Deformity Correction in Setting of Physeal Bar from Neonatal Infection

Description

This presentation, titled "Aspen or Bust!", is delivered by Dr. Louise Reid Nichols, who specializes in pediatric orthopedics. With enthusiasm, Dr. Nichols shares her background from Wilmington, Delaware, and expresses her excitement to be back in New York among friends.



The talk focuses on a case study of a nine-year-old boy who has experienced significant orthopedic challenges as a result of a severe Staph aureus infection that affected his femurs and humerus. Dr. Nichols emphasizes the importance of recognizing and addressing infections quickly, particularly in pediatric patients, to prevent long-term complications.



The boy, who is depicted as an active skier and ballet dancer, has notable physical deformities, including a shortened humerus and femur. Dr. Nichols discusses the boy's determination to succeed despite these challenges, even as he compared himself to his taller twin sister.



Throughout the presentation, Dr. Nichols details various medical assessments and surgical interventions, including the use of MRI to identify a physeal bar affecting growth. She explains the principles behind guided growth techniques and the planned interventions to correct his limb length discrepancy and valgus deformity.



The surgical process includes the careful resection of the physeal bar and the use of guided growth plates to facilitate limb lengthening while preserving joint function. Dr. Nichols shares the emotional journey of the boy and his family as they navigate treatment options, highlighting the importance of involving families in the decision-making process.



As the case unfolds, the outcomes of the surgeries are discussed, illustrating the boy's recovery trajectory and return to skiing. The presentation concludes with a heartwarming moment as the boy successfully competes at a national ski event, symbolizing triumph over adversity. Dr. Nichols caps off her talk by reiterating the principles of pediatric orthopedic care and the lasting impact of thoughtful surgical intervention on a young patient’s quality of life.

Specialties