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Orthopaedics

Paediatric Tibial Shaft Fractures (AO Based)

Built from AO Surgery Reference: Orthopedic Trauma, Pediatric Trauma (AO Foundation)

What’s inside

1 sections · 108 slides

  1. 01

    Overview

    • Introduction
    • Pediatric tibial shaft fractures
    • Skeletal maturity and the physis
    • Skeletal maturity and the physis
    • Anatomy and biomechanics
    • The triangular shape of the tibia
    • The triangular shape of the tibia
    • The four compartments of the leg
    • The four compartments of the leg
    • Physes and apophysis of the tibia
    • Physes and apophysis of the tibia
    • The periosteum in the growing tibia
    • Clinical and radiological assessment
    • Symptoms, signs and first aid
    • Radiological evaluation
    • Radiological evaluation
    • Compartment syndrome: mechanism
    • Compartment syndrome: mechanism
    • Signs of compartment syndrome
    • Signs of compartment syndrome
    • Two-incision fasciotomy of the leg
    • Two-incision fasciotomy of the leg
    • Classification
    • AO pediatric codes: tibial shaft
    • Type tree of pediatric shaft fractures
    • Fracture types as drawn by AO
    • Length stability and the intact fibula
    • Greenstick and toddler's fractures
    • Greenstick fracture of the tibia
    • Greenstick fracture of the tibia
    • Greenstick fracture: treatment options
    • Greenstick fracture: treatment options
    • Toddler's fracture
    • Toddler's fracture
    • Toddler's fracture: treatment
    • Toddler's fracture: treatment
    • Complete tibial and fibular fractures
    • Simple transverse fracture (42t-D/4.1)
    • Simple transverse fracture (42t-D/4.1)
    • Transverse fracture: operative options
    • Transverse fracture: operative options (cont.)
    • Decision logic: transverse fracture
    • Decision logic: transverse fracture
    • Simple oblique or spiral fracture
    • Simple oblique or spiral fracture
    • Oblique or spiral fracture: options
    • Oblique or spiral fracture: options (cont.)
    • Multifragmentary fractures
    • Multifragmentary fractures
    • Choosing fixation for unstable fractures
    • Choosing fixation for unstable fractures
    • Isolated fibular fracture (42f-D)
    • Isolated fibular fracture (42f-D)
    • Nonoperative technique
    • Long leg cast in two stages
    • Long leg cast in two stages
    • Casting details that prevent problems
    • Casting details that prevent problems
    • Closed reduction of the tibial shaft
    • Closed reduction of the tibial shaft
    • Cast wedging step by step
    • Cast wedging step by step
    • Conversion to a short cast
    • Conversion to a short cast
    • Aftercare of cast treatment
    • Aftercare of cast treatment
    • Operative technique
    • Preparation and positioning
    • Preparation and positioning
    • Approaches to the pediatric tibia
    • Approaches to the pediatric tibia
    • Open approaches: key steps
    • Open approaches: key steps
    • Elastic nailing: principles
    • Elastic nailing: principles
    • Elastic nailing: operative steps
    • Elastic nailing: operative steps
    • Elastic nailing: pitfalls
    • Elastic nailing: pitfalls
    • Elastic nailing: aftercare
    • Elastic nailing: aftercare
    • External fixation: principles
    • External fixation: principles
    • Safe zones for tibial pins
    • Safe zones for tibial pins
    • Applying the tibial external fixator
    • Applying the tibial external fixator
    • External fixator aftercare
    • External fixator aftercare
    • Plating in children: indications
    • MIPO in bridging mode
    • MIPO in bridging mode
    • MIPO: operative steps
    • MIPO: operative steps
    • Open reduction and plate fixation
    • Open reduction and plate fixation
    • Rigid nailing in adolescents
    • Complications
    • Complications and their causes
    • Complications and their causes
    • Growth stimulation and leg length
    • Take-home messages
    • References (1 of 5)
    • References (2 of 5)
    • References (3 of 5)
    • References (4 of 5)
    • References (5 of 5)
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    108 slides