A recent study re-ported coronal plane fracture in 38.1% of all distal femoral fractures, with the lateral condyle most fre- quently involved.5 In that study, plain radiography missed 31% of coronal plane fractures. In more complex fractures, CT is used to delineate intra-articular extension, degree of comminution, and fracture lines in the coronal plane. A collar-and-cuff with the elbow in hyperflexion is used as a method of achieving reduction and maintaining alignment (see the image below). A displaced SH 1 distal femur fracture. A modified anterior approach to the distal femur is presented. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femoral Physeal Fractures from the Pediatric section. A rough estimation of leg length discrepancy can be made by assuming skeletal growth continues to the age of 14 in females and 16 in males. Based on the fracture pattern and resting position of the fragments, the mechanism of injury was likely a hyperextension injury. Topics with the highest number of questions. In the treatment of these injuries, it is important to keep in mind that pediatric femoral fractures differ from adult femoral fractures in several key respects, and these differences affect management. "Distal femoral physeal fractures are associated with a high rate of complications. Gartland type 2A fractures with mild swelling and no medial comminution can also be treated nonoperatively. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Radius Fractures from the Pediatrics section. Medial epicondyle fracture - Pediatric elbow - detailed lecture by NAV MED VIDEOS. Poolman RW, Kocher MS, Bhandari M. Pediatric femoral fractures: a systematic review of 2422 cases. PMID: 17088672. http://www.orthobullets.com/video/view?id=1848 • Comminuted distal femur fracture with intraarticular extension • Apex posterior angulation (Recurvatum) • AO-OTA type 33-C3 • CT knee summary: • Intraarticular air suggesting open fracture • Fractures in the sagittal and coronal plane • Fibular head fracture. Distal Femur FX Knee Patella Fracture ... fractures. Pediatric distal femoral fractures are notorious for growth arrests. 13:33. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femoral Physeal Fractures from the Pediatrics section . Rockwood and Wilkins’ Fractures in Children, 7 th Ed. The choice of implant in these injuries is largely dependent upon the surgeon’s comfort, the patient’s associated 2006; 20(9): 648-54. The radiograph below represents a 9-year-old male who sustained a distal femur fracture and the initial displacement seen in the radiograph makes him a very high risk. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femur Fractures from the Trauma section. 5:56. # Orthopaedic Educational Services, Inc. © 2017 Orthopaedic Educational Services, Inc. all rights reserved. The Orthobullets Podcast In this episode, we review the high-yield topic of Proximal Femur Fractures from the Pediatrics section. Pediatric femoral fractures may involve the proximal femur, the femoral shaft, or the distal femur. These challenging fractures are also most at risk for infection, and infection can cause bone healing problems. appropriate for fractures of the distal femur, other fracture patterns will be mentioned. A retrospective review of femoral fractures in children at the authors' institution was undertaken to ascertain the incidence of supracondylar femoral fractures, the influence of associated musculoskeletal conditions, and pitfalls of management. Distal femur fractures remain challenging injuries, check out this video today. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Radius Fractures from the Pediatrics section. Fractures without articular involvement (33A fractures) can be treated with antegrade nails, retrograde nails, and lateral plate constructs. Sometimes, the damage to your knee can be severe enough that it cannot be completely reversed with surgery. The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femoral Physeal Fractures from the Pediatric section. Distal Femoral Physeal Fractures - Pediatric 18 19: Cavovarus Foot in Pediatrics & Adults 17 20: Medial Epicondylar Fractures - Pediatric ... Proximal Femur Fractures - Pediatric 13 … present in 60% of dislocations; soft tissue injuries patellar tendon rupture; periarticular avulsion; displaced menisci; Prognosis. The approach allows surgical exposure of the entire articular surface of the distal femur. Pediatrics - Orthobullets - Pediatric orthobullets Home ... More. the distal femur. (Arkader, 2007; Riseborough 1983; Thompson 1995). The Orthobullets Podcast In this episode, we review the high-yield topic of Distal Femur Fractures from the Trauma section. Remodelling potential in physis: greatest potential sites (2) PLane of motion; Close to active physis: Prox humerus, distal radius, distal femur, prox tibia. Treatment that allows early motion of the knee lessens the risk of knee stiffness, and prevents problems caused by extended bed rest, such as bed sores and blood clots. Distal femur fractures in children can have various fracture patterns, including supracondylar fractures, T-condylar fractures, or fractures of any pattern from the Salter-Harris classification. J Orthop Trauma. Distal radius fractures Top 5 management tips by OrthoClips. The quadriceps muscle bellies are spared during the approach. Kocher MS et al. Treatment of pediatric diaphyseal femur fractures. Trauma High-Yield Topics. Flynn JM, Skaggs DL. 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