Evaluation of pediatric lower extremity fractures managed with external fixation

outcomes in a deployed environment.

Josef K. Eichinger, Colin S. McKenzie, John Glenden DeVine

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

External fixation of pediatric lower extremity fractures is usually reserved for severe, open fractures in polytraumatized patients, but it is often the only available treatment option for deployed military surgeons. We analyzed the outcomes and complications of 17 consecutive pediatric long bone fractures treated with external fixation at a Forward Surgical Team facility in an austere environment during Operation Enduring Freedom in Afghanistan during a 12-month period. Treatment consisted of uniplanar external fixation for 12 femoral shaft fractures (11 closed), 4 tibial shaft fractures (all open), and 1 subtrochanteric fracture (closed) in 14 males and 3 females with an average age of 7.4 years. All 17 fractures went on to union with no incidences of refracture. Complications included 1 broken pin and 3 pin site infections treated with wound care and oral antibiotics. In a deployed environment, external fixation is the treatment method of choice for lower extremity fractures by virtue of patient, environment, equipment, and mission factors. This case series validates the usage of a simple, uniplanar external fixator for a variety of open and closed pediatric long bone fractures as evidenced by the successful union rate and low number of complications.

Original languageEnglish (US)
Pages (from-to)15-19
Number of pages5
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume41
Issue number1
StatePublished - Jan 1 2012
Externally publishedYes

Fingerprint

Lower Extremity
Bone Fractures
Pediatrics
Afghan Campaign 2001-
Afghanistan
External Fixators
Tibial Fractures
Open Fractures
Femoral Fractures
Hip Fractures
Therapeutics
Anti-Bacterial Agents
Equipment and Supplies
Incidence
Wounds and Injuries
Infection
Surgeons

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Evaluation of pediatric lower extremity fractures managed with external fixation : outcomes in a deployed environment. / Eichinger, Josef K.; McKenzie, Colin S.; DeVine, John Glenden.

In: American journal of orthopedics (Belle Mead, N.J.), Vol. 41, No. 1, 01.01.2012, p. 15-19.

Research output: Contribution to journalArticle

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