Pediatric distal humerus 13-M/3.2 III and IV

Open reduction; internal fixation

Open reduction; internal fixation

Main indication: Irreducible fractures

Skill: Highly experienced and skilled surgeon
Equipment: Simple surgical and imaging resources

Indications

  • Children approaching skeletal maturity
  • Irreducible fractures
  • Open fractures
  • Fractures requiring arterial repair

Contraindications

  • Fractures that can be stabilized by other means

Advantages

  • Improved stability
  • Anatomical reduction
  • Early mobilization

Disadvantages

  • Slower healing
  • Stiffness
  • Bulky implants
  • May require removal
  • Longer scar
  • Potential for nerve injury

Legend

*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

Appendix

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v1.0 2016-12-01