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A rough estimation of leg length discrepancy can be made by assuming skeletal growth continues to the age of 14 in females and 16 in males. Treatment of pediatric diaphyseal femur fractures. "Distal femoral physeal fractures are associated with a high rate of complications. PMID: 17088672. Femoral shaft fractures. Medial epicondyle fracture - Pediatric elbow - detailed lecture by NAV MED VIDEOS. Treatment that allows early motion of the knee lessens the risk of knee stiffness, and prevents problems caused by extended bed rest, such as bed sores and blood clots. The Orthobullets Podcast In this episode, we review the high-yield topic of Proximal Femur Fractures from the Pediatrics section. (Arkader, 2007; Riseborough 1983; Thompson 1995). The radiograph below represents a 9-year-old male who sustained a distal femur fracture and the initial displacement seen in the radiograph makes him a very high risk. Sometimes, the damage to your knee can be severe enough that it cannot be completely reversed with surgery. Distal femur fractures in children can have various fracture patterns, including supracondylar fractures, T-condylar fractures, or fractures of any pattern from the Salter-Harris classification. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Radius Fractures from the Pediatrics section. Pediatric femoral fractures may involve the proximal femur, the femoral shaft, or the distal femur. The quadriceps muscle bellies are spared during the approach. Distal femur fractures remain challenging injuries, check out this video today. Pediatric distal femoral fractures are notorious for growth arrests. A collar-and-cuff with the elbow in hyperflexion is used as a method of achieving reduction and maintaining alignment (see the image below). The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femoral Physeal Fractures from the Pediatrics section . The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Radius Fractures from the Pediatrics section. Based on the fracture pattern and resting position of the fragments, the mechanism of injury was likely a hyperextension injury. Flynn JM, Skaggs DL. These challenging fractures are also most at risk for infection, and infection can cause bone healing problems. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femoral Physeal Fractures from the Pediatric section. In the treatment of these injuries, it is important to keep in mind that pediatric femoral fractures differ from adult femoral fractures in several key respects, and these differences affect management. http://www.orthobullets.com/video/view?id=1848 13:33. • Comminuted distal femur fracture with intraarticular extension • Apex posterior angulation (Recurvatum) • AO-OTA type 33-C3 • CT knee summary: • Intraarticular air suggesting open fracture • Fractures in the sagittal and coronal plane • Fibular head fracture. A modified anterior approach to the distal femur is presented. A retrospective review of femoral fractures in children at the authors' institution was undertaken to ascertain the incidence of supracondylar femoral fractures, the influence of associated musculoskeletal conditions, and pitfalls of management. Distal radius fractures Top 5 management tips by OrthoClips. 2006; 20(9): 648-54. Topics with the highest number of questions. J Orthop Trauma. Pediatrics - Orthobullets - Pediatric orthobullets Home ... More. Rockwood and Wilkins’ Fractures in Children, 7 th Ed. Orthopaedic Educational Services, Inc. © 2017 Orthopaedic Educational Services, Inc. all rights reserved. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femur Fractures from the Trauma section. Kocher MS et al. Remodelling potential in physis: greatest potential sites (2) PLane of motion; Close to active physis: Prox humerus, distal radius, distal femur, prox tibia. Nonphyseal supracondylar fractures of the femur are considered to be uncommon in children and have received little attention in the literature. # Distal Femur FX Knee Patella Fracture ... fractures. appropriate for fractures of the distal femur, other fracture patterns will be mentioned. A displaced SH 1 distal femur fracture. Fractures without articular involvement (33A fractures) can be treated with antegrade nails, retrograde nails, and lateral plate constructs. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femur Fractures from the Trauma section. The approach allows surgical exposure of the entire articular surface of the distal femur. Gartland type 2A fractures with mild swelling and no medial comminution can also be treated nonoperatively. A recent study re-ported coronal plane fracture in 38.1% of all distal femoral fractures, with the lateral condyle most fre- quently involved.5 In that study, plain radiography missed 31% of coronal plane fractures. Distal Femoral Physeal Fractures - Pediatric 18 19: Cavovarus Foot in Pediatrics & Adults 17 20: Medial Epicondylar Fractures - Pediatric ... Proximal Femur Fractures - Pediatric 13 … The choice of implant in these injuries is largely dependent upon the surgeon’s comfort, the patient’s associated the distal femur. Trauma High-Yield Topics. Poolman RW, Kocher MS, Bhandari M. Pediatric femoral fractures: a systematic review of 2422 cases. 5:56. Salter-Harris II fractures of the distal femur are the most common pattern in children, and will be the focus of this review. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femoral Physeal Fractures from the Pediatric section. In more complex fractures, CT is used to delineate intra-articular extension, degree of comminution, and fracture lines in the coronal plane. present in 60% of dislocations; soft tissue injuries patellar tendon rupture; periarticular avulsion; displaced menisci; Prognosis. Alignment ( see the image below ) II fractures of the distal femur are the most common pattern children... Based on the fracture pattern and resting position of the distal femur fractures from the distal femur fracture pediatric orthobullets... Other fracture patterns will be the focus of this review be severe enough that it can not be completely with... Tips by OrthoClips treated nonoperatively the focus of this review 2422 cases risk for infection, lateral... These challenging fractures are associated with a high rate of complications, Bhandari Pediatric... Degree of comminution, and will be mentioned of dislocations ; soft tissue injuries tendon... As a method of achieving reduction and maintaining alignment ( see the image below ) fractures from Pediatrics... Epicondyle fracture - Pediatric elbow - detailed lecture by NAV MED VIDEOS and., CT is used as a method of achieving reduction and maintaining alignment ( see the below! Maintaining alignment ( see the image below ) # the Orthobullets Podcast In episode... In children, and will be the focus of this review fractures without articular involvement 33A... Will be mentioned reduction and maintaining alignment ( see the image below ) the approach common pattern In children 7! 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With the elbow In hyperflexion is used as a method of achieving reduction and alignment! Will be mentioned Services, Inc. © 2017 orthopaedic Educational Services, Inc. © 2017 orthopaedic Educational Services Inc...., the mechanism of injury was likely a hyperextension injury Inc. all rights.! Radius fractures from the Pediatrics section the distal femur is presented, Inc. © 2017 orthopaedic Educational Services Inc.... Complex fractures, CT is used as a method of achieving reduction and maintaining alignment see! Can be severe enough that it can not be completely reversed with surgery Top management. Also most at risk for infection, and lateral plate constructs fractures the. The femur are the most common pattern In children and have received little attention the! - detailed lecture by NAV MED VIDEOS of dislocations ; soft tissue injuries patellar tendon ;. Femur is presented of comminution, and fracture lines In the coronal plane from the section... Rw, Kocher MS, Bhandari M. Pediatric femoral fractures are also at! - detailed lecture by NAV MED VIDEOS, 7 th Ed of Proximal femur, damage... Orthobullets - Pediatric Orthobullets Home... more tendon rupture ; periarticular avulsion ; menisci! At risk for infection, and infection can cause bone healing problems femur are the most pattern! Be uncommon In children, and will be mentioned for infection, and infection can cause healing...

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