Pediatric orthopaedic research

Computational Modeling of Pediatric High Femoral Anteversion and Knee Biomechanics

PI, Mark Seeley, MD

The goal of this work is to study the effect of a morphological condition known as miserable malalignment syndrome on anterior knee pain in children. Knee pain in the adolescent population can be a significant detriment to everyday life and is often a precursor to more debilitating conditions such as osteoarthritis. If physical therapy proves ineffective, surgery is generally recommended and conducted to correct hard and soft tissue morphology, yet there is a lack of standardization regarding surgical intervention. We hypothesize that using a patient-specific computational approach to aid in selecting specific surgical procedures can broadly improve patient outcomes.

Does Chlorhexidine and/or Betadine Prep Thoroughly Clean the Surgical Sites and Fingernails in Pediatric Arm Surgery Following Trauma? 

PI, Mark Seeley, MD

This study is a prospective design in which a cohort of 20 pediatric patients who are undergoing upper extremity surgery will be enrolled to determine if patients are being adequately prepped for surgery. We will collect culture specimens before surgically prepping the patient with either chlorhexidine or betadine, post their surgical prep, and post-operation. We will compare the results of the culture specimens within and between the different surgical prep cohorts.

Primary ACL Reconstruction in Pediatric and Adolescent Patients

PI, Mark Seeley, MD

The purpose of this retrospective study is to determine the overall re-operation rate of anterior cruciate ligament (ACL) injuries in children when compared to their adult controls. Secondary outcomes will include ACL re-rupture rate, contralateral ACL tear following ACL reconstruction, and identification of risk factors for re-injury or re-operation.

Effect of Pre-contoured Spinal Implant Rods on Sagittal Correction in Adolescent Idiopathic Scoliosis

PI, Meagan Fernandez, DO

The purpose of this study is to determine if pre-contoured spinal rods deform after implantation. The degree of deformation will be measured by the maximal deflection and the Cobb angle of the implanted rods on postoperative X-rays. The postoperative rod measurements will be compared with preoperative measurements. The difference between pre and post implantation Cobb angle and maximal deflection will be analyzed for statistical significance.