Treatment of traumatic arthritis in children.
Although alternatives do exist for the treatment of traumatic arthritis in children, all efforts should be directed to treat the initial condition to avoid its progression to arthritis. Once arthritis is established, then follow the axiom, "treat patients, not x-rays." If despite all attempts at conservative treatment, a surgical option is necessary, then attention must be given to potential future growth, joint stability, and alignment, pain relief, and anticipated postoperative range of motion. All cases must be individualized because, unfortunately, none of the alternatives available is capable of guaranteeing a "normal" end result.
Harvard Medical School, Boston, Massachusetts.
B P
BP
Simmons
C R
CR
Stirrat
D000293:Adolescent; D001168:Arthritis / Q000209:etiology / Q000601:surgery*; D001174:Arthrodesis; D001178:Arthroplasty / Q000295:instrumentation / Q000379:methods; D002648:Child; D005384:Finger Joint / Q000601:surgery; D050723:Fractures, Bone / Q000150:complications*; D006230:Hand Injuries / Q000150:complications*; D006801:Humans; D007596:Joints / Q000637:transplantation; D008297:Male; D008662:Metacarpophalangeal Joint / Q000601:surgery; D014954:Wrist Injuries / Q000150:complications*; D014955:Wrist Joint / Q000601:surgery