Orthoteers homepage Advertise on Orthoteers
Orthoteers Junior Orthoteers Orthopaedic Biomechanics Orthopaedic World Literature Society Educational Resources Image Gallery About Orthoteers Orthoteers Members search

Fracture Principles in Paediatrics

In managing paediatric fractures it is essential to be aware of the remodeling potential of that particular fracture to assist in the management decision making process.

Fracture remodelling capacity differs significantly between the upper and lower limb, as does the remodelling potential of diaphyseal and metaphyseal fractures.

  Harris lines appear after restoration of growth following a physeal injury, the line being due to slowing of growth for a variable period following injury. If these lines are parallel to the physis then damage to growth is unlikely.

Acceptable alignment for long bones:

  1. Greater than 2 years growth remaining = 15 degrees
  2. Translation <50%
  3. Torsional deformity < 25 degrees
  4. Shortening < 15mm

Growth & Remodelling Notes:

  • Femoral overgrowth 1-2cm
  • Growth is complete by age 14 for females and age 16 for males
  • Growth is 9mm per annum in the distal femur
  • Growth is 6mm per annum in the proximal tibia
  • Modelling is best closer to the physis
  • Most remodelling of a fracture is complete by two years

Femoral Shaft Fracture - Acceptable:

  1. Shortening <15mm
  2. 20 degrees coronal angulation
  3. 30 degrees sagittal angulation
  4. No rotational malalignment

This is a preview of the site content. To view the full text for this site, you need to log in.
If you are having problems logging in, please refer to the login help page.

© 2005-2007 Orthoteers.co.uk - last updated by Len Funk on 29 April 2007Medical Merketing and SEO by Blue Medical 
Biomet supporting orthoteersThe British Orthopedic Association supporting OrthoteersOrthoteers is a non-profit educational resource. Click here for more details
Lower Limb
Paediatric Spine
Arthritis in Children
Bibliography, Links & Recommended R...
Birth injuries
Cerebral palsy
Cerebral Palsy - Treatment
Childhood Upper extremity problems
Eastwood / Cole Method
Ellis-van Creveld Syndrome
Fracture Principles in Paediatrics
Gait abnormalities
Genetic disorders
Haematopoietic Disorders
Hereditary Sensory &amp; Motor Neur...
Klippel-Feil syndrome
Metabolic disease
Metaphyseal Chondrodysplasia Case
Neuromuscular disorders
Orthopaedic embryology
Orthopaedic infections in children
Orthopaedic infections in children ...
Osteogenisis Imperfecta
Skeletal dysplasias
Hide Menu