Use of external fixation in pediatric fractures
Asche, G.
Zentralblatt für Chirurgie 111(7): 391-397
1986
ISSN/ISBN: 0044-409X PMID: 3716669 Document Number: 272999
Conservative treatment is usually applied to fractures in childhood. However, stabilisation of such fractures is necessary for certain indications. Indications for stabilisation are specified, and a new technique for stabilisation is described. Fractures were stabilised in 40 children, using a clamp-type fixator. In this context, Hoffmann's external fixator is recommended for cases of closed resetting, since additional and corrective resetting would then be possible even after application of bone nails and apparatus. The following advantages are likely to be provided by the above approach: reduced time of hospitalisation, very early possibility of mobilisation and exposure to loading, minor traumatisation in the course of stabilisation of such fractures. No blood transfusion has ever been necessary for blood supply to patients with femoral fractures. Absence from school has been minimized. This surgical approach has proved to be simple and of low-risk nature, as compared to plate osteosynthesis.