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Orthopaedics
Paediatric Distal Tibia and Fibula Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Pediatric Trauma (AO Foundation)
What’s inside
4 sections · 104 slides
Overview
- Introduction
- Ankle injuries in children
- Physis, growth and remodeling
- Growth of the distal tibial physis
- Transitional fractures and physeal closure
- Transitional fractures and physeal closure
- Remodeling and acceptable alignment
- Protecting the physis during fixation
- Protecting the physis during fixation
- Clinical and radiological assessment
- History and symptoms
- Physical examination
- Imaging of distal tibial and fibular injury
- Imaging of distal tibial and fibular injury
- Imaging clues by injury type
- Imaging clues by injury type
- AO pediatric classification
- Metaphyseal fractures: codes
- Epiphyseal tibial fractures: SH I to IV
- Epiphyseal tibial fractures: SH I to IV
- Special epiphyseal patterns: E/5 to E/8
- Fibular epiphyseal and ligament injuries
- Fibular epiphyseal and ligament injuries
- AO pediatric type tree: segment 43
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- Metaphyseal fractures
- Torus/buckle fractures
- Simple complete metaphyseal fractures
- Simple complete metaphyseal fractures
- Treatment options: simple metaphyseal
- Treatment options: simple metaphyseal (cont.)
- Decision logic: metaphyseal fractures
- Decision logic: metaphyseal fractures
- Elastic nailing versus MIO bridge plating
- Elastic nailing versus MIO bridge plating
- Salter-Harris I and II of the distal tibia
- Salter-Harris I fractures of the tibia
- Salter-Harris II fractures of the tibia
- Salter-Harris II fractures of the tibia
- Treatment options: SH I and II
- Treatment options: SH I and II (cont.)
- Decision logic: SH II of the tibia
- Decision logic: SH II of the tibia
- Closed reduction and short leg cast
- Closed reduction and short leg cast
- Screw fixation of the Thurstan Holland piece
- Screw fixation of the Thurstan Holland piece
- K-wire constructs across the tibial physis
- K-wire constructs across the tibial physis
- Salter-Harris III and IV of the distal tibia
- SH III and IV: definition and risks
- Treatment options: SH III and IV
- Treatment options: SH III and IV (cont.)
- ORIF with screws for SH III and IV
- ORIF with screws for SH III and IV
- Transitional fractures: Tillaux, triplane
- Tillaux fracture (43t-E/5.1)
- Tillaux fracture (43t-E/5.1)
- Triplane fracture (43t-E/6)
- Triplane fracture (43t-E/6)
- Two-part versus three/four-part triplane
- Two-part versus three/four-part triplane
- Treatment options: Tillaux and triplane
- Treatment options: Tillaux and triplane
- ORIF of a triplane fracture
- ORIF of a triplane fracture
- Other epiphyseal and fibular injuries
- Medial malleolar avulsion (43t-E/7.1)
- Medial malleolar avulsion (43t-E/7.1)
- Osteochondral flake fractures (43t-E/8)
- Osteochondral flake fractures (43t-E/8)
- Distal fibular fractures in children
- Treatment options: fibular SH I and II
- Treatment options: fibular SH I and II
Syndesmotic injuries
- Syndesmotic injuries in children
- Syndesmotic injuries in children
- Sequence of a syndesmotic injury
- Sequence of a syndesmotic injury
- Syndesmotic screws versus suture-button
- Syndesmotic screws versus suture-button
Approaches and operative set-up
- Approaches to the distal tibia and fibula
- Approaches to the distal tibia and fibula
- Safe zones for external fixator pins
- Safe zones for external fixator pins
Aftercare and complications
- Aftercare timetable
- Cast care and cast complications
- Cast care and cast complications
- Surveillance for growth disturbance
- Surveillance for growth disturbance
- Complications and their prevention
- Take-home messages
- References (1 of 7)
- References (2 of 7)
- References (3 of 7)
- References (4 of 7)
- References (5 of 7)
- References (6 of 7)
- References (7 of 7)
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