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Sidsel Hald Rahlf1, Julie Ladeby Erichsen1, Uggi Balle1

  • 1Børnesektoren, Ortopædkirurgisk Afdeling, Odense Universitetshospital.

Ugeskrift for Laeger
|February 10, 2023
PubMed
Summary

Pediatric lower leg fractures, often involving growth plates, require diverse treatments from casting to surgical fixation. Early consultation at a specialized center is recommended to manage potential growth disturbances.

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Area of Science:

  • Pediatric Orthopedics
  • Pediatric Trauma Surgery

Background:

  • Lower leg fractures are common in children, frequently resulting from falls.
  • A significant proportion of these fractures involve the epiphyseal growth plates, crucial for bone lengthening.

Approach:

  • This review synthesizes various treatment modalities for pediatric lower leg fractures.
  • Techniques discussed include non-operative management (casting) and surgical interventions (K-wires, screws, flexible intramedullary nails).

Key Points:

  • Physeal (growth plate) fractures in the proximal or distal tibia can lead to premature growth arrest.
  • The choice of treatment depends on fracture type, location, and severity.
  • Surgical fixation aims to restore alignment and stability, minimizing complications.

Conclusions:

  • Effective management of pediatric lower leg fractures necessitates a comprehensive understanding of growth plate physiology.
  • Early referral to a tertiary care center is advised for optimal treatment planning and outcomes.
  • Close monitoring for growth disturbances post-fracture is essential.

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