Harvard economist Michael Porter has written that Value=outcomes/costs. Value=efficiency. Using this formula, value is now measured by the medical outcomes achieved, rather than, as had been done in prior years, by the volume of services delivered. This emphasis on value promotes a shift in thinking from volume to outcomes and focuses on the cost of a patients entire care cycle. There is currently not a single book in pediatric orthopaedics that discusses the many ways physicians and practitioners can use the principles of the value equation to provide better care to their patients and to society. This text fills this gap with practical, actual case-based examples to help demonstrate this value.
The objective of this book is to describe pediatric orthopaedic musculoskeletal themes that clinicians and patients should question and stop doing or modify to improve the care for children. It identifies tests, procedures, and practices commonly used in pediatric orthopaedics whose necessity should be questioned and discussed with patients and potentially abandoned. It also promotes conversations between pediatric orthopaedic clinicians and patients to help patients choose care that is evidence based, truly necessary, not duplicative, and free from harm.
Comprised of clinical cases, each chapter follows a distinct and uniform format. Every chapter includes keywords, an abstract, a case example, author pearls, comments by both editors, and references. Written by experts in the field, Value in Pediatric Orthopaedics is the definitive guide to quality care in Pediatric Orthopaedics.
Chapter 1: Buckle fractures of the distal radius.
Chapter 2: Value in
Pediatric Salter Harris I Distal Fibula Fractures.
Chapter 3:
Pediatric/adolescent diaphyseal clavicle fracture value care.
Chapter 4:
Casting and splinting value.
Chapter 5: Pediatric Supracondylar Humerus
Fractures.
Chapter 6: Pediatric Tibia Toddler Fracture.
Chapter 7: Getting
It Just Right.
Chapter 8: Methods to improve value for femoral shaft
fractures in children.
Chapter 9: Rethinking Flat Feet Value in Children.-
Chapter 10: Osteogenesis imperfecta.
Chapter 11 Infants < 1 year old with
developmental dysplasia of the hip.
Chapter 12: Removing Metal Implants in
Children- Chapter 13: Pediatric Intoeing
Chapter 14: Pediatric Popliteal
Cysts.
Chapter 15 Pediatric Musculoskeletal Infection.
Chapter 16: Limb
Deficient ChildThe Value of Adaptability.
Chapter 17: Cerebral Palsy.-
Chapter 18: Clubfoot Treatment.
Chapter 19: Benign Bone Tumors and Cysts.-
Chapter 20: Adolescent Concussion.
Chapter 21: Pediatric/Adolescent ACL
Reconstruction.
Chapter 22: Pediatric Female Athletes.
Chapter 23:
Pediatric First-time Patellofemoral Dislocation.
Chapter 24:
Pre-participation Evaluation.
Chapter 25: Pediatric Orthopaedic Urgent Care
Centers.
Chapter 26: Reusing Orthopaedic-Related Equipment.
Chapter 27:
Operating Room Efficiency.
Chapter 28: Magnetic Resonance Imaging.
Chapter
29: Mini-C-arm in Pediatric Orthopaedic Surgery.
Chapter 30: Improving Value
During Overseas Surgical Trips.
Chapter 31: K-wires Rather Than Expensive
Implants.
Chapter 32: Scoliosis Screening.
Chapter 33: Adolescent
Idiopathic Scoliosis.
Chapter 34: Early Onset Scoliosis.
Chapter 35:
Spondylolysis.
Chapter 36: Pediatric Spondylolisthesis.
Dr. Hennrikus is Professor of Orthopaedics at the Penn State College of Medicine, Hershey, PA. He completed his orthopaedic residency at the Balboa Naval Hospital, San Diego, CA and Pediatric Orthopaedic Fellowship at Childrens Hospital, Boston, Massachusetts. Dr. Hennrikus has received numerous awards for his teaching, research, and global health work including the AAP Distinguished Service Award, the Deans teaching award at Penn State, and the annual resident teaching award at Balbo Naval Hospital (3 awards) and at Penn State (3 awards). He is a Board Member of American Academy of Pediatrics Pennsylvania chapter. Dr Hennrikus is a retired CAPT in the US Navy.
Dr. Schwend is Professor of Orthopaedics, University of Missouri, Kansas City and Kansas University. He completed his orthopaedic residency at Harvard Combined Orthopaedic Program and Pediatric Orthopaedic Fellowship at Childrens Hospital, Boston, Massachusetts. Dr. Schwend is a Past President of POSNA. He has received numerous awards for his international work, including the SRS Blount Humanitarian Award, POSNA Special Effort Award, POSNA Humanitarian Award, AAP Distinguished Service Award, and the Orthopaedic Residency Educator Award. He is a Board Member of Project Perfect World, which since 2002 has been developing a pediatric orthopaedic program in Ecuador. He is a retired Colonel in the USAF.
