By Vernon T. Tolo MD, David L. Skaggs MD
This new quantity of the Master ideas in Orthopaedic surgical procedure Series offers the main complicated, profitable surgical ideas for treating fractures, congenital stipulations, and different orthopaedic difficulties in youngsters. The world's optimum surgeons describe their hottest strategies in step by step element, clarify the indicators and contraindications, establish pitfalls and power issues, and provide pearls and information for making improvements to effects. The publication is carefully illustrated with full-color, sequential, surgeon's-eye view intraoperative pictures, in addition to drawings by way of famous clinical illustrators.
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Additional info for Pediatrics
Flynn J, Waters PM. Single bone fixation of both bone forearm fractures. J Pediatr Orthop. 1996;16:655~9. 3. Lee S, Nicol RO, Stott NS. Intramedullary fixation for pediatric unstable forearm fractures. Clin Orthop. 2002;402:245-250. 4. er JN. Surgical treatment of fractures oflong bones in children. J Chir (Paris). 1984:121:527-537. 5. Prevot J, Guichet M. Elastic stable intramedullary nailing for forearm fractures in children and adolescents. J Bone Joint Surg. 1996;20:305. 39 02erative Trea of Femur Fractures Using Flexible IM Nails Wudbhav N.
3. The undisplaced complete fracture can be treated closed. It should, however, be operated on if it displ&:es later. Therefore close follow-up is required; smgical treatment is needed if lateml displacement of the fracture fragment occurs on the following radiographs. 4. on to restore alignment of the growth plate and the articular sudace. The Milch classification addresses whether the lateral condyle fracture is confmed to the capitellum (type I) thereby leaving the ulna trochlear joint intact and stable or enters the trochlea (type II) and renders the ulnotrochlear joint unstable.
10 SECTION I Trauma FICURE 1-19 Assessment of sagittal alignment with lateral view. pin is to feel the pin go through the proximal cortex. If this feeling is not clearly appreciated, careful fluoroscopic imaging often reveals that the pin did not engage the proximal fragment. As a general rule, it is best to use two pins for Gartland type II fractures and three pins for Gartland type m fractmes. Even though two good pins are probably sufficient, placing three pins increases the odds of actually having two good ones.