[When does a pediatric fracture become a fracture of the adult? Age and significance of epiphyseal closures].
Surgical treatment of fractures of adolescents is often difficult as the epiphyses are still open or not yet completely closed. The osteosynthesis chosen has to consider the remaining prospective growth of the affected bone and biomechanical needs. Due to high physical maturity with small remaining growth capacity in adolescents, a number of different techniques known from osteosynthesis in adults with minor modifications can be used to treat these fractures.
Marzi
I
I
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum der Johann Wolfgang Goethe-Universität, Theodor-Stern-Kai 7, 60590 Frankfurt am Main. marzi@trauma.uni-frankfurt.de
Maier
B
B
Laurer
H L
HL
D000293:Adolescent; D000328:Adult; D001846:Bone Development / Q000502:physiology*; D002648:Child; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006132:Growth Plate / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D011627:Puberty / Q000502:physiology; D000072042:Salter-Harris Fractures; D012737:Sex Factors; D014057:Tomography, X-Ray Computed
Ab wann wird die kindliche Fraktur zur Fraktur des Erwachsenen? Zeitpunkt und Bedeutung des Fugenschlusses.