletcher ND, Bastrotime wim TP, Larson NA, et al. Spine Deform. 2022 Sept.

Complications following surgical treatment of adolescent idiopathic scoliosis: a 10-year prospective follow-up study. Hariharan AR, Shah SA, Harms Study Group (Fletcher ND), et al. Spine Deform. 2022 Sept.

Blood loss estimation during posterior spinal fusion for adolescent idiopathic scoliosis. Fletcher ND, Gilbertson LE, Bruce RW, et al. Spine Deform. 2022 May.

Modified clavien-dindo-sink classification system for adolescent idiopathic scoliosis. Guisse NF, Stone JD, Fletcher ND, et al. Spine Deform. 2022 Jan.

Continued increase in cost of care despite decrease in stay after posterior spinal fusion for adolescent idiopathic scoliosis. Shaw, K.A., Ange, B., George, V., Murphy, J.S., Fletcher, N.D. J Am Acad Orthop Surg Glob Res Rev. 2022 Mar.

Absent baseline intraoperative neuromonitoring signals part I: Adolescent idiopathic scoliosis. Spitzer, A., Patel, R., Hasan, S., Blas, D., Floccari, L., Glotzbecker, M., Murphy, J.S., Fletcher, N.D., Gomez, J. JPOSNA. 2022 Jan.

Absent baseline intraoperative neuromonitoring signals part 2: Neuromuscular scoliosis. Spitzer, A., Patel, R., Hasan, S., Blas, D., Floccari, L., Glotzbecker, M., Murphy, J.S., Fletcher, N.D., Gomez, J. JPOSNA. 2022 Jan.

Blood loss estimation during posterior spinal fusion for adolescent idiopathic scoliosis. Fletcher, N.D., Gilbertson, L.E., Bruce, R.W. Jr., Lewis, M., Lam, H., Austin, T.M. Spine Deform. 2021 Nov.

Risk factors for the development of DJK in AIS patients undergoing posterior spinal instrumentation and fusion. Harms Study Group, including, Fletcher, N.D. Spine Deform. 2021 Sept.

Power pedicle tract preparation and screw placement: A multicenter study of early adopters. Skaggs, D.L., Compton, E., Andras, L., Illingworth, K., Vitale, M.G., Stone, J., Fletcher, N.D., Keil, L., Garg, S., Martinez, R., Kim, E., Harris, H. Spine Deform. 2021 Sept.

Surgical outcomes of obese patients with adolescent idiopathic scoliosis from endemic areas of obesity in the United States. McDonald, T.C., Heffernan, M.J., Ramo, B., Haber, L., Sheffer, B., Murphy, J.S., Murphy, R., Fletcher, N.D., Coyne, K., Lubicky, J., Bumpass, D.B., Crawford, C. 3rd, Carreon, L., Toner, S., Stafford, W.H., Poppino, K., Adams, T., Song, B.M., Gidwani, S., Taillac, H., Cornaghie, M., Sukkarieh, H., Wright, P.B., Conklin, M., Gilbert, S., Thimothee, J., Bhanat, E., Brooks, J.T. J Pediatr Orthop. 2021 Aug.

Modified Clavien-Dindo-Sink classification system for adolescent idiopathic scoliosis. Guisse, N.F., Stone, J.D., Keil, L.G., Bastrom, T.P., Erickson, M.A., Yaszay, B., Cahill, P.J., Parent, S., Gabos, P.G., Newton, P.O., Glotzbecker, M.P., Kelly, M.P., Pahys, J.M., Fletcher, N.D. Spine Deform. 2021 Aug.

Current concept review: Gastrostomy tubes in children with non-ambulatory cerebral palsy and neuromuscular scoliosis: An enemy or an ally? Shiver, A.L., Shaw, K.A., Murphy, J.S., Fletcher, N.D. JPOSNA. 2021 July.

Indications for lumbar fusion in the skeletally mature athlete: How to address oblique takeoff and leg length discrepancy. Li, Y., Fletcher, N.D. J Pediatr Orthop. 2021 July.

Shoulder balance in patients with Lenke type 1 and 2 idiopathic scoliosis appears satisfactory at 2 years following anterior vertebral body tethering of the spine. Miyanji, F., Fields, M.W., Murphy, J.S., Matsumoto, H., Fano, A.N., Roye, B.D., Skaggs, D., El-Hawary, R., Vitale, M.G., Parent, S.; Pediatric Spine Study Group (PSSG). Spine Deform. 2021 June.

Comparative cost-utility analysis of postoperative discharge pathways following posterior spinal fusion for scoliosis in non-ambulatory cerebral palsy patients. Shaw, K.A., Heboyan, V., Fletcher, N.D., Murphy, J.S. Spine Deformity Journal. 2021 May.

Does body mass index affect outcomes after vertebral body tethering surgery? Mishreky, A., Parent, S., Miyojni, F., Murphy, J.S., El Hawary, R. Canadian Undergraduate Conference on Healthcare Journal. 2021 Apr.

Risk of early complication following anterior vertebral body tethering for idiopathic scoliosis. Abdullah, A., Parent, S., Miyanji, F., Smit, K., Murphy, J.S., Skaggs, D., Gupta, P., Vitale, M., et al. Spine Deformity Journal. 2021 Apr.

In-hospital opioid usage following posterior spinal fusion for adolescent idiopathic scoliosis: Does methadone offer an advantage when used with an ERAS pathway? Shaw, K.A., Fletcher, N.D., Devito, D.P., Schmitz, M.L., Fabregas, J.A., Gidwani, S., Chhatbar, P., Murphy, J.S. Spine Deformity Journal. 2021 Mar.

Risk factors for gastrointestinal complications after spinal fusion in children with cerebral palsy. Verhofste, B.P., Berry, J.G., Miller, P.E., Crofton, C.N., Garrity, B.M., Fletcher, N.D., Marks, M.C., Shah, S.A., Newton, P.O., Samdani, A.F., Abel, M.F., Sponseller, P.D., Harms Study Group, Glotzbecker, M.P. Spine Deformity Journal. 2021 Mar.

Application of a halo fixator for the treatment of pediatric spinal deformity. Shaw, K.A., Griffith, M., Schmitz, M.L., Brahma, B., Fletcher, N.D., Murphy, J.S. JBJS Essential Surgical Techniques. 2021 Mar.

Short-term outcomes of an enhanced recovery after surgery (ERAS) pathway versus a traditional discharge pathway after posterior spinal fusion for adolescent idiopathic scoliosis. Fletcher, N.D., Murphy, J.S., Austin, T.M., Bruce, R.W., Harris, H., Bush, P., Yu, A., Kusumoto, H., Schmitz, M.L., Devito, D.P., Fabregas, J.A., Miyanji, F. Spine Deformity Journal. 2021 Jan.

The reliability of the AOSpine thoracolumbar classification system in children: Results of a multicenter study. Mo, A.Z., Miller, P.E., Glotzbecker, M.P., Li Y., Fletcher, N.D., Upasani V.V., Riccio, A.I., Hresko, M.T., Krengel, W.F., Spence, D., Garg S., Hedequist, D.J. J Pediatr Orthop. 2020 Feb.

Fusions ending above the sagittal stable vertebrae in adolescent idiopathic scoliosis: does it matter? Segal, D.N., Orland, K.J., Yoon, E., Bastrom, T., Fletcher, N.D., Harms Study Group. Spine Deform. 2020 May.

Use of an accelerated discharge pathway in patients with severe cerebral palsy undergoing posterior spinal fusion for neuromuscular scoliosis. Bellaire, L.L, Bruce, R.W. Jr., Ward, L.A., Bowman, C.A., Fletcher, N.D. Spine Deform. 2019 Sep.

Nighttime bracing with the providence thoracolumbosacral orthosis for the treatment of adolescent idiopathic scoliosis: a retrospective consecutive clinical series. Davis, L., Murphy, J.S., Shaw, K.A., Cash, K., Devito, D.P., Schmitz, M.L. Prosthet Orthot Int. 2019 Apr.

Compensatory or pathology? – cervical spine sagittal alignment in adolescent idiopathic scoliosis. Shaw, K.A., Murphy, J.S. J Spine Surg. 2019 Mar.

Improving complex pediatric and adult spine care while embracing the value equation. Sethi, R.K., Yanamadala, V., Shah, S.A., Fletcher, N.D., Flynn, J., Lafage, V., Schwab, F., Heffernan, M., DeKleuyer, M., Mcleod, L., Leveque, J.C., Vitale, M. Spine Deform. 2019 Mar.

Establishing consensus on the best practice guidelines for use of halo gravity traction for pediatric spinal deformity. Roye, B.D., Campbell, M.L., Matsumoto, H., Pahys, J.M., Welborn, M.C., Sawyer, J., Fletcher, N.D., McIntosh, A.L., Stum, P.F., Gomez, J.A., Roye, D.P., Lenke, L.G., Vitale, M.G.; Children’s Spine Study Group. J Pediatr Orthop. 2019 Jan.

Perioperative complications after spinal fusion in pediatric patients with congenital heart disease. Spitzer A.B., Shaw K.A., Schmitz M., Devito D.P., Murphy J.S. Spine Deform. 2019 Jan.

Development of consensus-based best practice guidelines (BPG) for postoperative care following posterior spinal fusion for AIS. Fletcher, N.D., Glotzbecker, M.P., Marks, M.C. The Harms Study Group, Newton PO. Spine. 2017 May.

Use of a novel pathway for early discharge was associated with a 48 percent shorter length of stay after posterior spinal fusion following adolescent idiopathic scoliosis. Fletcher, N.D., Andras, L.A., Lazarus, D.E., Owen, R.J., Geddes, B.J., Cao, J., Skaggs, D.L., Oswald, T.S., Bruce, R.W. J Pediatr Orthop. 2017 Mar.

Predictors of distal adding-on in thoracic major curves with AR lumbar modifiers. Murphy, J.S., Upasani, V.Y., Yaszay, B., et al. Spine. 2017 Feb.

Single-stage multiligament reconstruction in adoelscdents: outcomes of anatomic reconstruction and early range of motion. Willimon SC, Kim J, Perkins CA. Orthop J Sports Med. 2024.

Medial patellofemoral ligament reconstruction with or without tibial tubercle osteotomy in carefully selected patients results in a 5% revision rate: a preliminary analysis. Perkins CA, Egger AC, Busch MT, Murata A, Willimon SC. J Pediatr Orthop. 2024.

Intrarater and interrater reliability of radiographic characteristics in skeletally immature patients with anterior cruciate ligament tears: a PLUTO study group reliability study. Perkins CA, Coene RP, Anderson CN, Busch MT, Willimon SC, PLUTO Study group et al. J Pediatr Orthop. 2023.

Opioid use in pediatric patients after common orthopedic surgeries. Perkins, CA, Murata A, Kim J, Willimon SC. J Pediatr Orthop. 2023.

Pediatric and Adolescent Medial Collateral Ligament Injuries. Pearce SS, Bangley RM, McHorse K, Dale K, Lopreiato NP, Schlecter J, Pennock A, Vandenberg C, Pierce L, Perkins, CA, Koehler R, Ellington M. JPOSNA. 2023.

Perioperative complications of pediatric orthopedic surgery in sickle cell disease. Lorenzana D, Perkins CA, Willimon SC. J Pediatr Orthop. 2023.

Pigmented villonodular synovitis/giant cell tumor in the knee. Chipman DE, Perkins CA, Lijesen E, Green DW. Curr Opin Pediatr. 2023.

Surgical Technique: Arthroscopic Treatment of Pigmented Villonodular Synovitis. Willimon S.C., Perkins C.A. Hip Arthroscopy and Hip Joint Preservation Surgery. 2021. https://doi.org/10.1007/978-1-4614-7321-3_166-1

Transosseous meniscus root repair in pediatric patients and association with durable midterm outcomes and high rates of return to sports. Willimon SC, Busch MT, Murata A, Perkins CA. Am J Sports Med. 2022.

Traumatic hip dislocations in the pediatric patient: injury patterns, need for axial imaging, outcomes, and selective hip arthroscopy. Willimon SC, Egger AC, Perkins CA. JPOSNA. 2022.

Descriptive epidemiology from the research in osteochondritis dissecans of the knee (ROCK) prospective cohort. Nissen CW, Abright CN, ROCK Group (Busch MT, Perkins CA, Willimon SC), et al. Am J Sports Med. 2022.

Multiligament Knee Injuries in Young Athletes. Perkins CA, Willimon SC. Clin Sports Med. 2022.

Transosseous repair of patellar sleeve fractures: a case series and surgical technique guide. Perkins CA, Egger AC, Willimon SC. J Knee Surg. 2022.

Early operative versus delayed operative versus nonoperative treatment of pediatric and adolescent anterior cruciate ligament injuries. James EW, Dawkins BJ, Schachne JM, Ganley TJ, PLUTO Study Group (Busch, Perkins, Willimon), Fabricant PD. Am J Sports Med. 2021.

Two-Year Functional Outcomes of Operative vs Non-operative Treatment of Completely Displaced Midshaft Clavicle Fractures in Adoelscents: Results from the Prospective Multicenter FACTS Study Group. Heyworth BE, Pennock AT, Li Y, Liotta ES, Dragonetti B, Williams D, Ellis HB, Nepple JJ, Spence D, Willimon SC, Perkins CA, Pandya NK, Kocher MS, Edmonds EW, Wilson PL, Busch MT, Sabatini CS, Farley F, Bae DS. Am J Sports Med. 2022 Sept.

Navicular stress fractures in adolescent athletes: injury characteristics and outcomes of surgical fixation. Egger AC, Ramirez M, Willimon SC, Perkins, CA. JPOSNA. 2022.

Acute management of pediatric knee dislocations. Ellington M, Pearce SS, Dale K, McHorse K, Paterno M, Ryan C, Vanderberg C, Perkins CA. JPOSNA. 2022.

Arthroscopic Bankart repair for adolescent anterior shoulder instability: clinical and imaging predictors of revision surgery and recurrence. Egger AC, Willimon SC, Busch MT, Broida S, Perkins CA. Am J Sports Med. 2023.

Traumatic hip dislocations in the pediatric patient: Injury patterns, need for axial imaging, outcomes, and selective hip arthroscopy. Willimon, S.C., Egger, A.C., Perkins, C.A. JPOSNA. April 2022.

Descriptive epidemiology from the Research in Osteochondritis Dissecans of the Knee (ROCK) Prospective Cohort. ROCK Group, including, Perkins, C.A., Willimon, S.C., Busch, M.T., et al. American Journal of Sports Medicine. 2022 Jan.

Assessment of skeletal maturity and post-operative growth disturbance after anterior cruciate ligament reconstruction in skeletally immature patients: A systematic review. PLUTO Study Group, including, Perkins, C.A., Willimon, S.C., Busch, M.T., et al. American Journal of Sports Medicine. 2021 May.

Rates of concomitant meniscal tears in pediatric patients with anterior cruciate ligament injuries increase with age and body mass index. Perkins, C.A., Christino, M.A., Busch, M.T., Murata, A., Egger, A.C., Kelleman, M., Willimon, S.C. Orthopaedic Journal of Sports Medicine. 2021 Mar.

Early operative versus delayed operative versus nonoperative treatment of pediatric and adolescent anterior cruciate ligament injuries. PLUTO Study Group, including, Perkins, C.A., Willimon, S.C., Busch, M.T., et al. American Journal of Sports Medicine. 2021 Dec.

Transosseous repair of patellar sleeve fractures: A case series and surgical technique guide. Perkins, C.A., Egger, A.C., Willimon, S.C. Journal of Knee Surgery. 2021 Feb.

Saucerization and repair of discoid lateral menisci with peripheral rim instability: intermediate term outcomes in children and adolescents. Perkins, C.A., Busch, M.T., Christino, M., Willimon, S.C. J Pediatr Orthop. 2021 Jan.

Allograft augmentation of hamstring anterior cruciate ligament autografts is associated with increased graft failure in children and adolescents. Perkins, C.A., Busch, M.T., Christino, M., Herzog, M.M., Willimon, S.C. Am J Sports Med. 2019 Jun.

Don’t you wish you had fused to the pelvis the first time: a comparison of reoperation rate and correction of pelvic obliquity. Nielsen, E., Andras, L.M., Bellaire, L.L., Fletcher, N.D., Minkara, A., Vitale, M.G., Troy, M., Glotzbecker, M., Skaggs. D,L. Spine. 2019.

Transphyseal ACL reconstruction in skeletally immature patients. The Pediatric ACL: Clinical Evaluation and Management Strategies. Perkins, C.A., Willimon, S.C., Busch, M. Springer. 2018.

Pigmented villonodular synovitis of the knee: An underappreciated source of pain in children and adolescents. Willimon, S.C., Busch, M.T., Perkins, C.A. J Pediatr Orthop. 2018.

Arthroscopic management of pigmented villonodular synovitis of the hip in children and adolescents. Willimon, S.C., Schrader, T.S., Perkins, C.A. Ortho J Sports Med. 2018.

Intra-articular physeal fractures of the distal femur: A frequently missed diagnosis in adolescent athletes. Pennock, A.T., Ellis, H.B., Willimon, S.C., et al. Orthop J Sports Med. 2017.

POSNA 2023 Annual Meeting

Our orthopaedic surgeons shared research spanning sports medicine, spine and fracture during this year’s POSNA 2023 Annual Meeting. Dr. Nicolas Fletcher, Medical Director of the Spine Program, served as the Program Chair of the POSNA 2023 Annual Meeting.

Wednesday, April 26

• 8:00 - 8:04 a.m. | Nicholas Fletcher, MD: Regional Anesthesia as an Alternative to Procedural Sedation for Forearm Fracture Reductions

Friday, April 28

• 2:29 - 2:33 p.m. | Nicholas Fletcher, MD: Is shorter really better? Results of selective vs. nonselective thoracic fusion in adolescent idiopathic scoliosis patients at minimum 10-year follow-up
• 2:58 - 3:02 p.m. | Joshua Murphy, MD: Why are we giving additional parenteral antibiotics to non-ambulatory cerebral palsy patients with isolated acute post-operative fevers following posterior spinal fusion?
• 3:45 - 5:00 p.m. | Crystal Perkins, MD: Sports Medicine Scientific Program (moderator)

Ongoing throughout the conference

• Crystal Perkins, MD: Traumatic Adolescent Knee Dislocations: Beware of the KDIII Injury Pattern (ePoster 67)
• Michael Schmitz, MD; Jessica King, PA: Growing Your Practice with APPs (part of POPs Virtual Symposia Program)

POSNA Annual Meeting

Our orthopaedic surgeons presented research spanning sports medicine, spine, hip and bone health during the POSNA 2022 Annual Meeting.

Thursday, May 12

• Cliff Willimon, MD: What Not To Do: Complications in Pediatric Sports Complications and unexpected events happen to every surgeon
• Nicholas Fletcher, MD: Roids are the Rage: Postoperative Steroids in Patients with Severe Neuromuscular Scoliosis Undergoing Posterior Spinal Fusion Reduced Opioid Usage by 70%
• Cliff Willimon, MD: Introduction to Revision Sports Medicine Surgery
  • Discussion included Crystal Perkins, MD: Revision Shoulder Stabilization: Whats Next After a Failed Arthroscopic Bankart? When to Latarjet?
• Tim Schrader, MD: How to Determine with Diagnostics if a SCFE Is Alive or Dead–Pre, During, and After
• Jill Flanagan, MD: Adolescent Blount’s Disease...When to Guide and When to Cut

Friday, May 13

• Nicholas Fletcher, MD: Spinal Fusion in Pediatric Patients with Down Syndrome

PRiSM Annual Meeting

Our sports medicine physicians were proud to host the following sessions and presentations at the 2022 Pediatric Research in Sports Medicine Society Annual Meeting. 

Thursday, January 27

• Cliff Willimon, MD and Crystal Perkins, MD: Hot off the Press- Top 5 in 60

Saturday, January 29

• Crystal Perkins, MD: Poster: Does Shortening Change in the First 2 Weeks Following Completely Displaced Adolescent Clavicle Fractures?

Key presenters at 2021 Scoliosis Research Society (SRS) Annual Meeting

Dr. Fletcher presented his research and represented our Spine Program at the 2021 SRS Annual Meeting. 

Wednesday, September 22

• Nicholas Fletcher, MD: 10-Year Follow Up of Lenke V Curves in Patients with Adolescent Idiopathic Scoliosis

Saturday, September 25

• Nicholas Fletcher, MD: Lowest Instrumented Vertebral Discordance in Adolescent Idiopathic Scoliosis: When Coronal and Sagittal Parameters Conflict

Key presenters at 2021 Pediatric Orthopaedic Society of North American (POSNA) Annual Meeting

Children’s Healthcare of Atlanta was honored to have many orthopaedic surgeons among the presenters and speakers for POSNA 2021.

Wednesday, May 12

• Nicholas Fletcher, MD: Saving Yourself and Others From Bad Meetings

Friday, May 14

• Nicholas Fletcher, MD: 10-Year Follow Up of Lenke V Curves in Patients with Adolescent Idiopathic Scoliosis

Saturday, May 15

• S. Clifton Willimon, MD: Opiod Use in Children and Adolescents Following Common Orthopaedic Surgeries

• Robert Bruce, MD: Perioperative Steroid Use in Patients Undergoing Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis

• Nicholas Fletcher, MD: Establishing a Gold Standard for Estimation of Blood Loss During Spine Surgery

e-Poster

• Crystal Perkins, MD: Osteochondral Lesions of the Talus: Factors Predictive of Cartilage Integrity

• Nicholas Fletcher, MD: Evaluation of the AOSpine Injury Classification in the Pediatric Population: Results of a Multi-Center POSNA Grant

Key presenters at 2020 PRiSM

A number of our pediatric orthopedic surgeons—Drs. Busch, Willimon and Perkins—are key members of Pediatric Research in Sports Medicine (PRiSM) and recently presented on several topics at the 2020 annual meeting in Glendale, Ariz. Dr. Willimon was also elected Chair of the PRiSM Research Committee, which oversees 13 different research interests.

Presentations by our pediatric orthopedic experts for the 2020 annual meeting included:

Rehabilitation Pearls for Multi-Ligament Knee Injuries

• Dr. Perkins shared updates on the Multi-Ligament Knee Injury Research Group in which she is the leader for 2020 and Dr. Willimon is a member.

Multi-Ligament Knee Injury: Anatomy and Diagnosis

• Dr. Willimon

Autologous Chondrocyte Implantation To Manage Unsalvageable Osteochondritis Dissecans

• Dr. Willimon

Osteochondral Lesions of the Talus: Factors Predictive of Cartilage Integrity

• Drs. Busch, Perkins and Willimon, in addition to John Erickson, DO, and Kiery Braithwaite, MD

Podium presentation: Research on the Children’s cartilage imaging in the ankle

• Asahi Murata, MPH

Information in presentations was current at the time of the conference in January 2020.

2019 PRiSM

Our team was excited to share our current research in sports medicine with leaders from across the country at the 2019 PRiSM annual meeting, including:

Post-Operative Wound Care in Sports Medicine

• Dr. Erickson

Graft Choice For Adolescent Athletes Returning to High-Risk Sports: A Matched Cohort Analysis of Patellar Tendon and Hamstring Autografts

• Dr. Perkins

Surgical Technique: Quadriceps Tendon ACL Reconstruction

• Drs. Busch, Perkins and Willimon

Outcomes of Discoid Meniscus Repairs in Children and Adolescents

• Dr. Willimon

Meniscus Root Tears in Children and Adolescents

• Dr. Willimon

Avulsions of the Distal Femur and Proximal Tibia: Rare Ligamentous Injuries in Children and Adolescents

• Dr. Perkins

Multi-Ligament Knee Injury Research Interest Group—Research Update and Literature Review

• Dr. Willimon

Knotless Labral Repair in the Young Contact Athlete

• Dr. Busch

Opioid Use in Adolescents Following Hip and Knee Arthroscopy

• Dr. Willimon

The Rate of Meniscus Tears in Association with Anterior Cruciate Ligament Injuries Increases with Age

• Drs. Busch, Perkins and Willimon

American Osteopathic Academy of Orthopedics (AOAO), October 2018

• Dr. Busch presented on Clavicle Fractures in Children and Adolescents at this recent conference.

QSVI Value Webinar (from POSNA), June 2018

• Dr. Nicholas Fletcher, MD, Medical Director Spine Quality and Outcome presented on Improving value of scoliosis care: Real life lessons from the field

Pigmented Villonodular Synovitis: Arthroscopic Management of an Underappreciated Cause of Joint Pain in Children and Adolescents, May 2018

This presentation won best POSNA E-Poster. View the presentation slides

• Presented by Drs. Willimon, Busch, Schrader and Perkins

The Association of Children's Prosthetic-Orthotic Clinics (ACPOC) Annual Meeting, April 2018

Is Inclinometer Reading in Scoliosis Screening Reliable for Guiding Referral Decisions: A Retrospective Analysis

• Presented by Dr. Schmitz, Mary Lou Oliver, RN, BSN, MSPH, and Janet R. Lombardo, CPO, LPO, MBA, Prosthetist Orthotist

The Use of Immediate Postoperative Prostheses (IPOPS) Following Transfemoral Amputations in Adolescents

• Presented by: Richard Welling Jr., MSPO, CPO, CSCS, Prosthetic Orthotist; Rebecca Hernandez, CPO, Prosthetist; Brian Giavedoni, MBA, CP, LP, Prosthetist; Colleen P. Coulter-O’Berry,PT, DPT, PhD, PCS, Team Leader of the Limb Deficiency Program; Jill Cannoy, DPT; and Jorge A. Fabregas, MD, Orthopedic Surgeon