Related Experiment Video

Updated: Mar 20, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
07:35

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

18.9K

Pediatric Open Fractures

Arianna Trionfo1, Priscilla K Cavanaugh2, Martin J Herman2

  • 1Department of Orthopaedic Surgery, Temple University School of Medicine, 3401 North Broad Street, Philadelphia, PA 19140, USA.

The Orthopedic Clinics of North America
|June 1, 2016
PubMed

Insights

Pediatric open fractures, though rare, require careful management due to infection and healing risks. This review covers evaluation, treatment, and outcomes for children with open fractures.

Area of Science:

  • Orthopedic surgery
  • Pediatric trauma
  • Bone healing and infection

Background:

  • Open fractures in children are uncommon but present significant risks.
  • Potential complications include infection and impaired bone healing, leading to morbidity.
  • Specialized management is crucial for pediatric open fractures.

Purpose of the Study:

  • To provide a comprehensive review of pediatric open fractures.
  • To cover initial evaluation, classification, treatment strategies, and patient outcomes.
  • To discuss current controversies in the management of these injuries.

Main Methods:

  • Literature review of pediatric open fracture management.
  • Synthesis of current evidence on evaluation and classification.
  • Analysis of treatment protocols and outcomes data.

Main Results:

  • Pediatric open fractures generally have better prognoses than adult counterparts.
  • Despite better prognoses, risks of infection and healing complications remain.
  • Effective management requires a multidisciplinary approach.

Conclusions:

  • Optimal management of pediatric open fractures involves prompt evaluation and tailored treatment.
  • Understanding outcomes and controversies aids in improving patient care.
  • Further research is needed to refine treatment guidelines.

Keywords:
Irrigation and debridementOpen fracturePediatric fracturesPediatric traumaType 1 open fracture

More Related Videos

Pseudofracture: An Acute Peripheral Tissue Trauma Model10:08

Pseudofracture: An Acute Peripheral Tissue Trauma Model

Published on: April 18, 2011

15.3K
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

1.6K

Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
6.4K
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
848
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses...
315
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
439
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
664
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
368