Week Review

Question 1

How do you treat adult fractures?

Answer 1

Surgery with rods and nails

If they really can’t have surgery, then traction

Question 2

How to treat pediatric fractures in ages

1. 0-3 months
2. 3-36 months (or 5 years)
3. 2-10 yeards
4. 11-16 years
5. Skeletally mature

Answer 2

1. Pavlik harness
2. Hip spica/traction
3. Flexible nails
4. Plating or trochanteric IM nail
5. Adult IM nail

Question 3

Corner fractures

Answer 3

Can only get these in a baby with shaking a limb that doesn’t have protective muscle tone

Question 4

Length difference with

1. Spica
2. Surgery

Answer 4

1. Shorter leg

2. Longer leg

Question 5

How much does the
1. Distal femur growth plate
2. Proximal tibia growth plate
grow per year?

Answer 5

1. 1 cm/year

2. 6 mm/year

Question 6

Moderate leg length difference management

Answer 6

2-8 cm projected LLD

Epiphysidesis of the longer leg (surgically close the growth plate)

Question 7

Severe LLD management

Answer 7

> 8-10 cm projected LLD
Distraction osteogenesis (slowly extend the shorter leg)