31-E/1.1 - Traumatic epiphysiolysis, SH IPlease select a treatment option: |
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Treatment | Main indication | Skill | Equipment |
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Hip spica | Stable, incomplete, or virtually nondisplaced fracture in a younger child | ![]() |
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In situ fixation with K-wires or screws | Stable, incomplete, or virtually nondisplaced fractures | ![]() |
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Open reduction, K-wire fixation | Displaced fracture in younger children, angular stability not required | ![]() |
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Open reduction, screw fixation | Displaced fracture in younger children, angular stability not required | ![]() |
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31-E/2.1 - Epiphysiolysis with metaphyseal wedge, SH IIPlease select a treatment option: |
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Treatment | Main indication | Skill | Equipment |
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Hip spica | Stable, incomplete, or virtually nondisplaced fracture in a younger child | ![]() |
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In situ fixation with K-wires or screws | Stable, incomplete, or virtually nondisplaced fractures | ![]() |
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Open reduction, K-wire fixation | Displaced fracture in younger children, angular stability not required | ![]() |
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Open reduction, screw fixation | Displaced fracture in younger children, angular stability not required | ![]() |
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Open reduction, pediatric hip locking plate | Salter-Harris II fractures with a large metaphyseal fragment | ![]() |
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31-E/7 - Avulsion of/by the ligament of the head of the femurPlease select a treatment option: |
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Treatment | Main indication | Skill | Equipment |
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Removal of osteochondral fragment | Small fragments which cannot be fixed | ![]() |
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Open reduction, resorbable pin fixation | Fragments that are largely cartilaginous | ![]() |
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Open reduction, headless screw fixation | Osteochondral fragments with enough bone for screw fixation | ![]() |
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31-E/8 - Intraarticular flake(s)Please select a treatment option: |
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Treatment | Main indication | Skill | Equipment |
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Removal of osteochondral fragment | Small fragments which cannot be fixed | ![]() |
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Open reduction, resorbable pin fixation | Fragments that are largely cartilaginous | ![]() |
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Open reduction, headless screw fixation | Osteochondral fragments with enough bone for screw fixation | ![]() |
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31-M/2.1 I - Incomplete midcervicalPlease select a treatment option: |
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Treatment | Main indication | Skill | Equipment |
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Hip spica | Stable, incomplete fracture in a younger child | ![]() |
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In situ fixation with K-wires or screws | Stable, incomplete fracture | ![]() |
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Pediatric hip locking plate | Incomplete fractures that require angular stability to avoid later displacement (more distal fracture, eg, basicervical, trochanteric) | ![]() |
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31-M/2.1 II - Incomplete basicervicalPlease select a treatment option: |
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Treatment | Main indication | Skill | Equipment |
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Hip spica | Stable, incomplete fracture in a younger child | ![]() |
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In situ fixation with K-wires or screws | Stable, incomplete fracture | ![]() |
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Pediatric hip locking plate | Incomplete fractures that require angular stability to avoid later displacement (more distal fracture, eg, basicervical, trochanteric) | ![]() |
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31-M/2.1 III - Incomplete transtrochantericPlease select a treatment option: |
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Treatment | Main indication | Skill | Equipment |
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Hip spica | Stable, incomplete fracture in a younger child | ![]() |
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In situ fixation with K-wires or screws | Stable, incomplete fracture | ![]() |
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Pediatric hip locking plate | Incomplete fractures that require angular stability to avoid later displacement (more distal fracture, eg, basicervical, trochanteric) | ![]() |
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31-M/3.1 I - Complete midcervical, simplePlease select a treatment option: |
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Treatment | Main indication | Skill | Equipment |
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Open reduction, K-wire fixation | Displaced fracture in younger children, pediatric hip locking plate, or equivalent, not available | ![]() |
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Open reduction, screw fixation | Displaced fracture in a more proximal location | ![]() |
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Open reduction, pediatric hip locking plate | Method of choice for any displaced fracture | ![]() |
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31-M/3.1 II - Complete basicervical, simplePlease select a treatment option: |
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Treatment | Main indication | Skill | Equipment |
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Open reduction, K-wire fixation | Displaced fracture in younger children, pediatric hip locking plate, or equivalent, not available | ![]() |
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Open reduction, screw fixation | Displaced fracture in a more proximal location | ![]() |
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Open reduction, pediatric hip locking plate | Method of choice for any displaced fracture | ![]() |
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31-M/3.2 II - Complete basicervical, multifragmentaryPlease select a treatment option: |
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Treatment | Main indication | Skill | Equipment |
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Open reduction, pediatric hip locking plate | Method of choice for any displaced fracture | ![]() |
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31-M/3.1 III - Complete, transtrochanteric, simplePlease select a treatment option: |
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Treatment | Main indication | Skill | Equipment |
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Open reduction, pediatric hip locking plate | All trochanteric fractures | ![]() |
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ESIN | Children up to 6-8 years of age (depending on body size) | ![]() |
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31-M/3.2 III - Complete transtrochanteric, multifragmentaryPlease select a treatment option: |
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Treatment | Main indication | Skill | Equipment |
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Open reduction, pediatric hip locking plate | All trochanteric fractures | ![]() |
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ESIN | Children up to 6-8 years of age (depending on body size) | ![]() |
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31-M/7 - Avulsion of the greater or lesser trochanterPlease select a treatment option: |
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Treatment | Main indication | Skill | Equipment |
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Nonoperative treatment | Displacement < 1.5-2.0 cm for the lesser trochanter and < 1 cm for the greater trochanter | ![]() |
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Open reduction, tension band (greater trochanter) | Displacement > 1 cm, split avulsion fragment | ![]() |
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Open reduction, screw fixation (greater trochanter) | Displacement > 1 cm, intact fragment | ![]() |
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*Skill | |
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Basic surgical experience, no specialized skills |
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Some specialized surgical experience |
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Highly experienced and skilled surgeon |
*Equipment | |
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Basic equipment only |
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Simple surgical and imaging resources |
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Full specialized surgical and imaging resources |