← All decks
Orthopaedics
Paediatric Femoral Shaft Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Pediatric Trauma (AO Foundation)
What’s inside
2 sections · 107 slides
Overview
- Introduction
- Treatment is set by age and size
- Anatomy and the physis
- Neurovascular anatomy of the femoral shaft
- Neurovascular anatomy of the femoral shaft
- Blood supply of the femoral head
- Blood supply of the femoral head
- Implant distances from the physis
- Implant distances from the physis
- Growth and remodeling points
- Growth and remodeling points
- Clinical and radiological assessment
- History and symptoms
- History and symptoms
- Physical and vascular examination
- Radiological evaluation
- Radiological evaluation
- Timing of treatment
- Timing of treatment
- Preoperative preparation
- AO pediatric classification
- AO pediatric codes for the femoral shaft
- AO pediatric codes for the femoral shaft
- Type tree of 32-D fractures
- Fracture types as drawn by AO
- Treatment options and decision logic
- Options by age: main indications
- Options by age: main indications
- Options by situation: main indications
- Options by situation: main indications
- Age-based choice of treatment
- Age-based choice of treatment
- Nonoperative options compared
- Operative options compared
- Operative options compared
- Stable versus length-unstable patterns
- Stable versus length-unstable patterns
- Nonoperative treatment
- Pavlik harness in infants
- Pavlik harness in infants
- Hip spica casting: principles
- Hip spica casting: principles
- Spica reduction and acceptable alignment
- Spica reduction and acceptable alignment
- Applying a single-leg hip spica
- Applying a single-leg hip spica
- Molding the spica and removal
- Molding the spica and removal
- Types of traction
- Types of traction
- Skeletal traction technique
- Skeletal traction technique
- Operative preparation and approaches
- Supine versus lateral positioning
- Supine versus lateral positioning
- Approaches to the pediatric femur
- Approaches to the pediatric femur
- Lateral approach to the femoral shaft
- Lateral approach to the femoral shaft
- Minimally invasive plating approaches
- Minimally invasive plating approaches
- Safe zones for pin placement
- Safe zones for pin placement
- Intramedullary nailing
- ESIN principles and nail selection
- ESIN principles and nail selection
- Retrograde ESIN step by step
- Retrograde ESIN step by step
- ESIN pearls and pitfalls
- ESIN pearls and pitfalls
- Antegrade ESIN for distal-third fractures
- Antegrade ESIN for distal-third fractures
- ESIN in unstable and multifragmentary cases
- ESIN in unstable and multifragmentary cases
- Lateral-entry nail: rationale and planning
- Lateral-entry nail: rationale and planning
- Locked lateral-entry nailing steps
- Locked lateral-entry nailing steps
- Locked nail: rotation, length, locking
- Locked nail: rotation, length, locking
- Plating and external fixation
- Bridge plating (MIPO): principles
- Bridge plating (MIPO): principles
- MIPO step by step
- MIPO step by step
- Open reduction and plate fixation
- Open reduction and plate fixation
- Modular external fixation: frame
- Modular external fixation: frame
- External fixation: aftercare and removal
- External fixation: aftercare and removal
Rotation, aftercare and complications
- Assessment of rotation
- Assessment of rotation
- Weight bearing after each method
- Follow-up and leg-length review
- Follow-up and leg-length review
- Complications: causes and prevention
- Complications: causes and prevention (cont.)
- Biological order of fixation
- Take-home messages
- References (1 of 5)
- References (2 of 5)
- References (3 of 5)
- References (4 of 5)
- References (5 of 5)
- Join our WhatsApp groups