[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 : 2025-02-28 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.

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[小儿创伤学：上下肢骨折的闭合或微创复位技术]。

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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.