[Do paediatric and adult surgeons follow different approaches to physeal fractures?].
BACKGROUND
The treatment of paediatric fractures is the concern of several different surgical specialties. There has been no scientific investigation on the different concepts of paediatric (PS) and adult surgeons (AS).


METHODS
62 paediatric traumatologists were asked concerning their experience with physeal fractures of the leg, including ten cases.


RESULTS
Growth disturbances was estimated to be more rare by PS. On evaluation of the examples there were no significant differences in the judgement of degree and direction of the displacement. For displaced fractures, PS rather preferred closed reduction and immobilisation, whereas AS favoured osteosynthesis.


CONCLUSIONS
There were no basic differences between PS and AS in the treatment of lower limb fractures. AS tend to act more invasively. At the same time they are more concerned about growth disturbances.
Kraus
R
R
Universitätsklinik Giessen, Unfallchirurgie, Giessen, Deutschland. Ralf.Kraus@chiru.med.uni-giessen.de
Röder
C
C
Perler
G
G
Schneidmüller
D
D
Sommerfeldt
D
D
Wessel
L
L
Schnettler
R
R
Linhart
W
W
D000293:Adolescent; D000328:Adult; D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D002370:Casts, Surgical; D002648:Child; D005260:Female; D005360:Fibula / Q000293:injuries*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006801:Humans; D057072:Intra-Articular Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D007870:Leg Length Inequality / Q000209:etiology*; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology*; D011859:Radiography; D000072042:Salter-Harris Fractures; D013043:Specialties, Surgical; D011795:Surveys and Questionnaires; D013978:Tibial Fractures / Q000601:surgery*