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Fractures in Children

This category contains 6 posts

TEN steps to Titanium elastic nailing in femur

  Position the patient. Distraction on fracture table. Protect and pad perineum and the normal limb. Select the nails: Nail size is 0.4 x D Bend the nails: Bending length = tip to fracture distance x 2, ┬áBending height = 3 x D Uniform smooth bend, Medial entry nail will have more bending length. Initial […]

Treatment of overriding fractures of distal forearm in children

6 year old with distal forearm fracture displaced in plaster             What are the options of treatment? a. Remanipulation and plaster b. Manipulation and closed pinning c. Manipulation with blunt wire and pinning and plaster d Accept the reduction Now watch the video in this link of a study from […]

What is the correct treatment for tarus (buckle ) fractures of distal radius in children

                      5 year old with injury to forearm due to fall in the playground How do you manage these fractures? a above elbow plaster b below elbow plaster c splints How long will you continue immobilisation? a 2 weeks b 3 weeks c 4 weeks […]

Thinking smart in the management of lateral condyle fractures in children

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Non Union Lateral condyle Fractures

The questions to ask The patient factors Know what the patient has come to you for 1. What are the patient’s complains ? 2. What are the parent’s expectations from the treatment? 3.How are the elbow movements and the function of the child? The surgeon factors Know what you are operating for 1.Is it that […]

ACCEPTABILITY CRITERIA FOR REDUCTION IN PAEDIATRIC FRACTURES

Children’s fracture have a great capacity to remodel. Yet a few of them result into malunion and deformity. In fractures of upper humerus in a young child large magnitude of angulations can be accepted where as physeal injury of lower femur involving articular carilage needs nothing short of anatomical reduction. The factors affecting the acceptibiloity cliteria are age, Site of fracture, Involvement of growth plate and articular surface, direction of angulation in line with axis of joint movement, ability of joint nearby to compensate for the malunion etc…