Peds Ortho

Harry Kim from Scottish Rite for Children and Skip Gilbert from UAB join us on this special episode highlighting the International Perthes Study Group and featuring some of the group's recent work. This episode is Sponsored by Depuy Synthes Spine. Your hosts are Tyler McDonald (University of South Alabama), Will Morris (Scottish Rite for Children), and Craig Louer (Vanderbilt). Music by A. A. Alto. References: Ishag C, Warner T, Hailer YD, Charla JN, Alvandi L, Sankar WN, Laine JC, Kim HKW, Fornari ED, Novotny SA; International Perthes Study Group. Impact of Legg-Calvé-Perthes Disease on Physical, Mental, and Social Health in Children Aged 6 to 11 Years at Diagnosis-an Assessment Using PROMIS. J Pediatr Orthop. 2026 May 26. Charla JN, Mehraban Alvandi L, Samuel Z, Ishag C, Warner T, Hailer YD, Novotny SA, Laine JC, Kim HKW, Fornari ED; International Perthes Study Group. Longitudinal Evaluation of Patient-reported Outcomes Measurement Information System (PROMIS) Scores in Children Under 6 With Legg-Calvé-Perthes Disease: A Multicenter Study. J Pediatr Orthop. 2025 Jul 25. Lee J, Mistry A, Cao J, Agonias K, Morris W, Shah H, Thacker MM, Kim HKW; International Perthes Study Group. Early-Stage Perfusion MRI Correlates Significantly With Femoral Head Deformity in Children Under 6 Years of Age With Legg-Calvé-Perthes Disease: A Preliminary Multicenter Study. J Pediatr Orthop. 2026 Jul 14. Millis MB, Vakulenko-Lagun B, Kim HKW; International Perthes' Study Group. How are adults who had Perthes' disease functioning after total hip arthroplasty? : patient-reported outcome results from an international web-based survey. Bone Joint J. 2025 Apr 1;107-B(4):380-390.   

POSNA and the SRS come together for a special podcast collaboration previewing the upcoming 61st Annual SRS Meeting in Sydney, Australia. Your hosts are Chris Hardesty from Rainbow Babies and Carter Clement from Children’s Hospital Colorado. Your panelists are three POSNA/SRS all-stars: Suken Shah from Nemours, Laurel Blakemore from Pediatric Specialists of Virginia, and Dan Sucato from TSRH. Tune in for a look at key topics, sessions, and educational highlights you can expect at this year’s SRS meeting.

Alexander Aarvold from the University Hospital Southampton joins the show this month to discuss his eagerly anticipated publication on the outcomes of the incomplete acetabuloplasty (or “pelletoplasty”) as an adjunctive treatment during open reduction of developmental hip dislocations. The group also discusses recent publications on treatment of infant femur fractures, open forearm fractures, and the outcomes of periacetabular osteotomy in skeletally immature patients. Your hosts are Carter Clement from Children’s Hospital Colorado, Julia Sanders from Children’s Hospital Colorado, and Will Morris from Scottish Rite in Dallas. Music by A.A. Aalto.  Aarvold A, Uren N, Rhodes A, Elliott KG, Lindisfarne EA, Carsi B, Clarke NMP. Growth Stimulating Minimal Acetabuloplasty, Alongside Hip Open Reduction: A Simpler One-stop Operative Treatment for Developmental Dysplasia of the Hip. J Pediatr Orthop. 2026 Apr 16. doi: 10.1097/BPO.0000000000003259. Epub ahead of print. PMID: 41988894. https://pubmed.ncbi.nlm.nih.gov/41988894/  Murphy-Zane MS, Keeter C, Baumann A. Hip Abduction Brace Is an Effective Treatment Alternative for Femur Fractures in Infants 12 Months and Younger. J Pediatr Orthop. 2026 Jul 1;46(6):e535-e541. doi: 10.1097/BPO.0000000000003172. Epub 2025 Nov 25. PMID: 41490478; PMCID: PMC13232693.  https://pubmed.ncbi.nlm.nih.gov/41490478/ Kronk TA, Steiner RP, Ritzman TF, Floccari LV. Surgical Treatment of Pediatric Open Forearm Fractures: A Comparison of Outcomes With or Without Internal Fixation. J Pediatr Orthop. 2026 Jul 1;46(6):e524-e528. doi: 10.1097/BPO.0000000000003159. Epub 2025 Nov 5. PMID: 41191825. https://pubmed.ncbi.nlm.nih.gov/41191825/ Pun SY, Kha ST, Park MO, Richey AE, Pham NS, Millis MB. Is the Bernese Periacetabular Osteotomy Safe for the Treatment of Acetabular Dysplasia When the Triradiate Cartilage is Still Open? A Preliminary Study. J Pediatr Orthop. 2026 Jul 1;46(6):335-341. doi: 10.1097/BPO.0000000000003275. Epub 2026 May 5. PMID: 42084192. https://pubmed.ncbi.nlm.nih.gov/42084192/

Deep Dive in DDH is a three-part limited series where experts in the field of DDH have been invited to discuss the controversies in the management of hip dysplasia. Episode 1 was published in August and discussed management of DDH in infants under 6 months of age. Episode 2 was published in January and discussed the controversies in the management of developmental hip dislocations in the operating room. For the final episode we are joined by Drs. Rachel Goldstein from Children’s Hospital of Los Angeles and Steve Frick from Atrium Health in Charlotte. This episode focuses on evaluation and management of residual dysplasia including nonoperative management with bracing, surveillance, and if/when to operate. Hosted by Will Morris (Scottish Rite for Children). Music by A. A. Aalto. Referenced Publications: Gans I, Flynn JM, Sankar WN. Abduction bracing for residual acetabular dysplasia in infantile DDH. J Pediatr Orthop. 2013 Oct-Nov;33(7):714-8. doi: 10.1097/BPO.0b013e31829d5704. PMID: 23812157. Swarup I, Talwar D, Sankar WN. Part-time Abduction Bracing in Infants With Residual Acetabular Dysplasia: Does Compliance Monitoring Support a Dose-dependent Relationship? J Pediatr Orthop. 2021 Feb 1;41(2):e125-e129. doi: 10.1097/BPO.0000000000001704. PMID: 33165268. Morris WZ, Kak A, Mayfield LM, Kang MS, Jo CH, Kim HKW. Does brace treatment following closed reduction of developmental dysplasia of the hip improve acetabular coverage? Bone Joint J. 2023 Dec 1;105-B(12):1327-1332. doi: 10.1302/0301-620X.105B12.BJJ-2023-0255.R1. PMID: 38035597. Albinana J, Dolan LA, Spratt KF, Morcuende J, Meyer MD, Weinstein SL. Acetabular dysplasia after treatment for developmental dysplasia of the hip. Implications for secondary procedures. J Bone Joint Surg Br. 2004 Aug;86(6):876-86. doi: 10.1302/0301-620x.86b6.14441. PMID: 15330030. Novais EN, Pan Z, Autruong PT, Meyers ML, Chang FM. Normal Percentile Reference Curves and Correlation of Acetabular Index and Acetabular Depth Ratio in Children. J Pediatr Orthop. 2018 Mar;38(3):163-169. doi: 10.1097/BPO.0000000000000791. PMID: 27261963. Haider S, Mayfield L, Kim HK, Gill CS, Sucato DJ, Podeszwa DA, Morris WZ. The Impact of Age on Outcomes Following Secondary Reconstructive Surgery for Residual Dysplasia in DDH. J Pediatr Orthop. 2026 Jan 1;46(1):e61-e66. doi: 10.1097/BPO.0000000000003067. Epub 2025 Jul 21. PMID: 40686010; PMCID: PMC12688450. Koura T, Tetsunaga T, Yamada K, Inoue T, Okuda R, Masada Y, Tetsunaga T, Okazaki Y, Ozaki T. MRI at 5 years predicts upsloping acetabular sourcil at skeletal maturity in developmental dysplasia of the hip. Hip Int. 2026 May 6:11207000261436397. doi: 10.1177/11207000261436397. Epub ahead of print. PMID: 42093127. Sucato DJ, Brabham CE, De La Rocha A, Podeszwa DA, Karol LA. Radiographic Outcome Following Treatment of Residual Hip Dysplasia with Pemberton Versus Salter Osteotomy: Comparison of Results in Patients Followed to Skeletal Maturity. J Bone Joint Surg Am. 2025 Jan 1;107(1):46-52. doi: 10.2106/JBJS.23.01346. Epub 2024 Nov 7. Erratum in: J Bone Joint Surg Am. 2025 Aug 20;107(16):e82. doi: 10.2106/JBJS.ER.23.01346. PMID: 39509475.  

A special episode recorded live from the 2026 POSNA Annual Meeting in Orlando, FL. Your hosts Tyler McDonald from University of South Alabama and Carter Clement from Manning Family Children’s interview Michael Vitale and Noelle Larson about the new SRS-Lenke-Aubin 3D classification for Adolescent Idiopathic Scoliosis in front of a live audience! 

Arianna Trionfo from Nemours joins the show this month to discuss her recent research on early weightbearing after flatfoot reconstruction in CP. The gang also delves into DDH, trauma, congenital scoliosis and more in the lightning round. Your hosts are Carter Clement from Manning Family Children’s, Tyler McDonald from University of South Alabama, Steph Logterman from Central Texas Pediatric Orthopedics, and Will Morris from TSRH. Music by A.A. Aalto.   The Effect of Immediate Weight Bearing After Planovalgus Foot Reconstruction in Ambulatory Children With Cerebral Palsy. Church et al. JPO. PMID: 41178517. https://pubmed.ncbi.nlm.nih.gov/41178517/   Screening MRI in Congenital EOS: Is It Safe to Delay Advanced Imaging to Decrease Early Anesthesia? Mostafa et al. JPO. PMID: 41582879. https://pubmed.ncbi.nlm.nih.gov/41582879/   Treatment of Displaced Femoral Neck Fractures in Children: Mid-Term Outcomes and Predictors of Failure. Liu et al. JPO. PMID: 41587289. https://pubmed.ncbi.nlm.nih.gov/41587289/   To Wean or Not to Wean: A Randomized Controlled Trial of Pavlik Harness Weaning in Infantile Developmental Dysplasia of the Hip. Kuka et al. JPO. PMID: 41641599. https://pubmed.ncbi.nlm.nih.gov/41641599/   Is the Hip Located? What is the Value of Advanced Imaging at the Time of Spica Exchange for Infantile Hip Dysplasia? Beck et al. JPO. PMID: 41552950. https://pubmed.ncbi.nlm.nih.gov/41552950/   Revisiting Traditional Risk Factors: Implications for Risk Stratification in Developmental Dysplasia of the Hip. Nielsen et al. JPO. PMID: 41563881. https://pubmed.ncbi.nlm.nih.gov/41563881/   The Effect of Pre-Bending Flexible Nails on Outcomes Following Stabilization of Paediatric Forearm Fractures. Levitt et al. JPO. PMID: 41358790. https://pubmed.ncbi.nlm.nih.gov/41358790/

This is a special combined episode of the POSNA Peds Ortho and PRISM Pediatric Sports Lab podcasts which recaps the 2026 PRiSM Annual Meeting held in Austin, TX. It features AMSSM exchange speaker Dr. Jason Zaremski and Keynote Speaker Dr. John DiFiori.

Dr. Kevin Klingele, fellowship director and chief of pediatric orthopaedics at Nationwide Children’s, joins the show to discuss his recent research on ligamentum teres reconstruction. As an interlude, Dr. Dan Perry also returns to the podcast to provide an update on the SCIENCE Trial, comparing surgery and non-surgical care for children with displaced medial epicondyle fractures. Your hosts are Carter Clement from Manning Family Children’s in New Orleans, Will Morris from TSRH, Tyler McDonald from USA, Stephanie Logterman from the Arnold Palmer Hospital for Children, and Josh Holt from Iowa. Music by A.A. Aalto.   References:   “Open Reduction With Ligamentum Teres Reconstruction—Preliminary Results of a Novel Technique for the Management of Pediatric Developmental Dysplasia of Hip.” Englert et al. JPO 2025.   “Early-Onset Perthes Disease in Patients Under 4 Years of Age: Natural Disease History, Radiographic Findings, and Prognostic Factors.” Garcia-Fernandez et al. JPO 2025.   “More Amputations and Open Fractures: Pediatric Utility Task Vehicle (UTV) Injuries Are More Severe Than All-terrain Vehicle (ATV) Injuries.” Jaggers et al. JPO 2026.   “Long-Term Outcome of Idiopathic Increased Femoral Anteversion in 58 Untreated Individuals at a Mean Age of 46.2 Years.” Gronseth et al. JPO 2026.   “Improving Postoperative Pain Management in Pediatric Supracondylar Humerus Fractures With Local Anesthesia.” Gunda et al. JPO 2026.   “Risk Factors for Nonunion After Femoral Rotational Osteotomy for Idiopathic Anteversion and Retroversion in Adolescents.” Roper et al. JPO 2026.   “Off With the Head: Decreasing Complications With Headless Compression Screws for Tibial Tubercle Fracture Fixation.” Menapace et al. JPO 2026.

Deep Dive in DDH is a three-part limited series where experts in the field of DDH have been invited to discuss the controversies in the management of hip dysplasia. Episode 1 was published in August and discussed management of DDH in infants under 6 months of age. In Episode 2, we are joined by Eduardo Novais at Nemour Children’s Health in Jacksonville and Salil Upasani of Rady Children’s Hospital and discuss the controversies in the management of developmental hip dislocations in the operating room including the process to decide between closed and open reduction, the use of concomitant osteotomies, adjunctive imaging, and casting protocols. Hosted by Will Morris (Scottish Rite for Children). Music by A. A. Aalto. Referenced Publications: Novais EN, Hill MK, Carry PM, Heyn PC. Is Age or Surgical Approach Associated With Osteonecrosis in Patients With Developmental Dysplasia of the Hip? A Meta-analysis. Clin Orthop Relat Res. 2016 May;474(5):1166-77. doi: 10.1007/s11999-015-4590-5. PMID: 26472583; PMCID: PMC4814411. Schmaranzer F, Justo P, Kallini JR, Ferrer MG, Miller P, Bixby SD, Novais EN. Hip Morphology on Post-Reduction MRI Predicts Residual Dysplasia 10 Years After Open or Closed Reduction. J Bone Joint Surg Am. 2024 Jan 17;106(2):110-119. doi: 10.2106/JBJS.23.00333. Epub 2023 Nov 22. PMID: 37992184; PMCID: PMC12205695. Morris WZ, Chilakapati S, Hinds SA, Herring JA, Kim HKW. The Clinical Significance of Infolded Limbus on Postreduction Arthrogram in Developmental Dysplasia of the Hip. J Pediatr Orthop. 2022 Apr 1;42(4):e309-e314. doi: 10.1097/BPO.0000000000002070. PMID: 35132011. Morris WZ, Hinds S, Worrall H, Jo CH, Kim HKW. Secondary Surgery and Residual Dysplasia Following Late Closed or Open Reduction of Developmental Dysplasia of the Hip. J Bone Joint Surg Am. 2021 Feb 3;103(3):235-242. doi: 10.2106/JBJS.20.00562. PMID: 33252590. Gans I, Sankar WN. The medial dye pool revisited: correlation between arthrography and MRI In closed reductions for DDH. J Pediatr Orthop. 2014 Dec;34(8):787-90. doi: 10.1097/BPO.0000000000000187. PMID: 24787303. Novais EN, Hollnagel KF, Bixby SD, Ferrer MG, Williams DN, Kim YJ, Schmaranzer F. Predictive value of post-reduction gadolinium-enhanced magnetic resonance imaging in detecting avascular necrosis after closed and open reduction for developmental dysplasia: A minimum 5-year follow-up study. J Child Orthop. 2025 Jul 6;19(4):329-338. doi: 10.1177/18632521251350524. PMID: 40630930; PMCID: PMC12230044. Paez C, Badrinath R, Holt J, Bomar JD, Mubarak SJ, Upasani VV, Wenger DR. Ligamentum Teres Transfer During Medial Open Reduction in Patients with Developmental Dysplasia of the Hip. Iowa Orthop J. 2021;41(1):47-53. PMID: 34552403; PMCID: PMC8259203.

Dr. Daniel Hoernschemeyer from the University of Missouri joins the show to discuss his recent research on vertebral body tethering as well as the past, present, and future of this new treatment. Your hosts are Josh Holt from the University of Iowa, Stephanie Logterman from Arnold Palmer Hospital for Children, Craig Louer from Vanderbilt, and Tyler McDonald from the University of South Alabama. Produced by Josh Holt and Carter Clement (Manning Family Children’s). Music by A.A. Aalto.   References:   “Growth modulation increases clinical success in vertebral body Tethering.” Hoernschemeyer et al. Spine Deformity 2025.   “Anterior Vertebral Body Tethering: A Single-Center Cohort with 4.3 to 7.4 Years of Follow-up.” Hoernschemeyer et al. JBJS 2024.   “Effect of Vertebral Body Tether Tensioning on Vertebral Body Growth Modulation.” Jackson et al. with PSSG. JOR Spine 2025.   “Growth modulation response in vertebral body tethering depends primarily on magnitude of concave vertebral body growth.” Louer et al. with PSSG. Spine Deformity 2024.   “Multicenter validation of a surgical planning tool for lumbar vertebral body tethering simulating growth modulation over 2 years.” Cobetto et al. Spine Deformity 2025.