Riley Children's Health Annual Report 2022 – 2023

ORTHOPEDIC SURGERY

RESEARCH HIGHLIGHTS

A major regional referral center for orthopedic surgery, Riley Children’s Health has fellowship-trained, internationally recognized surgeons who provide consultation, diagnosis and treatment for the full range of orthopedic conditions.

IMPACCT (Infrastructure for Musculoskeletal Pediatric Acute Care Clinical Trials) Consortium – Currently enrolling for two national, multicenter trials: DRIFT (Distal Radius Interventions for Fracture Treatment) and COMET (Cast or Operation for Medial Epicondyle Treatment). Committed to high-quality patient outcomes ■ 89% of patients undergoing operative reduction and fixation of supracondylar humerus fracture received care within 18 hours of Emergency Department check-in. ■ Low blood transfusion rate of 3.5% in surgical correction of adolescent idiopathic scoliosis with moderate curves ■ 1.11% surgical site infection rate following spinal fusion for scoliosis ■ 94% radiographically assisted reductions of displaced forearm fractures in patients under 14 successful without requiring hospital admission Leading-edge technologies and procedures EOS imaging ■ Riley Children’s is one of the few Midwest hospitals to offer EOS. ■ EOS yields marked reduction in radiation (up to four times less). MAGnetic Expansion Control (MAGEC) rod ■ Our innovative surgical techniques include the use of growing spine constructs such as the MAGEC rod to minimize spinal fusion, preserve spine motion and achieve better patient outcomes. Riley Children’s is one of the few facilities in the region to provide casting for infantile or early-onset scoliosis. Precice®intramedullary nail ■ Our specialists perform surgeries to lengthen long bones using an “all-inside” technique supported by the Precice nail. O-arm ■ O-arm produces high-quality 2D and 3D anatomical images for use in orthopedic and spine surgeries.

Program distinctions

DIVISION CHIEF Christine B. Caltoum, MD Assistant Professor of Clinical Orthopedic Surgery, IU School of Medicine > Connect with Dr. Caltoum on Doximity. >

■ Ranked among the top pediatric orthopedics programs in the nation by U.S. News & World Report

■ Use of O-arm with navigated placement of pedicle screws in scoliosis surgery and for treatment of hip dysplasia

10 board certified surgeons

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■ Gait lab analysis used in planning for corrections of complex deformities

See full team member list

■ Pediatric sports program with surgical and nonsurgical experts trained in pediatric sports medicine ■ Walk-in clinic to treat acute injuries; staffed by pediatric orthopedic specialists

NOTABLE PUBLICATIONS

Journal of Pediatric Orthopedics: April 2022 Do Patient Demographics and Socioeconomic Status Influence Severity and Time to Diagnosis in Children with Stable Slipped Capital Femoral Epiphysis? Foot & Ankle Orthopaedics: August 2022 Association of Socioeconomic Status with Relapse after Ponseti Method Treatment of Idiopathic Clubfeet Journal of Pediatric Orthopedics: November 2022 Slipped Capital Femoral Epiphysis, Food Deserts, Poverty and Urban/ Rural Residence: Is There a Link?

Specialized programs Pediatric Orthopedic Oncology Program Two fellowship-trained orthopedic oncologists diagnose and treat benign and malignant musculoskeletal tumors. Spinal Deformity Program Holistic treatment is supported by a dedicated team of pediatric anesthesiologists; includes the latest advancements in technology and postoperative care. Cerebral Palsy Program With one of the most comprehensive cerebral palsy

Our ambulatory clinic specializes in preserving ambulatory function in patients with cerebral palsy, including the use of gait analysis to help direct surgical treatment.

programs of its kind in the region, Riley Children’s provides multidisciplinary pediatric expertise, including physical medicine and rehabilitation for patients who need complex care. Pediatric Sports Program

Focused on sports and acute injuries, this multidisciplinary program is facilitated by a pediatric sports medicine surgeon, primary care sports medicine physician and a pediatric physical therapist. Movement Disorders Program Our multidisciplinary program focuses on the treatment of various movement disorders with access to leading-edge 3D gait analysis.

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Annual Report 2022 – 2023

317.948.2550

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