[Use of external fixation in pediatric fractures]. / Die Anwendung des Fixateur externe bei kindlichen Frakturen.

ABSTRACT

Conservative treatment is usually applied to fractures in childhood. However, stabilisation of such fractures is necessary for certain indications. Indications for stabilisation are specified, and a new technique for stabilisation is described. Fractures were stabilised in 40 children, using a clamp-type fixator. In this context, Hoffmann's external fixator is recommended for cases of closed resetting, since additional and corrective resetting would then be possible even after application of bone nails and apparatus. The following advantages are likely to be provided by the above approach: reduced time of hospitalisation, very early possibility of mobilisation and exposure to loading, minor traumatisation in the course of stabilisation of such fractures. No blood transfusion has ever been necessary for blood supply to patients with femoral fractures. Absence from school has been minimized. This surgical approach has proved to be simple and of low-risk nature, as compared to plate osteosynthesis.