Carpenter Charlotte Ve, Wong Christian, Perry Daniel C, Rölfing Jan Duedal
Musculoskeletal Research Unit, University of Bristol, Bristol, UK.
Department of Orthopaedic Surgery, Copenhagen University Hospital, Copenhagen, Denmark.
J Child Orthop. 2025 Aug 4:18632521251333331. doi: 10.1177/18632521251333331.
Paediatric orthopaedic surgery is rarely supported by high-quality evidence, with treatment decisions generally informed by experience or case series. The European Paediatric Orthopaedic Society recognises the need to establish research priorities in the field. This study builds on previous UK research priorities to discover the most important unanswered clinical effectiveness research questions in elective and trauma care and basic science, amongst Paediatric Orthopaedic surgeons across Europe.
A modified Delphi technique, including an initial scoping survey and a two-round Delphi process conducted amongst paediatric orthopaedic surgeons in Europe.
An average of 113 surgeon responses were received in each round, scoring questions from 1 (low priority) to 5 (high priority). The mean score for importance was 3.59 in elective questions, 3.13 in trauma and 3.54 in basic science. The top questions in each group were identified. The top five research priorities for elective care related to the care of - Perthes Disease, Slipped Upper Femoral Epiphysis and Developmental Dysplasia of the Hip. Those in trauma related to the treatment of fractures around the elbow, forearm and femur Basic science priorities related to pharmaceuticals in the management of paediatric orthopaedic conditions and the pathology of Perthes' Disease and Developmental Dysplasia of the Hip.
The results will help guide clinicians, researchers and funding bodies to focus research towards important topics and improve the evidence for practice in paediatric orthopaedic surgery. We hope that this study will encourage the development of collaborative international studies to improve care in paediatric orthopaedics.
Level V - decision analysis.
小儿骨科手术很少有高质量证据支持，治疗决策通常基于经验或病例系列。欧洲小儿骨科学会认识到有必要确定该领域的研究重点。本研究基于英国先前的研究重点，以发现欧洲小儿骨科外科医生在择期手术、创伤护理和基础科学方面最重要的未解决的临床疗效研究问题。
采用改良的德尔菲技术，包括在欧洲小儿骨科外科医生中进行初步范围调查和两轮德尔菲过程。
每轮平均收到113名外科医生的回复，对问题从1分（低优先级）到5分（高优先级）进行评分。择期问题的重要性平均得分为3.59分，创伤问题为3.13分，基础科学问题为3.54分。确定了每组中的首要问题。择期护理的前五项研究重点涉及佩特兹病、股骨头骨骺滑脱和发育性髋关节发育不良的护理。创伤方面的重点涉及肘部、前臂和股骨周围骨折的治疗。基础科学重点涉及小儿骨科疾病管理中的药物以及佩特兹病和发育性髋关节发育不良的病理学。
研究结果将有助于指导临床医生、研究人员和资助机构将研究重点放在重要课题上，并改善小儿骨科手术的实践证据。我们希望这项研究将鼓励开展国际合作研究，以改善小儿骨科护理。
V级——决策分析。
