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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

5.1K
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...
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Flail Chest-II01:26

Flail Chest-II

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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:
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Related Experiment Video

Updated: Jan 18, 2026

A Rat Tibial Growth Plate Injury Model to Characterize Repair Mechanisms and Evaluate Growth Plate Regeneration Strategies
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Neonatal Physeal Fracture: What Treatment?

Jade Burnouf1, Lys Budiartha1, Xavier du Cluzel de Remaurin1

  • 1Department of Pediatric Orthopedic Surgery, Université Paris Cité, Hôpital Universitaire Necker-Enfants Malades, Paris.

Journal of Pediatric Orthopedics
|June 2, 2025
PubMed
Summary

Newborn physeal fractures (NPF) generally have a good long-term outcome with conservative management. Simple immobilization is recommended, though distal femur fractures may benefit from reduction and osteosynthesis.

Keywords:
birthepiphysiolysisfracture-separationnewborntransphyseal fracture

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Area of Science:

  • Pediatric Orthopedics
  • Pediatric Traumatology
  • Skeletal Development

Background:

  • Newborn physeal fractures (NPF) are rare pediatric injuries with poorly defined management protocols.
  • Unlike diaphyseal fractures, NPF treatment varies widely, from observation to surgical intervention.

Purpose of the Study:

  • To analyze the long-term outcomes of NPF based on fracture location and initial treatment.
  • To develop evidence-based guidelines for managing NPF.

Main Methods:

  • Systematic literature review adhering to PRISMA criteria.
  • Individual patient data analysis from selected studies and a local cohort.
  • Recording fracture location, treatment timing, treatment type, and complications (minor/major).

Main Results:

  • Analysis of 108 NPFs (28 studies, 17 local cases), with distal humerus and proximal femur being most common.
  • No significant correlation between treatment type and complication rates was found.
  • Distal femur fractures showed the highest complication rate, primarily radiological with minimal clinical impact and progressive correction with growth.

Conclusions:

  • NPF demonstrate favorable long-term prognoses regardless of treatment modality.
  • Simple immobilization is the recommended primary treatment for NPF.
  • Distal femur NPF may warrant consideration for reduction and osteosynthesis due to slower deformity correction.