1. Yeditepe University Faculty of Medicine
Pediatric Fractures
Turhan Özler MD
Yeditepe University Faculty of Medicine
Department of Orthopaedics & Traumatology

2. FEUTURES
1- Plastic deformation. 2- Thick periost and shorter healing time. 3- Remodeling. 4- Lower nonunion rate.

3. Fracture in Children Plastic deformation Radius and ulna
Reduction should be done
>20°
>4 years
Restriction of pronation/supination

4. Greenstick fracture
Cortex is broken at tension site but intact at compression site
Treatment:
Reduction + casting

5. Torus Fracture
Axiel compression cause torus fracture
Metaphizo-diapfizer site
Rediographic aperrance is cortical precence
No need reduction + casting

6. Epiphyseal fracture

7. Kemik büyümesinin anlaşılması ortopedinin temel konusudur

8. Damarsal yapı Epifiziyel arter Perikondral arter Temel besleyici arter
The Ciba collection Volum 8; p.166

9. Artiküler kıkırdak Articular cartilage Transformed into
Epiphyseal
Growth plate
(poorly organized)
Transformed into
Tidemark at maturity
Secondary
Ossification center
1st Cribiform
Epiphyseal artery
F. Netter, 1990

10. Salter Harris Classification
Tip1: The epiphysis is completely separated from the end of the bone.
Tip2: The epiphysis, together with the growth plate, is partially separated from the metaphysis, which is cracked.
Tip3: fracture runs completely through the epiphysis and separates part of the epiphysis and growth plate from the metaphysis.
Tip4: This fracture runs through the epiphysis, across the growth plate, and into the metaphysis.
Tip5:The growth plate is compressed.

11. Case 1

12. Case 2

13. Case 3

14. Case 4

15. Indications for Open Reduction
Open fractures
Inability to maintain acceptable reduction
Multiple trauma
Elastic nail fixation can often be accomplished with little soft tissue disruption

16. Case 5

17. Case 6