[Internal fixation of juvenile fracture (author's transl)]

Area of Science:

• Orthopedic surgery
• Pediatric orthopedics
• Biomaterials in pediatric fracture fixation

Context:

• Significant differences exist in internal fixation of infant versus adult fractures.
• Childhood biological and anatomical peculiarities pose risks for longitudinal growth impairment from implanted materials.
• Implant size, location relative to growth centers, and duration of fixation are critical factors.

Purpose:

• To highlight the unique considerations for internal fixation in pediatric fractures.
• To delineate suitable and contraindicated fixation methods for children.
• To emphasize the importance of specialized techniques and sterile environments.

Summary:

• Internal fixation in children should be reserved for specific cases requiring excellent operative techniques and aseptic conditions.
• Suitable methods include ASIF (Association for the Study of Internal Fixation) techniques like Kirschner wiring, screwing, and plate fixation.
• Medullary nailing (Küntscher) is not recommended for pediatric fracture fixation due to potential growth disturbances.

Impact:

• Informs orthopedic surgeons on appropriate internal fixation strategies for pediatric fractures.
• Aims to minimize long-term complications such as growth impairment.
• Promotes safer and more effective surgical interventions in pediatric orthopedic trauma.