Abdullrab AlmarwanyaFOR ANSWERING YOUR Q? NEED MORE CLEAR X RAY to differentiate Salter type II from type IV Displaced Salter Types II fracture – CR primarily traction with gentle manipulation , and percutaneous fixation with either smooth wires or screws, followed by a cast for 6 weeks with the knee in 10° of flexion. Anatomic reduction is desirable but in children near maturity, up to 5° of varus or valgus angulation is acceptable. Displaced Salter Types IV fractures necessitate anatomic reduction with internal fixation by closed or open methods with screws followed by a cast for 6 weeks.
Rajeev Nirawanehyperextension not corrected. This fracture requires reduction in flexion. Prone position facilitates this.( like triceps in SC humerus the quadriceps is usefull for this). My choice 6.5mmcc screws
Sanjay JosephRe-operate. Better to face the parents now than for them to come to you with a hyper-extended knee. In the long term, as the deformity is in the plane of movement of the knee, it may remodel, but it will be very difficult to keep the parents happy esp…Ver más
Sanjay JosephAlso for positioning, place the patient supine with the leg hanging off the edge at 90°. Place a small sandbag under the thigh proximal to the fracture. This will overcome the quadriceps. Surgeon to sit on a stool. Withdraw k wires, reduce and pass the…Ver más
DR. JUAN AGUSTÍN VALCARCE LEÓN TRAUMATOLOGÍA Y ORTOPEDIA ORTOPEDIA PEDIÁTRICA, LESIONES DEPORTIVAS. HOSPITAL MEDICA SUR PUENTE DE PIEDRA 150 CONSULTORIO 510 TORRE II TLALPAN 14050, CDMX TEL CONSULTORIO : 21271069
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