Pediatric fractures

10.1055/b-0034-87670

Introduction

23.1 Pediatric fractures—introduction Rodrigo Pesantez, Chang-Wug Oh 625
1 Introduction 625
1.1 Special features of pediatric fractures 625
1.2 General principles in treating pediatric fractures 625
1.3 Indications for operative treatment 625
1.4 Indications and contraindications for minimally invasive plate osteosynthesis (MIPO) in pediatric fractures 626
2 Surgical anatomy 626
2.1 Femoral shaft 626
3 Preoperative assessment 627
3.1 General information about the patient 627
3.2 Type of x-rays and CT scans 627
3.3 Choice of implants 627
3.4 Timing of surgery 627
4 Operating room setup 627
4.1 Anesthesia 627
4.2 Patient and image intensifier positioning 627
4.3 Implants and instruments 627
4.4 Surgical approach 627
5 Surgical approach 628
5.1 Femur 628
5.2 Tibia 628
6 Reduction technique 628
7 Fixation techniques 628
7.1 Intraoperative evaluation 628
8 Postoperative treatment 630
9 Complications 630
9.1 Salvage after failed MIO 630
10 Pitfalls 630
11 Pearls 630
12 Results 631
13 The future 631
14 References 631
15 Further reading 631