5 Key Technical Points for Maintaining Reduction of Pediatric Femoral Shaft Fractures Using Flexible Nails
When treating pediatric femoral shaft fractures, flexible nails are a common and effective solution. However, to ensure the fracture stays reduced and heals properly, there are several critical technical points that must be followed. These steps help maintain stability, control torsion, and resist bending forces during the healing process. 1. Use the Largest Nail Possible […]
Pediatric Radial Neck Fractures: When is Nonoperative Treatment Acceptable?
Radial neck fractures in children are tricky. The angulation of the fracture plays a critical role in determining whether nonoperative treatment is acceptable or if surgical intervention is necessary. Let’s break down the guidelines and the gray areas. <30 Degrees: The “Safe Zone” When the angulation is less than 30 degrees, most orthopedic surgeons agree […]
Closed Reduction Techniques for Pediatric Radial Neck Fractures: A Critical Guide
Pediatric radial neck fractures are delicate injuries that require precise and effective management. These fractures can severely limit supination and pronation, making proper reduction techniques crucial for restoring full arm function. When unacceptable angulation or a block to supination/pronation is present, closed reduction becomes necessary. This article will explore three key methods: the Patterson, Israeli, […]
