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Orthopaedics
Paediatric Proximal Tibia Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Pediatric Trauma (AO Foundation)
What’s inside
3 sections · 108 slides
Overview
- Introduction
- Proximal tibia fractures in children
- Physis, apophysis and surgical anatomy
- The proximal tibial physis and apophysis
- The proximal tibial physis and apophysis
- Neurovascular structures at risk
- Neurovascular structures at risk
- Approaches to the pediatric proximal tibia
- Approaches to the pediatric proximal tibia
- Clinical and radiological assessment
- Clinical evaluation
- Clinical evaluation
- Imaging of proximal tibial fractures
- Imaging of proximal tibial fractures
- Radiological pitfalls
- Radiological pitfalls
- Compartment syndrome of the leg
- Compartment syndrome of the leg
- Two-incision fasciotomy of the leg
- Two-incision fasciotomy of the leg
- AO pediatric classification (PCCF)
- PCCF codes: epiphyseal injuries
- PCCF codes: metaphyseal injuries
- PCCF codes: metaphyseal injuries
- PCCF type tree for the proximal tibia
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Salter-Harris I and II fractures
- Salter-Harris I: epiphysiolysis
- Salter-Harris I: epiphysiolysis
- Salter-Harris II: metaphyseal wedge
- Salter-Harris II: metaphyseal wedge
- Treatment options: SH I and II (closed)
- Treatment options: SH I and II (closed) (cont.)
- Treatment options: SH I and II (open)
- Treatment options: SH I and II (open)
- Decision logic: SH I and II fractures
- Decision logic: SH I and II fractures
- Closed reduction of physeal fractures
- Closed reduction of physeal fractures
- K-wire fixation across the physis
- K-wire fixation across the physis
- Protecting the physis during K-wiring
- Protecting the physis during K-wiring
- Screw fixation of the SH II fragment
- Screw fixation of the SH II fragment
- Salter-Harris III and IV fractures
- SH III and IV: definition and risks
- SH III and IV: definition and risks
- SH III and IV: treatment principles
- SH III and IV: treatment principles
- Treatment options: SH III and IV
- Treatment options: SH III and IV (cont.)
- Open reduction and screws: SH III and IV
- Open reduction and screws: SH III and IV
- Tibial spine and PCL avulsions
- Tibial spine avulsion: definition
- Tibial spine avulsion: definition
- Treatment options: tibial spine avulsion
- Treatment options: tibial spine avulsion
- Antegrade vs retrograde tibial spine screws
- Antegrade vs retrograde tibial spine screws
- Suture fixation of the tibial spine
- Suture fixation of the tibial spine
- Tibial spine avulsion: aftercare
- Posterior cruciate ligament avulsion
- Posterior cruciate ligament avulsion
- Avulsion of the tibial apophysis
- Apophysis avulsion: definition and risks
- Apophysis avulsion: definition and risks
- Treatment options: apophysis avulsion
- Treatment options: apophysis avulsion
- Lag screw fixation of the apophysis
- Lag screw fixation of the apophysis
- Cerclage compression wiring: apophysis
- Cerclage compression wiring: apophysis
- Apophysis avulsion: aftercare
- Metaphyseal fractures
- Torus/buckle fracture
- Torus/buckle fracture
- Complete metaphyseal and greenstick
- Complete metaphyseal and greenstick
- Treatment options: metaphyseal fractures
- Treatment options: metaphyseal fractures (cont.)
- Cozen's phenomenon
- Cozen's phenomenon
- Plating near the proximal tibial physis
- Plating near the proximal tibial physis
Operative setup and temporary fixation
- Anesthesia and patient positioning
- Anesthesia and patient positioning
- Knee-spanning external fixation
- Knee-spanning external fixation
Aftercare and complications
- Long leg cast: technique and care
- Long leg cast: technique and care
- Immobilization and implant removal
- Preventing and detecting growth disturbance
- Complications and their causes
- Complications and their causes
- 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)
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