← All decks
Orthopaedics
Paediatric Proximal Femur Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Pediatric Trauma (AO Foundation)
What’s inside
4 sections · 110 slides
Overview
- Introduction
- Why pediatric hip fractures are different
- Vascular anatomy of the femoral head
- Course of the medial circumflex artery
- Course of the medial circumflex artery
- What protects the retinacular vessels
- Clinical and radiological assessment
- Clinical examination
- Clinical examination
- Plain x-rays
- Plain x-rays
- CT, MRI and ultrasound in the child's hip
- CT, MRI and ultrasound in the child's hip
- Pitfalls in diagnosis
- Pitfalls in diagnosis
- AO pediatric classification
- Epiphyseal injuries (31-E)
- Metaphyseal fractures (31-M)
- Type tree of the pediatric proximal femur
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- AVN risk by fracture pattern
- AVN risk by fracture pattern
- Avascular necrosis and open reduction
- AVN factors under the surgeon's control
- Gentle closed reduction (Flynn maneuver)
- Gentle closed reduction (Flynn maneuver)
- AO recommendation: open versus closed
- AO recommendation: open versus closed
- Capsular decompression of hemarthrosis
- Capsular decompression of hemarthrosis
- Traumatic epiphysiolysis (31-E/1.1, E/2.1)
- Epiphyseal separations: definition
- Epiphyseal separations: definition
- Treatment options: SH I separation
- Treatment options: SH I separation (cont.)
- Treatment options: SH II separation
- Treatment options: SH II separation (cont.)
- Decision logic: epiphyseal separations
- Decision logic: epiphyseal separations
- Incomplete metaphyseal fractures (31-M/2.1)
- Incomplete fractures: definition
- Incomplete fractures: definition
- Treatment options: incomplete fractures
- Treatment options: incomplete fractures
- Decision logic: incomplete fractures
- Decision logic: incomplete fractures
- Complete neck fractures (31-M/3 I and II)
- Complete neck fractures: definition
- Complete neck fractures: definition
- Treatment options: complete neck fractures
- Treatment options: complete neck fractures
- Decision logic: complete neck fractures
- Decision logic: complete neck fractures
- Screw fixation and the physis
- Screw fixation and the physis
- Transtrochanteric fractures (31-M/3 III)
- Trochanteric fractures: principles
- Trochanteric fractures: principles
- Locking plate versus ESIN: trochanteric
- Locking plate versus ESIN: trochanteric
Intraarticular injuries and avulsions
- Osteochondral injuries: principles
- Osteochondral injuries: principles
- Treatment options: osteochondral injuries
- Treatment options: osteochondral injuries
- Removal and fixation of fragments
- Removal and fixation of fragments
- Trochanteric avulsions: definition
- Trochanteric avulsions: definition
- Treatment options: trochanteric avulsions
- Treatment options: trochanteric avulsions
- Tension band for greater trochanter
- Tension band for greater trochanter
Operative techniques
- Supine versus lateral position
- Supine versus lateral position
- Approaches and their indications
- Approaches and their indications
- Anterior approach
- Anterior approach
- Surgical hip dislocation: key steps
- Surgical hip dislocation: key steps
- Screws and K-wires: size and configuration
- Screws and K-wires: size and configuration
- Open reduction and screw fixation
- Open reduction and screw fixation
- Pitfalls with screws and wires
- Pitfalls with screws and wires
- Pediatric hip locking plate: steps
- Pediatric hip locking plate: steps
- ESIN for trochanteric fractures
- ESIN for trochanteric fractures
- Hip spica application
- Hip spica application
Aftercare and implant removal
- Mobilization and weight bearing
- Mobilization and weight bearing
- Follow-up and implant removal
- Follow-up and implant removal
- Complications and how AO reduces them
- Take-home messages
- References (1 of 6)
- References (2 of 6)
- References (3 of 6)
- References (4 of 6)
- References (5 of 6)
- References (6 of 6)
- Join our WhatsApp groups