Abstract
Lower limb fractures in children require a modified approach to treatment when compared to the techniques utilized in the adult population. Certain fracture patterns and complications of specific injuries are seen in children. The growing skeleton limits the application of certain principles of fracture management, but at the same time permits management methods which are not routinely used in the skeletally mature to give excellent functional outcomes.
Despite these differences, advances in the methods of internal fixation have changed significantly over the last decade to give a more uniform method of treatment in children. Controversies still exist, particularly in the treatment of the adolescent population.
This chapter will sequentially discuss the methods, indications and complications of treatment of fractures of the femoral shaft, tibia and fibula and fractures around the knee to aid the reader in applying evidence-based protocols to injury management.
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References
Corry IS, Nicol RO. Limb length after fracture of the femoral shaft in children. J Pediatr Orthop. 1995;15(2):217–9.
DiFazio R, Vessey J, Zurakowski D, Hresko MT, Matheney T. Incidence of skin complications and associated charges in children treated with hip spica casts for femur fractures. J Pediatr Orthop. 2011;31(1):17–22.
Wallace ME, Hoffman EB. Remodelling of angular deformity after femoral shaft fractures in children. J Bone Joint Surg Br. 1992;74(5):765–9.
Buehler KC, Thompson JD, Sponseller PD, Black BE, Buckley SL, Griffin PP. A prospective study of early spica casting outcomes in the treatment of femoral shaft fractures in children. J Pediatr Orthop. 1995;15(1):30–5.
Wright JG, Wang EE, Owen JL, Stephens D, Graham HK, Hanlon M, Nattrass GR, Reynolds RA, Coyte P. Treatments for paediatric femoral fractures: a randomised trial. Lancet. 2005;365(9465):1153–8.
Ramseier LE, Janicki JA, Weir S, Narayanan UG. Femoral fractures in adolescents: a comparison of four methods of fixation. J Bone Joint Surg Am. 2010;92(5):1122–9.
Keeler KA, Dart B, Luhmann SJ, Schoenecker PL, Ortman MR, Dobbs MB, Gordon JE. Antegrade intramedullary nailing of paediatric femoral fractures using an interlocking paediatric femoral nail and a lateral trochanteric entry point. J Pediatr Orthop. 2009;29(4):345–51.
Basener CJ, Mehlman CT, DiPasquale TG. Growth disturbance after distal femoral growth plate fractures in children: a meta-analysis. J Orthop Trauma. 2009;23(9):663–7.
Palmu S, Kallio PE, Donell ST, Helenius I, Nietosvaara Y. Acute patellar dislocation in children and adolescents: a randomized clinical trial. J Bone Joint Surg Am. 2008;90(3):463–70.
Rademakers MV, Kerkhoffs GM, Kager J, Goslings JC, Marti RK, Raaymakers EL. Tibial spine fractures: a long-term follow-up study of open reduction and internal fixation. J Orthop Trauma. 2009;23(3):203–7.
Dwyer AJ, John B, Krishen M, Hora R. Remodelling of tibial fractures in children younger than 12 years. Orthopedics. 2007;30(5):393–6.
Baldwin KD, Babatunde OM, Russell Huffman G, Hosalkar HS. Open fractures of the tibia in the paediatric population: a systematic review. J Child Orthop. 2009;3(3):199–208.
Sink EL, Hyman JE, Matheny T, Georgopoulos G, Kleinman P. Child abuse: the role of the orthopaedic surgeon in nonaccidental trauma. Clin Orthop Relat Res. 2011;469(3):790–7 Review.
Raney EM, Freccero DM, Dolan LA, Lighter DE, Fillman RR, Chambers HG. Evidence-based analysis of removal of orthopaedic implants in the paediatric population. J Pediatr Orthop. 2008;28(7):701–4.
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Nicolaou, N. (2014). Paediatric Fractures of the Femur, Knee, Tibia and Fibula. In: Bentley, G. (eds) European Surgical Orthopaedics and Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34746-7_171
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DOI: https://doi.org/10.1007/978-3-642-34746-7_171
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