2. Pediatric Orthopedic Research

Pediatric Orthopedic Research

Introduction

The research goals of the Pediatric Division include the inclusive conduction of research relevant to the musculoskeletal care of children. We are focusing on optimizing the care of pediatric fracture patients and advancing scoliosis research to improve outcomes and long-term management strategies. Additionally, we are participating in multicenter studies in sports medicine, hip preservation, clubfoot care, and fracture care. We are also part of several different national registries in order to contribute to large-scale collaborative research efforts, benchmark clinical outcomes, and support evidence-based advancements in pediatric orthopedic care.

Pediatric Orthopedic Research Team 

Recent publications:

  1. Thompson M,Shapton J, Johnson C,Punt S,Conrad EU, MRI Prediction of Osseous Margins in Pediatric Sarcomas. CORR Mar2018;476(3):559-564
  2. Gagliardi AG, Carry PM, Parikh HB, Traver JL, Howell DR, Albright JC. ACL Repair with Suture Ligament Augmentation Is Associated With a High Failure Rate Among Adolescent Patients. Am J Sports Med. 2019 Feb 7. [Epub ahead of print]
  3. Gagliardi AG, Carry PM, Traver JL, Parikh HB, Howell DR, Albright JC. AM J Sports Med. 2019 Aug;47(10):NP59-NP60
  4. Traver JL, Kocher MS. Chapter 26: Return-to-Sport Considerations in the Pre-Adolescent Athlete. In: Noyes FR, Barber-Westin S, editors. Return to Sport after ACL Reconstruction and Other Knee Operations. Springer Nature Switzerland AG. Springer Link; 2019. p. 593-605.
  5. Gagliardi AG, Carry PM, Parikh HB, Traver, JL, Albright JC. Sex-Based Differences in the Outcomes of ACL Reconstruction with Quadriceps Tendon-Patellar Autograft in Adolescent Patients. OJSM 2019 Mar. 7(3)(suppl 1)
  6. Traver, J., Christino, M., Coene, R., Williams, K., Sugimoto, D., Kramer, D., Yen, Y. M., Kocher, M., Micheli, L., & Milewski, M. (2020). Association Between Psychological Readiness, Patient Reported Outcomes and Return to Sports Following Primary Anterior Cruciate Ligament Reconstruction: Readiness Outcomes Affecting Return-to-Sport (ROAR). Orthopaedic Journal of Sports Medicine, 8(7 suppl6), 2325967120S00489. https://doi.org/10.1177/2325967120S00489
  7. Kocher, M., Ciarlo, M., Feroe, A., Dichtel, L., & Traver, J. Impact on Family Functioning of Immediate Spica Casting for Pediatric Femur Fractures: An Ecological Study. JPOSNA, 4(1), 2022.
  8. Beckmann N, Davila A,Ayala G,Conrad EU, Radiology Case Reports .. Intraosseous Malignant Nerve Sheath Tumor of the sacrum with Neurofibromatosis Type I, Radiology Case Reports ;accepted May3 , 2019
  9. Conrad EU,Lindberg AW,White J,Ching RP, Uncemented Megaprosthesis Stem Fixation Using Scratch Fit to Achieve Improved Implant Fixation. Ann Joint 2019;4:36 Beijing ,China Aug 5 , 2019
  10. Ward III, N. H., Roper, B. P., Munz, J. W., McGarvey, W. C., & Mansour, A. (2020). Pediatric Calcaneus Fractures and Associated Injuries. Foot & Ankle Orthopaedics, 5(4), 2473011420S00487.
  11. Haidar, Layla A. BSA; Sliwinski, Lisa MD; Warth, Ryan J. MD; Mansour, Alfred III MD Placement of Provisional External Fixation of Pediatric Femoral Shaft Fractures Using Radiopaque Markers in the Setting of Severe Polytrauma, Techniques in Orthopaedics: April 26, 2019 – Volume Publish Ahead of Print – Issue – doi: 10.1097/BTO.0000000000000383
  12. Mansour, Alfred, Andrea Biaggi-Ondina, Lindsay Crawford, Shiraz Younas, Maria Matuszczak, Staci Cameron, Ryan J. Warth, and Layla Haidar. 2021. “Perceptions of Regional Anesthesia for Pediatric Supracondylar Humerus Fractures – a Multispecialty Survey.” Journal of Orthopaedic Experience & Innovation, July
  13. Mullane, Aaron; Haidar, Layla; Kozemchak, Adam; Wayne, Colton; Mansour, Alfred. “Effect of Patient-Surgeon Orientation on Plunge Depth During Plate Fixation of Clavicle Fractures.” Western Journal of Orthopaedics10, 1 (2021). https://digitalrepository.unm.edu/wjo/vol10/iss1/6
  14. Fields MW, Kaushal NK, Patel NM, McCormick SK, Eberson CP, Schmitz ML, Swarup I, Blanco JS, Crawford LM, Edobor-Osula OF. “Variation Among Pediatric Orthopaedic Surgeons When Treating Tibial Tubercle Fractures.” Pediatric Research in Sports Medicine Society 8th Annual Meeting. Houston, TX, USA. January 28-30, 2021.
  15. Johnson, M. A., Ganley, T. J., Crawford, L., & Swarup, I. (2021). Pediatric Orthopedic Trauma Care During the COVID-19 Pandemic: A Survey of the Pediatric Orthopedic Society of North America. HSS Journal®, 15563316211056022.
  16. Mundluru, S. N., Podeszwa, D., Peck, J., Sucato, D., Johnston, C., Kim, H., … & Ellis, H. (2021). Acetabular Coverage May Affect Radiographic and Clinical Outcomes of Osteochondral Allograft Transplantation of Focal Femoral Head Lesions: A Case Series From a Single Institution. JAAOS Global Research & Reviews, 5(10), e20.
  17. Panchapakesan K, McClendon, C, Haidar, L, Mansour, A, Crawford, L, Shiraz, Y, Traver, J. (2021) Comparing radiographic and clinical outcomes of non-operative and operative medial epicondyle fractures in adolescent athletes. POSNA 2021 Annual Meeting
  18. Haidar L, Dennis, G, Vemu M, Mansour A, Crawford L, Shiraz Y, Traver J, Mundluru S, Borden T. (2021) Incidence of ipsilateral femoral neck fractures in pediatric patients with femoral shaft and distal femur fractures. AAOS 2021 Annual Meeting
  19. Ward T, Roper B, Haidar L, Parikh S, Mansour A, Younas S, Crawford L. (2021) Rigid Versus Flexible Intramedullary Treatment for Tibia Fractures in Adolescents. AAOS 2021 Annual Meeting and OTA 2021 Annual Meeting
  20. Rogie, G., Borden, T., Crawford, L.M., Klineberg, E.O., Marco, R.A., Dodwad, S., Mundluru, S., Vanodia, R.M., & Younas, S.A. Demonstration of the Importance of MRI in Preoperative Evaluation of Adolescent Idiopathic Scoliosis. Spine Deformity Journal. 14, 445 – 451.Published online December 2025 DOI:10.1007/s43390-025-01237-2
  21. Rogie G, Borden T, Crawford L, Mundluru S, Roper B, Vanodia RM, Younas S. “Assessment of postoperative range of motion in pediatric patients undergoing surgical reduction and fixation of lateral condyle fractures.” J Child Orthop. 2025 Sep 17;19(6):492-496. doi: 10.1177/18632521251368279.
  22. Lundine, K., Lu, M., Borden, T. et al. Bipolar spinal correction reduces transfusion rate and hospital stay compared with traditional posterior spinal fusion in children with scoliosis secondary to cerebral palsy. Eur Spine J 34, 4307–4313 (August 2025). doi.org/10.1007/s00586-025-09282-1
  23. Brnjoš K, Edobor-Osula OF, Blanco JS, Crawford LM et al. Risk Factors for Stiffness After Fixation of Tibial Tubercle Fractures: A Multicenter Study From the TITUS Group. JB JS Open Access. 2025 Aug 7;10(3):e25.00142. doi: 10.2106/JBJS.OA.25.00142.
  24. Suresh A, Siahaan J, Marco RA, Klineberg E, Borden T, Vanodia R, Crawford L, Dodwad SN, Younas S, Mundluru S. Comparing the effectiveness of generative AI technology in commonly asked scoliosis questions. J Child Orthop. 2025 Jul 26;19(5):416-421. doi: 10.1177/18632521251359098.
  25. Kell, D. M., Tornberg, H. N., Crawford, L. M. et al. (2025). Who is at Risk for Implant Irritation After Fixation of a Tibial Tubercle Fracture? A Multicenter Study. Journal of Pediatric Orthopaedics, 45(6), e520-e524. doi.org/10.1097/BPO.0000000000002943
  26. Novais EN, Borden T, Pauyo T, Ferrer MG, Miller P, Maranho D. Which Radiographic Measurements Best Predict Contralateral Slip in Patients Who Undergo Pinning for Unilateral Slipped Capital Femoral Epiphysis? J Pediatr Soc North Am. 2025 May 23;12:100204. doi: 10.1016/j.jposna.2025.100204.
  27. White, Alexander B. MD*,†; Keil, Lukas G. MD‡,§; Bardsley, Harrison MD*; Selberg, Courtney MD∥; Mansour, Alfred MD; Brooks, Angus C. BS; Manickam, Rohan BS; Mayassi, Hani A. DO#,**; Zhao, Lei MD, PhD**; Uchtman, Molly BS*; Whitlock, Patrick MD*; Stone, Joseph MD§. How Urgent Are Stable SCFEs? A Multisite Retrospective Study of Surgical Timing and Complications Among Patients With Stable Slipped Capital Femoral Epiphysis. Journal of Pediatric Orthopaedics 45(8):p 485-491, September 2025. | DOI: 10.1097/BPO.0000000000002997
  28. Andrew Ibrahim, Caroline Cushman, Evan Hernandez, Alexis Aboulafia, Michel Diab, Alfred Mansour, EP6.44 Perceived Outcomes of Slipped Capital Femoral Epiphysis: A Retrospective Observational Study, Journal of Hip Preservation Surgery, Volume 12, Issue Supplement_1, March 2025, Pages i103–i104, DOI.org/10.1093/jhps/hnaf011.333
  29. Karter Morris, Brennon Henderson, Naveen Arunachalam Sakthiyendran, Evan Hernandez, Alexis Aboulafia, Alfred Mansour III, EP1.44 Outcomes of Surgical and Nonsurgical Interventions for Adolescents with Hip Labral Tears: A Systematic Review, Journal of Hip Preservation Surgery, Volume 12, Issue Supplement_1, March 2025, Page i48, doi.org/10.1093/jhps/hnaf011.154
  30. Rakowski DR, Roper B, Purtell SR, Carry P, Sanders JS. Do Open Tibial Shaft Fractures Portend a Worse Outcome in the Pediatric Population? A Pilot Study Utilizing a Matched Cohort. J Pediatr Soc North Am. 2025 Mar 7;11:100167. doi: 10.1016/j.jposna.2025.100167.
  31. Nathaniel Hunter, Cole Payne, Rohini Vanodia, Surya Mundluru “Assessing Online Material Related to Scoliosis: What Do Patients Want to Know?”  Musculoskeletal Care. 23 Feb 2025; https://onlinelibrary.wiley.com/doi/abs/10.1002/msc.70069. DOI: 10.1002/msc.70069
  32. Alexis Aboulafia, Brendan Grant, Rohini M. Vanodia, M.D., Lindsay M. Crawford, M.D., Shiraz A. Younas, M.D. , Alfred A. Mansour, M.D. Routine Evaluation of Supracondylar Humerus Fracture Percutaneous Pin Sites Does Not Decrease Complications – A Retrospective Comparative Cohort. Journal of Orthopaedic Surgery and Research. 2025 Feb 22; dio: 10.1186/s13018-025-05553-1. https://rdcu.be/eaU70

Abstracts (poster presentations):

  • Code Prediction Using Large Language Models in Pediatric Orthopedics
    • Southern Orthopedic Association; July 2026
  • Effect of Obliquity on Metaphyseal-Diaphyseal Ratio and Anterior Humeral Line Alignment in Pediatric Supracondylar Fractures: A 3D Radiographic Study
    • Orthopedic Research Society; April 2026
  • Assessing the Preparedness of Orthopaedic Surgery Residents in Navigating the Finances of a Career in Medicine: A Cross-Sectional Study of Knowledge Gaps and Educational Needs
    • American Academy of Orthopedic Surgeons; 2026
  • Early graft failure in children and adolescents from SCORE
    • Pediatric Research in Sports Medicine (PRiSM); 2026
  • Higher surgical complications reported when collected prospectively in pediatric ACL reconstruction
    • Pediatric Research in Sports Medicine (PRiSM); 2026
  • Socioeconomic Risk Factors for Delayed Presentation in Adolescent Idiopathic Scoliosis
    • POSNA and Orthopedic Research Society; 2025
  • Paging Dr. AI: Which Chatbot Handles Pediatric Orthopedic Referrals Best?
    • American Academy of Orthopaedic Surgeons; 2025
  • Can Artificial Intelligence Chatbots Effectively Triage Referrals to Pediatric Orthopaedists: A Pilot Study and Mixed Methods Analysis
    • American Academy of Orthopaedic Surgeons; 2025
  • Can Chatgpt Provide Accurate, Age-specific Information For Pediatric Patients With Common Orthopedic Diagnoses And Procedures?
    • Orthopedic Research Society; 2025
  • Pediatric Failed Meniscus Repair in >5000 Arthroscopic Meniscus Repairs
    • International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) and Pediatric Orthopaedic Society of North America (POSNA); 2025
  • Rates of reoperation and readmission following arthroscopic pediatric and adolescent knee surgery: data from the SCORE Patient Registry, 2018–2022.
    • American Orthopaedic Society for Sports Medicine (AOSSM); 2025
  • Increased operative time is an independent risk factor for developing surgical complications following isolated anterior cruciate ligament reconstruction in skeletally immature patients
    • International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS); 2025

Abstracts (podium presentations):  

  • Rates of reoperation and readmission following arthroscopic pediatric and adolescent knee surgery: data from the SCORE Patient Registry, 2018–2022.
    • Pediatric Research in Sports Medicine (PRiSM); January 2025
  • Increased operative time is an independent risk factor for developing surgical complications following isolated anterior cruciate ligament reconstruction in skeletally immature patients
    • Pediatric Research in Sports Medicine (PRiSM) Annual Meeting; January 2025
  • Assessment of the Utility of MRI in Preoperative Evaluation of Adolescent Idiopathic Scoliosis
    • International Meeting on Advanced Spine Techniques; April 2025
  • Pediatric failed meniscus repair in >5000 arthroscopic meniscus repairs
    • Pediatric Orthopaedic Society of North America (POSNA); May 2025
  • Grade III complications of tibial spine fracture in pediatric patients
    • Pediatric Orthopaedic Society of North America (POSNA); May 2025 & Western Orthopaedic Association (WOA); July 2025
  • Socioeconomic Risk Factors for Delayed Presentation in Adolescent Idiopathic Scoliosis
    • Southern Orthopedic Association; July 2025
  • A Comparison of Correction Obtained Using Various Rod Constructs in Posterior Spinal Fusion in the Treatment of Adolescent Idiopathic Scoliosis
    • Southern Orthopedic Association; July 2025
  • Postoperative Range of Motion After Surgical Fixation of Pediatric Lateral Condyle Fractures
    • Southern Orthopedic Association; July 2025
  • Risk Factors for Stiffness After Fixation of Tibial Tubercle Fractures: A Multicenter Study” (oral presentation)
    • American Academy of Pediatrics; September 2025
  • High Return to Sport Rate of Pediatric Athletes After Hip Arthroscopy with Concomitant Periacetabular Osteotomy- Podium Presentation
    • Pediatric Research in Sports Medicine (PRiSM); Annual Meeting, Austin, Tx, January 29-31, 2026
  • Risk factors contributing to postoperative stiffness following tibial spine fracture fixation: data from the SCORE registry
    • Pediatric Research in Sports Medicine (PRiSM); January 2026
  • Two-year complication rates for pediatric anterior cruciate ligament reconstruction: a multi-center study
    • Pediatric Research in Sports Medicine (PRiSM); January 2026
  • Early graft failure in children and adolescents from SCORE
    • American Academy of Orthopaedic Surgeons (AAOS); March 2026
  • Failed pediatric meniscus repair from >1100 arthroscopic meniscus repairs with 2-year follow-up: a multicenter report
    • American Academy of Orthopaedic Surgeons (AAOS); March 2026
  • Incidence, complication, and failure rates of bucket-handle meniscus tears in pediatric and adolescent population: a multicenter SCORE registry study
    • American Academy of Orthopaedic Surgeons (AAOS); March 2026
  • Isolated Radial Head Dislocation – Why is it special? (Case Report)
    • Pediatric Orthopedic Association of North America; May 2026
  • Intraoperative Radiation Exposure in Navigated Pedicle Screw Placement for Adolescent Idiopathic Southern Orthopedic Association; July 2026
  • Effect of Obliquity on Metaphyseal-Diaphyseal Ratio and Anterior Humeral Line Alignment in Pediatric Supracondylar Fractures: A 3D Radiographic Study
  • Southern Orthopedic Association; July 2026