Description Treatment I. Typical Sequestrum and involucrum Remove sequestrum II. Atrophic Inadequate involucrum which does not bridge the sequestrum Stabilize and observe for 3–6 months; if no involucrum, then sequestrectomy; graft…
Fig. 28.1 (a, b) A proximal femoral diaphyseal fracture treated by closed reduction and immediate spica casting healed in adequate alignment, anticipating future remodeling. (c) Child walking in single-leg “walking…
Fig. 34.1 (a) An ambulatory child with untreated clubfoot. (b)Walking on the lateral border of the foot can lead to excessive shoe wear and skin breakdown. (Photo courtesy of J….
Fig. 24.1 (a) Malunion of a fracture/subluxation of the left ankle with lateral subluxation of the talus and valgus deformity. (b) Clinical appearance of the foot with a chronic wound…
Fig. 23.1 (a, b) X-rays of a closed low Y-type intra-articular distal femur fracture. (c, d) ORIF by reestablishing the condyles with two compression screws and gentle insertion of a…
Fig. 14.1 The operator is holding a Humby knife at a 45° angle while taking the STSG. A broad sterile wooden board puts pressure on and flattens the skin ahead…
Fig. 43.1 (a) AKA with a draining sinus and distal sequestrum, probably from excessive stripping of periosteum. (b) The sequestered specimen was loose and easily removed. The stump was debrided,…
Fig. 21.1 (a) X-ray showing disruption of R hemipelvis at symphysis and R SI joint. (b) Cystogram showing extravasation of dye through tear in the urethra If a urethral tear…
1. Patient age 0–5 years Benign Langerhans cell histiocytosis (LCH), osteomyelitis Malignant Fibrosarcoma, Ewing sarcoma, neuroblastoma, leukemia 5–10 years Unicameral bone cyst (UBC), aneurysmal bone cyst (ABC), non-ossifying fibroma, fibrous dysplasia, osteoid…
Fig. 30.1 (a) X-rays and (b) appearance of a child who presented with the residua of ankle septic arthritis and osteomyelitis. (c) A plantigrade foot was salvaged by fusing the…
