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European Journal of Trauma and Emergency Surgery

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01-04-2021 | Fracture Healing | Editorial

Nonunion of fractures in children

Author: Peter Schmittenbecher

Published in: European Journal of Trauma and Emergency Surgery | Issue 2/2021

Excerpt

In fractures of children, we usually confirm patients and parents that healing is not a point of any uncertainty. No doubt that nearly all fractures in childhood will heal. Pediatric traumatologists have two main jobs: to guide healing to a finally good function and to prevent technical failures which disturb healing. A nonunion is exceptional. Exemplary Shrader et al. informed about 43 cases in 15 years in a level I trauma center [8]. …

Fernandez FF, Eberhardt O, Langendorfer M, Wirth T. Nonunion of forearm shaft fractures in children after intramedullary nailing. J Pediatr Orthop B. 2009;18:289–95.CrossRef

Fernandez FF, Weiß B, Zwingmann J, Wirth T, Eberhardt O. Nonunion of the radial neck in children - a rare but severe complication after fractures of the radial neck. Eur J Trauma Emerg Surg. 2021;47. https://doi.org/10.1007/s00068-021-01604-4

Hesse E. Frakturheilung auf Abwegen. Unfallchirurg. 2019;122:498–9.CrossRef

Loose O, Fernandez FF, Morrison S, Schneidmüller D, Schmittenbecher P, Eberhardt O. Treatment of nonunion after forearm fractures in children – a conservative approach. Eur J Traum Emerg Surg. 2021;47. https://doi.org/10.1007/s00068-020-01583-y

Rüden Cv, Dietz S-O, Schmittenbecher P, Fernandez FF, Lieber J, Wilkens B, Rüger M, Schneidmueller D. Pediatric aseptic lower leg fracture nonunion. Eur J Traum Emerg Surg. 2021;47. https://doi.org/10.1007/s00068-020-01556-1

Schmidmaier G. Pseudarthrosen. Unfallchirurg. 2020;123:669–70.CrossRef

Schmittenbecher PP, Fitze G, Goedeke J, Kraus R, Schneidmüller D. Delayed healing for forearm shaft fractures in children following intramedullary nailing. J Pediatr Orthop. 2008;28:303–6.CrossRef

Shrader WM, Stans AA, Shaughnessy WJ, Haidukewych GJ. Nonunion of fractures in pediatric patients: 15 year experience at a level I trauma center. Orthopedics. 2009;32:410–4.CrossRef

Sommerfeldt D, Schmittenbecher PP. Failure analysis and recommendations for treatment of posttraumatic non-unions of the distal humerus during childhood. Eur J Traum Emerg Surg. 2021;47. https://doi.org/10.1007/s00068-021-01613-3

Title: Nonunion of fractures in children
Author: Peter Schmittenbecher
Publication date: 01-04-2021
Publisher: Springer Berlin Heidelberg
Keywords: Fracture Healing
Lower Leg Fracture
Pediatric Traumatology
Published in: European Journal of Trauma and Emergency Surgery / Issue 2/2021
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-021-01609-z

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