JBJS | The Operative Management of Pediatric Fractures of the Lower Extremity

The Journal of Bone & Joint Surgery, Volume 84, Issue 12

Instructional Course Lecture | December 01, 2002

The Operative Management of Pediatric Fractures of the Lower Extremity

John M. Flynn, MD; David Skaggs, MD; Paul D. Sponseller, MD; Theodore J. Ganley, MD; Robert M. Kay, MD; K. Kellie Leitch, MD,FRCS(C)

The Journal of Bone & Joint Surgery. 2002; 84:2288-2300

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The majority of pediatric fractures of the lower extremity can and should be treated with closed reduction, immobilization, and close follow-up. However, there is an ongoing debate in the orthopaedic community regarding the exact role of surgical management in the treatment of pediatric fractures ¹ . In the past two decades, operative management of certain fractures provided markedly better results than closed management. In certain cases, such as those requiring anatomical realignment of the physis or articular surface, there are clear indications for surgical management. Increasingly, however, surgical management is being used to maintain optimal alignment, to allow early motion, or to facilitate mobilization of children with a lower-extremity fracture. For many types of fractures, both nonoperative and operative methods have yielded good results and have vocal advocates. Certain technical advances, such as the use of flexible intramedullary fixation and bioreabsorbable implants, have further increased enthusiasm for operative management of pediatric fractures of the lower extremity.

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fracture ; tibia ; leg ; pediatric discipline

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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