[The surgical treatment of shaft fractures in childhood].
The treatment of long bone fractures in children has been substantially changed within the past five years. The aim at conservative management, including closed reduction, retention and fixation, remains undebatable. Considerations of the biological and biomechanical healing process and the aim of short hospitalization and early mobilization have lead to an increased use of the intramedullary nailing technique. Simultaneously, the indication for osteosynthesis with plates has been limited to more restricted indications. The first multicentric results of the international working group of pediatric traumatology, together with our personal experience over 20 years, form the basis of a therapeutic concept for long bone fractures in children. Prospective studies of these recommendations will continuously analyse the quality assurance of fracture treatment.
Schärli
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AF
Kinderchirurgische Klinik, Kinderspital Luzern.
D001860:Bone Plates; D001864:Bone Wires; D002648:Child; D002675:Child, Preschool; D005264:Femoral Fractures / Q000601:surgery; D017102:Fracture Healing; D050723:Fractures, Bone / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery; D007223:Infant; D011885:Radius Fractures / Q000601:surgery
Operative Behandlung von Schaftfrakturen im Kindesalter.