[Pediatric traumatology: closed or minimally invasive reduction technique for upper and lower limb fractures].

IF 1 4区医学 Q3 ORTHOPEDICS

Operative Orthopadie Und Traumatologie Pub Date : 2025-06-01 Epub Date: 2025-02-28 DOI:10.1007/s00064-025-00892-y

Kai Ziebarth, Theddy Slongo

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引用次数: 0

Abstract

Objective: Stable reduction of pediatric fractures to the accepted position. Prevention of recurrent dislocation or loss of reduction to avoid invasive surgery.

Indications: Pediatric fractures of the upper and lower extremities.

Contraindications: Joint fractures, comminuted fractures, open fractures.

Technique: A comfortable environment for the child as well as sufficient pain management is of highest importance for successful treatment. Depending on the location of fracture or fracture pattern, indirect reduction (e.g. by cuff and collar), or direct manual reduction is applied with or without fixation of the fragments (screws, Kirschner wire, external fixator).

Postoperative management: Follow-up radiograph 5-7 days after closed reduction. In case of retention with hardware, a consolidation control with radiograph 3-6 weeks postintervention (depending on the age of the patient) is appropriate.

Results: Introduction of closed reduction techniques makes pediatric fracture treatment feasible without open interventions or need of osteosynthesis.

查看原文本刊更多论文

[小儿创伤学：上下肢骨折的闭合或微创复位技术]。

目的：稳定复位小儿骨折至可接受位置。预防复发性脱位或复位丧失，避免侵入性手术。适应症：小儿上下肢骨折。禁忌症：关节骨折、粉碎性骨折、开放性骨折。技术：为孩子提供舒适的环境以及充分的疼痛管理是成功治疗的最重要因素。根据骨折的位置或骨折类型，可采用间接复位（如通过袖带和颈圈）或直接手动复位，或不固定碎片（螺钉、克氏针、外固定架）。术后处理：闭合复位后5-7天随访x线片。如果有固定物潴留，干预后3-6周（取决于患者的年龄）用x线片进行巩固控制是合适的。结果：闭式复位技术的引入使儿童骨折治疗不需要开放性干预或植骨术成为可能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Operative Orthopadie Und Traumatologie ORTHOPEDICS-

CiteScore

2.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Orthopedics and Traumatology is directed toward all orthopedic surgeons, trauma-tologists, hand surgeons, specialists in sports injuries, orthopedics and rheumatology as well as gene-al surgeons who require access to reliable information on current operative methods to ensure the quality of patient advice, preoperative planning, and postoperative care. The journal presents established and new operative procedures in uniformly structured and extensively illustrated contributions. All aspects are presented step-by-step from indications, contraindications, patient education, and preparation of the operation right through to postoperative care. The advantages and disadvantages, possible complications, deficiencies and risks of the methods as well as significant results with their evaluation criteria are discussed. To allow the reader to assess the outcome, results are detailed and based on internationally recognized scoring systems. Orthopedics and Traumatology facilitates effective advancement and further education for all those active in both special and conservative fields of orthopedics, traumatology, and general surgery, offers sup-port for therapeutic decision-making, and provides – more than 30 years after its first publication – constantly expanding and up-to-date teaching on operative techniques.