The skeletal defects of the lower limbs in pediatric age encompass various congenital and acquired conditions that alter bone structure. These alterations can be symmetrical or asymmetrical, with potential consequences such as deformities, short stature, and disability. These condictions may impact not only on the physical and the mental function of the children, but also on their family context. Management often requires a multidisciplinary approach for early diagnosis and treatment. Deformities are heterogeneous and necessitate a personalized therapeutic plan. Currently, in pediatric orthopedic surgery there is a lack of an instrument capable of evaluating all these aspects. The advancement of computer-assisted surgery and artificial intelligence could improve treatment customization and involve patients and families in therapeutic decision-making to prevent complications. This study aims to provide support for clinical practice to promote a systematic, comprehensive, and sequential evaluation of lower limb deformities in developmental age, from which epidemiological data and evidence on treatment approaches used in major referral centers can be extrapolated.
Study Type
OBSERVATIONAL
Enrollment
1,000
Patients are provided with physiotherapy support and the provision of prostheses with the goal of ensuring as much walking functionality as possible.
Correction of the deformity is pursued by one or more surgical procedures with the timing and the techniques (growth modulation, acute correction, gradual correction, soft tissues procedures, combined techniques) chosen according to the surgeon's preference to achieve the maximum possible walking functionality without orthopedic aids.
Limb surgery, whether or not associated with realignment or soft-tissue surgery, is performed, aimed at providing the maximum possible walking function through a prosthesis.
IRCCS Istituto Ortopedico Rizzoli
Bologna, Italy
RECRUITINGIstituto Giannina Gaslini
Genova, Italy
NOT_YET_RECRUITINGGaleazzi Orthopedic Institute
Milan, Italy
NOT_YET_RECRUITINGPoliclinico San Matteo
Pavia, Italy
NOT_YET_RECRUITINGIstituto Nazionale Tumori Regina Elena
Roma, Italy
NOT_YET_RECRUITINGOspedale Pediatrico Bambino Gesù
Roma, Italy
NOT_YET_RECRUITINGIstituto Clinico Humanitas
Rozzano, Italy
NOT_YET_RECRUITINGPediatric Outcomes Data Collection Instrument
The scores, reported by the child and the caregiver, on the items of the questionnaire, which includes upper extremity (UE), transfer/basic mobility (TBM), happiness (Hap), sports/physical function (SPF), pain/comfort (PC)
Time frame: At baseline (day 0)
Pediatric Outcomes Data Collection Instrument
The scores, reported by the child and the caregiver, on the items of the questionnaire, which includes upper extremity (UE), transfer/basic mobility (TBM), happiness (Hap), sports/physical function (SPF), pain/comfort (PC)
Time frame: After 1 year
Clinical examination with complete assessment of lower limbs
Full assessment of parameters about lower limb alignment
Time frame: At baseline (day 0)
Clinical examination with complete assessment of lower limbs
Full assessment of parameters about lower limb alignment
Time frame: After 1 year
Mental Health
The Short Form (36) Health Survey is a 36-item, patient-reported survey of patient health.
Time frame: At baseline (day 0)
Mental Health
The Short Form (36) Health Survey is a 36-item, patient-reported survey of patient health.
Time frame: After 1 year
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