Description
This presentation discusses the management of pediatric femoral fractures across different age groups by the author, Kakra Wartenberg, an orthopaedic consultant at Mid and South Essex. She introduces the topic by mentioning a collaboration with a photographer, Pania Buddha, and emphasizes keeping the information straightforward, adhering to the KISS principle (Keep It Simple, Stupid).
The presentation is structured around key considerations for managing fractures, which include the patient's age, fracture pattern, mechanism of injury, and any associated conditions. For instance, specific treatments are recommended based on age:
- For children aged 0 to 6 months, a Pavlik harness is suggested.
- From 6 months to 6 years, a hip spica cast is used, while ages 6 to 12 years see options such as nailing or submuscular plating. For children over 12, lateral entry, rigid intramedullary nailing is preferred.
The author points out the importance of assessing not just the type of fracture but also the mechanism of injury, mentioning the need to rule out non-accidental injuries, especially in non-ambulatory children. Tips throughout the presentation provide practical recommendations for applying casts and managing complications, with an emphasis on careful monitoring as the child becomes more mobile.
As treatment options evolve, including the potential introduction of new devices, the inconsistencies in responses from patients are acknowledged, highlighting that some treatments may become widely accepted while others may fall out of favor.
Overall, the presentation is rich in practical advice for healthcare professionals dealing with pediatric femoral fractures, addressing both common conditions and exceptional cases to ensure optimal patient care.