Mark Camp
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View article: Nerve Injury Severity and Outcomes
Nerve Injury Severity and Outcomes Open
Background: Nerve injuries (NI) after pediatric supracondylar humeral fractures (SHF) are commonly reported as neurapraxic, with most studies focusing on motor recovery alone. This study aimed to analyze both sensory and motor outcomes of …
View article: Staging growing rod insertion results in increased postoperative complications than the equivalent unstaged procedure
Staging growing rod insertion results in increased postoperative complications than the equivalent unstaged procedure Open
Aims Anchor-related complications are the leading cause for unplanned surgery in early-onset scoliosis (EOS). One strategy to reduce unplanned surgery is staging implant insertion. This study compares the outcomes of staged versus unstaged…
View article: “Ultralow-dose” CT Without Sedation in Pediatric Patients With Neuromuscular Scoliosis
“Ultralow-dose” CT Without Sedation in Pediatric Patients With Neuromuscular Scoliosis Open
Background: Children with neuromuscular scoliosis undergoing scoliosis surgery face substantial rates of complications. To mitigate surgical risks such as blood loss in pediatric patients with neuromuscular scoliosis, this study focuses on…
View article: Eliminating rote postoperative radiographs for surgically managed pediatric supracondylar humerus fractures
Eliminating rote postoperative radiographs for surgically managed pediatric supracondylar humerus fractures Open
BACKGROUND: Use of postoperative radiographs after surgical management of supracondylar humerus (SCH) fractures is often based on rote practice rather than evidence. The purpose of this study was to determine the frequency with which 3-wee…
View article: The impact of public health lockdown measures during the COVID-19 pandemic on the epidemiology of children’s orthopedic injuries requiring operative intervention
The impact of public health lockdown measures during the COVID-19 pandemic on the epidemiology of children’s orthopedic injuries requiring operative intervention Open
Provincial lockdown measures designed to limit the spread of SARS-CoV-2 significantly altered the volume and demographic characteristics of pediatric orthopedic injuries that required operative management. The findings from this study will…
View article: Current Concept and Management of Spastic Hip in Children: A Narrative Review
Current Concept and Management of Spastic Hip in Children: A Narrative Review Open
Cerebral palsy (CP) is a non-progressive motor condition that hinders the development of movement and posture. One of the common problems faced in CP is spastic hips, which can cause discomfort, deformity, and functional restrictions. This…
View article: Utility of intraoperative neurophysiological monitoring in detecting motor and sensory nerve injuries in pediatric high-grade spondylolisthesis
Utility of intraoperative neurophysiological monitoring in detecting motor and sensory nerve injuries in pediatric high-grade spondylolisthesis Open
Unimodal IONM using SSEP and MEP alone were accurate in diagnosing sensory and motor nerve root injuries, respectively. The diagnostic accuracy in predicting motor and sensory nerve injuries in pediatric HGS improved further with the use o…
View article: Incidence of secondary interventions after early spica casting for diaphyseal femur fractures in young children
Incidence of secondary interventions after early spica casting for diaphyseal femur fractures in young children Open
Early spica casting for diaphyseal femoral fractures in children aged 6 years or younger had a low rate of complications and return to the operating room, Although 21% of patients had a clinically measurable LLD at last follow-up, no patie…
View article: Factors affecting management of children’s low-risk distal radius fractures in the emergency department: a population-based retrospective cohort study
Factors affecting management of children’s low-risk distal radius fractures in the emergency department: a population-based retrospective cohort study Open
While small hospital emergency departments, pediatricians and pediatric emergency medicine specialists were most likely to manage low-risk distal radius fractures without follow-up, the majority of these fractures in Ontario were not manag…
View article: Fifth metatarsal fractures in skeletally immature patients do not need routine orthopedic surgeon assessment and follow-up
Fifth metatarsal fractures in skeletally immature patients do not need routine orthopedic surgeon assessment and follow-up Open
Objectives The aim of this study was to determine the rate of delayed or nonunion of fifth metatarsal fractures in skeletally immature patients. Using this information, we sought to develop an evidence-based clinical care pathway in order …
View article: Tibial tuberosity ossification predicts reoperation for growth disturbance in distal femoral physeal fractures
Tibial tuberosity ossification predicts reoperation for growth disturbance in distal femoral physeal fractures Open
Purpose Distal femoral physeal fractures (DFPF) can cause growth disturbance that requires further surgical intervention. The aim of this study is to determine if Tibial Tuberosity Ossification Stage (TTOS) at the time of injury predicts s…
View article: Adverse Events from Emergency Physician Pediatric Extremity Radiograph Interpretations: A Prospective Cohort Study
Adverse Events from Emergency Physician Pediatric Extremity Radiograph Interpretations: A Prospective Cohort Study Open
Objectives We determined how often emergency physician pediatric musculoskeletal (MSK) radiograph interpretations were discordant to that of a radiologist and led to an adverse event (AE). We also established the variables independently as…
View article: Training surgeons and the informed consent discussion in paediatric patients: a qualitative study examining trainee participation disclosure
Training surgeons and the informed consent discussion in paediatric patients: a qualitative study examining trainee participation disclosure Open
Background The process of obtaining informed consent is an important and complex pursuit, especially within a paediatric setting. Medical governing bodies have stated that the role of the trainee surgeon must be explained to patients and t…
View article: Complications of type II supracondylar humerus fractures treated at a specialized paediatric centre
Complications of type II supracondylar humerus fractures treated at a specialized paediatric centre Open
Background Supracondylar humerus (SCH) fractures are the most common operatively treated paediatric fracture in Canada. Previous literature describing the low-energy (Gartland type II) subtype reports varying complication rates from a vari…
View article: Cost savings of implementing the SickKids Paediatric Orthopaedic Pathway for proximal humerus fractures in Ontario, Canada
Cost savings of implementing the SickKids Paediatric Orthopaedic Pathway for proximal humerus fractures in Ontario, Canada Open
Implementation of the SKPOP for a cohort of patients managed at our institution could have resulted in cost-savings due to substantial reductions in health care utilization. Cost-savings are likely to occur with provincial implementation o…
View article: Impact of web‐based clinical practice guidelines on paediatric fracture clinics
Impact of web‐based clinical practice guidelines on paediatric fracture clinics Open
Background In an effort to standardize management and reduce over‐treatment of uncomplicated paediatric fractures, the Victorian Pediatric Orthopaedic Network and the Royal Children's Hospital, Melbourne, created publically available web‐b…
View article: Do All Clavicle Fractures in Children Need To Be Managed by Orthopedic Surgeons?
Do All Clavicle Fractures in Children Need To Be Managed by Orthopedic Surgeons? Open
Objectives Although many uncomplicated pediatric fractures do not require routine long-term follow-up with an orthopedic surgeon, practitioners with limited experience dealing with pediatric fractures will often defer to a strategy of freq…
View article: P001: Do all toddler’s fractures need to be managed by orthopaedic surgeons?
P001: Do all toddler’s fractures need to be managed by orthopaedic surgeons? Open
Introduction: There is increasing evidence that emergency room physicians or primary care physicians can definitively manage many uncomplicated paediatric fractures without orthopaedic follow-up. This strategy leads to a reduction in radia…
View article: Informal regionalization of pediatric fracture care in the Greater Toronto Area: a retrospective cross-sectional study
Informal regionalization of pediatric fracture care in the Greater Toronto Area: a retrospective cross-sectional study Open
Adjusted annual incidence rates of supracondylar humerus and femur fractures increased significantly over the study period. Further work is needed to assess the clinical impact of informal regionalization of care and to determine whether t…
View article: Proximal femoral osteotomy in children with cerebral palsy: The perspective of the trainee
Proximal femoral osteotomy in children with cerebral palsy: The perspective of the trainee Open
Background There are a range of implants for fixation of proximal femoral osteotomies (PFOs) in children. We investigated the training experiences and preferences of orthopaedic residents and fellows who were learning PFO, using a fixed an…
View article: Patient views on financial relationships between surgeons and surgical device manufacturers: author response
Patient views on financial relationships between surgeons and surgical device manufacturers: author response Open
Like Dr. Bendavid, we were concerned about the potentially confounding effect of social desirability response bias[1][1] (the desire of study participants to please and be treated favourably by the research team). We tried to mitigate this…
View article: Patient views on financial relationships between surgeons and surgical device manufacturers
Patient views on financial relationships between surgeons and surgical device manufacturers Open
This qualitative study deepens our understanding of financial relationships between surgeons and industry. Patients support relationships with industry that provide potential benefit to current or future patients. They trust our ability to…
View article: Cannulated, locking blade plates for proximal femoral osteotomy in children and adolescents
Cannulated, locking blade plates for proximal femoral osteotomy in children and adolescents Open
Background Proximal femoral osteotomy is the most common major reconstructive surgery in the region of the hip joint in children and adolescents. Given that it may be required across a wide range of ages and indications, appropriate instru…