Fractures and Bone Remodeling In Children- Everything You Need To Know - Dr. Nabil Ebraheim
24.2 هزار بار بازدید -
13 سال پیش
-
Dr. Ebraheim's educational animated video
Dr. Ebraheim's educational animated video explains the remodeling process after fracture.
Children have a unique ability for healing of their fractures and remodeling of their deformities.
The physician should strive to achieve anatomic reduction of fractures in children.
The surgeon may not be able to achieve acceptable reduction every time.
Fractures do not always remodel.
The deformity may lead to unacceptable results in cosmesis and function.
What are the rules for remodeling in children?
Age of the patient
•Younger children have better remodeling potential. The younger, the better. Children with two or more years of growth left have a chance of remodeling.
•The periosteum in children is thick and promotes faster healing of the fracture as well as increased potential for remodeling.
Distance
•The distance of the fracture from the end of the bone.
•Fracture in the metaphysis remodels better than in the middle of the bone.
•Fracture in the middle of the bone has less potential for remodeling.
Severity of angulation
•Minimal angulation of the bone could remodel completely.
•Where angulation is more sever, the bone will partially remodel.
•Angulation in the plane of joint movement is most likely to improve with growth and remodeling.
Remodeling of the deformity
•Osteoclasts: bone resorption.
•Osteoblasts : periosteal new bone formation.
•Remodeling will not improve displaced fractures involving the joint or the growth plate.
Children have a unique ability for healing of their fractures and remodeling of their deformities.
The physician should strive to achieve anatomic reduction of fractures in children.
The surgeon may not be able to achieve acceptable reduction every time.
Fractures do not always remodel.
The deformity may lead to unacceptable results in cosmesis and function.
What are the rules for remodeling in children?
Age of the patient
•Younger children have better remodeling potential. The younger, the better. Children with two or more years of growth left have a chance of remodeling.
•The periosteum in children is thick and promotes faster healing of the fracture as well as increased potential for remodeling.
Distance
•The distance of the fracture from the end of the bone.
•Fracture in the metaphysis remodels better than in the middle of the bone.
•Fracture in the middle of the bone has less potential for remodeling.
Severity of angulation
•Minimal angulation of the bone could remodel completely.
•Where angulation is more sever, the bone will partially remodel.
•Angulation in the plane of joint movement is most likely to improve with growth and remodeling.
Remodeling of the deformity
•Osteoclasts: bone resorption.
•Osteoblasts : periosteal new bone formation.
•Remodeling will not improve displaced fractures involving the joint or the growth plate.
13 سال پیش
در تاریخ 1390/02/20 منتشر شده
است.
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