AO Trauma Course—Managing Pediatric Fractures

• Module 1 Fundamentals of managing pediatric fractures
• Module 2 Decision making
• Module 3 Lower limb: femur fractures
• Module 4 Lower limb: knee injuries
• Module 5 Lower limb: tibia, and ankle injuries
• Module 6 Upper limb: shoulder girdle injuries and humeral fractures
• Module 7 Upper limb: supracondylar fractures
• Module 8 Upper limb: elbow injuries
• Module 9 Upper limb: forearm and wrist fractures
• Module 10 Entire lower limb
• Module 11 Entire upper limb
• Module 12 Complex musculoskeletal injuries in children*
• Module 13 Slipped capital femoral epiphysis*
• Module 14 Deformity management*
• Module 15 Pathological bone (non-oncological aspects)*
• Module 16 Management of bone and joint infection in children*

*Only in selected courses. Check your chosen date and location for the full program.

• Casting techniques and wedging
• Elastic nailing in the femur: retrograde and anterograde techniques
• Fixation of femur proximal metaphyseal fracture using the LCP Pediatric Hip Plate
• Fixation of Salter-Harris II Epiphyseal injury of distal femur with cannulated Screws
• Triplane (and Tillaux) fractures
• Elastic nailing of humeral metaphyseal and shaft fractures
• Humerus Supracondylar fractures
• Radial condyle and medial epicondyle fractures
• Elastic nailing of forearm and radial neck fractures
• Proximal femoral varus osteotomy (valgus optional)* 

*Only in selected courses. Check your chosen date and location for the full program.

Casting techniques and wedging:

• Application of synthetic cast and Plaster of Paris cast highlighting precautions (forearm, long arm, long leg and hip spica)
• Principles of wedging applied on a malaligned leg fracture

Elastic nailing in the femur: retrograde and anterograde techniques:

• Identify those femoral fractures which are indicated for elastic nail fixation
• Identify correct entry points distally and proximally
• Apply elastic nails to fix femoral shaft fractures using antegrade and retrograde techniques
• Explain technical failures while using elastic nails that may cause complications
• Recognize the advantages of using end caps
• Demonstrate proper end cap insertion
• Discuss when to remove and demonstrate the procedure for removal of elastic nails

Fixation of femur proximal metaphyseal fracture using the LCP Pediatric Hip Plate:

• Identify the challenges presented by proximal femoral fractures
• Describe the advantages of using the LCP Pediatric Hip Plate in fixation of femur proximal metaphyseal fractures and recognize the axial stability provided by the three proximal lockinghead screws
• Perform anatomical reduction of a mid-cervical femoral neck fracture and apply a 3.5mm, 130°
• LCP Pediatric Hip Plate to the proximal femur

Fixation of Salter-Harris II Epiphyseal injury of distal femur with cannulated Screws:

• Identify the fracture pattern and explain the factors that indicate surgical treatment
• Perform correct fracture reduction and fixation with cannulated screws

Triplane (and Tillaux) fractures:

• Describe the relative anatomy of Triplane and Tillaux fractures of the ankle
• Draw and cut a Triplane fracture on the soft bone model
• Demonstrate the technique to reduce and fix Triplane fractures with cannulated screws

Elastic nailing of humeral metaphyseal and shaft fractures:

• Identify humeral shaft and metaphyseal fractures in which elastic nail fixation may be indicated
• Identify correct entry points distally and proximally
• Demonstrate how to apply elastic nails to the humerus using the “s” configuration of nail

Humerus Supracondylar fractures:

• Explain the indications for K-wire fixation of pediatric supracondylar fractures of the distal humerus
• Recognize the importance of anatomic fracture reduction in achieving stable fixation
• Demonstrate reduction techniques and different fixation techniques using K-wires for Supracondylar fracture
• Perform and test stability of different constructs of wire fixation (bilateral crossed k-wires, monolateral divergent and parallel lateral k-wires)
• Discuss risks and how to avoid injury to nerves

Radial condyle and medial epicondyle fractures:

• Discuss indications for fixation of medial epicondyle and lateral condyle fractures of the elbow
• Perform reduction and fixation of lateral condyle and medial epicondyle fractures of the elbow with wires/screws

Elastic nailing of forearm and radial neck fractures:

• Recognize the indications for using elastic nailing to fix forearm fractures
• Apply elastic nails in the forearm using the antegrade and retrograde techniques
• Describe the advantages and disadvantages of antegrade and retrograde techniques
• Identify proper entry points for radius and ulna
• Apply the elastic nail to reduce and fix a radial neck fracture

Proximal femoral varus osteotomy (valgus optional)*

• Planning a varus/rotation osteotomy to correct coxa valga and femoral anteversion
• Performing a varus rotation osteotomy of the proximal femur using the 3.5 mm 110° LCP Pediatric Hip Plate

*Only in selected courses. Check your chosen date and location for the full program.

• Clinical decision making
• Treating femur fractures in children and adolescents
• Treating knee injuries in children of different ages
• Tibial diaphysis and distal tibial fractures
• Shoulder girdle and humerus
• Supracondylar fractures
• Elbow injuries: Lateral condyle, medial epicondyle and radial neck, and olecranon fractures
• Treating forearm and wrist fractures
• Pediatric lower limb injuries
• Pediatric upper limb injuries
• Open fractures & skeletal aspects of polytrauma in children*
• Spinal trauma, pelvis & acetabular fractures, hip dislocations*
• Causes and treatment of acquired deformity*
• Causes and treatment of congenital deformity*
• Infection*

*Only in selected courses. Check your chosen date and location for the full program.