Bone remodeling in malunited fractures in children. Is it reliable?
1University of Valencia Medical School and Hospital, Spain.
Journal of Pediatric Orthopedics. Part B
|April 1, 1997
Abstract:
Fracture malunion is not a rare phenomenon in children due to the frequent use of closed reduction treatments. In this article, the processes of bone remodeling in cases of angular and rotational deformities, overriding of bone fragments, and overgrowth are addressed. Critical analyses of the mechanisms to correct these deformities, function of the physis and periosteum, and other related factors are given. The acceptable deformities for complete remodeling to be successful vary at different ages and locations.
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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 procedure...