Articular fractures in children: systemic approach

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Abstract

The paper deals with the analysis of the diagnosis and treatment of articular fractures in 1376 children. Despite their site, the articular fractures may be included into a special group of injuries on the basis of anatomical and physiological features and pathogenetic factors. Based on the quantitative assessment of the extent of fragment displacement, a classification of articular fractures has been developed. An algorithm has been proposed for defining the optimum therapeutical policy — conservative, active surgical or operative.

About the authors

M. V. Volkov

Russian Medical Academy of Postgraduate Education

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

E. F. Samoilovich

Russian Medical Academy of Postgraduate Education

Email: info@eco-vector.com
Russian Federation, Moscow

O. K. Shaklychev

Russian Medical Academy of Postgraduate Education

Email: info@eco-vector.com
Russian Federation, Moscow

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2. Fig. 1. Schematic of epiphyseal-diaphyseal angle measurement and apparent width displacement in pediatric transjoint fracture.

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3. Fig. 2. Schematic diagram of measuring fragment displacement in a fracture of the condyle head of the humerus.

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4. Fig. 3. Schematic diagram of measuring fragment displacement in a fracture of the epicondyle of the humerus.

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5. Fig. 4. Schematic diagram of measuring the diaphyseal-epiphyseal angle of the proximal end of the radial bone formed by the longitudinal axis of the diaphysis and the axis of the head growth zone.

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6. Fig. 5. The longitudinal axis of the ulnar diaphysis (a) coincides with or is parallel to the longitudinal axis of the ulnar process (b).

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7. Fig. 6. Schematic diagram of measurement of the angle formed by the axis of the growth zone of the distal end of the tibia and the longitudinal axis of the inner ankle.

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8. Summary table of quantitative indicators of fragment displacement in intraarticular fractures

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9. Scheme of a systematic approach to the diagnosis and treatment of intraarticular fractures in children

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