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Use of external fixation for juxta-articular fractures in children

Anatoly Korobeinikov1, Dmitry Popkov1

  • 1Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics, Kurgan, Russian Federation.

Injury
|April 9, 2019
PubMed

Insights

External fixation, including the Ilizarov technique, offers significant benefits for pediatric juxta-articular fractures. This method preserves growth plates and periosteal blood supply, enabling stable alignment and early joint motion.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Traumatology

Background:

  • Juxta-articular fractures in children often present complex challenges.
  • Management requires careful consideration to avoid growth plate injury and ensure proper alignment.

Purpose of the Study:

  • To discuss the application of external fixation in pediatric juxta-articular fractures.
  • To highlight the principles and advantages of the Ilizarov technique in managing these injuries.

Main Methods:

  • Review of the Ilizarov technique for distal radial, femoral, humeral, and tibial fractures.
  • Discussion of indications including comminuted, complicated, and open fractures.

Main Results:

  • External fixation avoids growth plate injury and preserves periosteal blood supply.
  • Allows for precise reduction, anatomic alignment, and primary fracture stability.
  • Facilitates immediate joint motion and early weight-bearing.

Conclusions:

  • External fixation is a valuable tool for pediatric juxta-articular fractures.
  • Offers advantages over traditional methods by minimizing soft tissue damage and promoting faster recovery.
  • Joint bridging is a viable option for severe cases with bone or soft tissue loss.

Keywords:
ChildrenEpiphysisExternal fixationJuxta-articular fracture

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