Fracture Principles in PaediatricsIn 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:
Growth & Remodelling Notes:
Femoral Shaft Fracture - Acceptable:
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