AO Trauma Course—Managing Pediatric Fractures

The AO Trauma Course—Managing Pediatric Fractures aims to create a clinically centered learning environment where the current principles and techniques of fracture management in children and adolescents are demonstrated, applied, and discussed.

This course is for traumatologists, orthopedic surgeons, and other surgeons who are actively engaged in pediatric fracture care and who want to enhance their level of expertise in this field. Ideally, participants have completed the AO Trauma Course—Basic Principles of Fracture Management and must be able to communicate well in English.

Why you should choose this course

Top national, regional, and international faculty

2-3 days in duration

For surgeons who already treat pediatric fractures

Network with colleagues from all over the world

CME credits

Course content

  • Course modules
    • 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.

  • Practical exercises

    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.

  • Small Group discussions
    • 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.

Course details may be subject to change. Please check your chosen date and location for the detailed program.

Target audience

  • Pediatrics specialists early in their career
  • Generalists (orthopedics) spending about 20 percent of their time on trauma (including community surgeons)
  • Pediatrics experts
  • Trauma surgeons

Course impressions


The education taskforce has identified the following competencies for this area of practice:

  1. Recognize that the outcome of similar injury patterns varies with a child’s age and adapt treatment accordingly
  2. Manage relationships with patient and parents/relatives
  3. Establish the natural history and decide on a treatment strategy
  4. Assess the patient based on developmental status and make decisions based on available team/infrastructure
  5. Perform the chosen treatment procedure
  6. Perform and document short- and long-term follow-up; apply findings to decision making
  7. Diagnose and treat septic arthritis in a timely manner
  8. Recognize and address signs and patterns of nonaccidental injury
  9. Diagnose and treat slipped capital femoral epiphysis
  10. Manage acquired and congenital deformity
  11. Manage pathological bone
  12. Recognize and stabilize the pediatric polytrauma patient

What does competency-based curriculum development mean?

Learn more

Pediatrics education taskforce

The Pediatrics education taskforce is a group of experts who build and continuously improve our educational program. It consists of three international program editors (IPEs).
M Kastelec

Matej Kastelec (SI)

Term: 2018–2023

P Jorba

Pedro Jorba (MX)

Term: 2022–2024

T Matsumura

Tomohiro Matsumura (JP)

Term: 2023–2025

See a full list of all regional program contributors and past international program editors.

“Our learners are constantly challenging us to be innovative and to develop more meaningful ways to share our expertise with them. This new AO Trauma pediatrics curriculum applies new learning approaches to impart the knowledge and skills they need to perform their best.”

Jonathan Dwyer, past member of the pediatrics education taskforce

Not the right course?

Find our list of all curricula courses here