The care of children has been integral in the historic development of orthopedics as a surgical special‐ ty. Formal fellowship training of pediatric orthopedists, however, only began in the late 1970s. Many orthopedic generalists provide emergency orthopedic care for children, and when on call, much of their charge is to determine the triage and treatment of traumatic injuries. This article wil...

INTRODUCTION: Post-operative pain control in pediatric patients has become a priority for all institutions. There is a paucity of literature on pain control following orthopedic procedures in the pediatric population. The purpose of this study is to compare the efficacy of acetaminophen to narcotic analgesics, specifically, acetaminophen/codeine and morphine, for pain management after closed re...

BACKGROUND Pediatric supracondylar fracture and forearm bone fracture is common in isolation but combined supracondylar fracture with ipsilateral forearm bone fracture, known as floating elbow is not common injury. The incidence of this association varies between 3% and 13%. Since the injury is rare and only limited literatures are available, choosing best management options for floating elbow ...

The orthopedic hind limb affections in dogs constituted 31.99 % of the admitted cases to the Surgery clinic, Faculty of Vet. Med. Cairo univ., while the corresponding percentage in cats was 11.70 % during the period from October 2010 to April 2013. Pelvic limb fractures accounted for 50.60 % of the orthopedic dog patients, whereas, pelvic limb fracture in cats represented 69.39%. Femoral fractu...

BACKGROUND In 1991 Lindaman et al described a fluoroscopic technique to determine the incision site for percutaneous fixation of a slipped capital femoral epiphysis.1 Using similar principles, we describe a simple technique to improve the accuracy of crossed K-wire placement in displaced paediatric supracondylar fractures of the humerus. Although not original, our technique is very useful and w...

INTRODUCTION Injuries around the elbow are common in pediatric population. Amongst them, most common is fractures of the supracondylar part of humerus, followed by condylar fractures. Fractures of the neck of the radius account for five-ten percent of the total injuries. Various techniques for closed reduction of the fracture have been described in literature. Open reduction and fixation is ind...

l\\’() t\’j)( 5 of sul)racondvlar extellsioll fractures of tht’ humerus are st’’n in children. Al)OUt one-third have little or no displacement and presellt 110 serit is prOl)lt’Ill. hit’ rest are grossl ’ chsplacecl and i iav 1)e difficult to trc’at. This japt’r deals only with this latter t\’1)t’. ‘l’hree conditions niust exist to secure a good result : all exact reduction, a safe fixation, an...

Supracondylar fracture is one of the most common elbow injuries in children (1). Currently, closed reduction and percutaneous pinning of Gartland's types II and III supracondylar fractures of the humerus in children have become the standard method of treatment (2,3). However, controversy exists about the optimal K-wires configuration required to provide adequate fracture stability to maintain r...

Recent reports have suggested that a delay in the management of type-III supracondylar fractures of the humerus does not affect the outcome. In this retrospective study we examined whether the timing of surgery affected peri-operative complications, or the need for open reduction. There were 171 children with a closed type-III supracondylar fracture of the humerus and no vascular compromise in ...

INTRODUCTION Supracondylar fractures of the humerus represent a current concern in the child's and adolescent's osteo-articular pathology. Even though orthopedic reductions are made correctly, fractures can become displaced when managed only by cast immobilization and complications may arise. The most frequent complications encountered in "Prof. Dr. Alexandru Pesamosca" Clinique, Bucharest, Rom...