Short leg cast
Main indications
Undisplaced fracture
Disadvantages
- Risk of displacement
- Further hospital visit for cast removal
Undisplaced fracture
Disadvantages
- Risk of displacement
- Further hospital visit for cast removal
43f-E/1.1 + 2.1 Epiphysiolysis (Salter-Harris I and II) of the distal fibula
This fracture may occur as part of a more complex pattern of injury.
Isolated fibular fractures in children are usually stable and rarely need fixation.
This fracture may occur as part of a more complex pattern of injury.
Isolated fibular fractures in children are usually stable and rarely need fixation.
Closed reduction; short leg cast
Main indications
Displaced fracture, stable after reduction and casting
Contraindication
- Open fracture
Disadvantage
- Risk of redisplacement
Displaced fracture, stable after reduction and casting
Contraindication
- Open fracture
Disadvantage
- Risk of redisplacement
Closed reduction; K-wire fixation
Main indications
Displaced fracture or unstable ankle after reduction in younger patients
Disadvantages
- Risk of pin-site infection
- Requires wire removal
Displaced fracture or unstable ankle after reduction in younger patients
Disadvantages
- Risk of pin-site infection
- Requires wire removal
Closed reduction; screw fixation
Main indications
Displaced fracture or unstable ankle after reduction in older patients
Fixation with an intramedullary screw risks growth disturbance and is therefore only recommended in adolescents.
Disadvantage
- May require screw removal
Displaced fracture or unstable ankle after reduction in older patients
Fixation with an intramedullary screw risks growth disturbance and is therefore only recommended in adolescents.
Disadvantage
- May require screw removal
Open reduction; K-wire fixation
Main indications
Displaced irreducible fracture
Further indications
- Smaller fragment
- Younger, smaller child
Disadvantages
- Risk of pin-site infection
- Requires wire removal
Displaced irreducible fracture
Further indications
- Smaller fragment
- Younger, smaller child
Disadvantages
- Risk of pin-site infection
- Requires wire removal
Open reduction; screw fixation
Main indications
Displaced irreducible fracture
Fixation with an intramedullary screw risks growth disturbance and is therefore only recommended in adolescents.
Further indication
- Older, larger child
Disadvantages
- May require screw removal
- May require cast immobilization
Displaced irreducible fracture
Fixation with an intramedullary screw risks growth disturbance and is therefore only recommended in adolescents.
Further indication
- Older, larger child
Disadvantages
- May require screw removal
- May require cast immobilization
Open reduction; plate fixation
Main indications
Displaced irreducible fracture
Fixation across the physis risks growth disturbance and is therefore only recommended in adolescents.
Disadvantages
- May require plate removal
- May require cast immobilization
Displaced irreducible fracture
Fixation across the physis risks growth disturbance and is therefore only recommended in adolescents.
Disadvantages
- May require plate removal
- May require cast immobilization
AO Trauma Curricula
