Controlled repositioning and primary osteoplasty as a treatment option for the management of unstable slipped capital femoral epiphysis.

The ideal management of an unstable slipped capital femoral epiphysis (SCFE) is still controversial. The currently available options are in-situ screw fixation with delayed corrective osteotomy, closed reduction and screw fixation and anatomic reduction by modified Dunn's procedure (MDP). We present the results of our technique of controlled re-positioning (CRP) with primary osteoplasty in which the epiphysis is repositioned to the preacute slip stage and a mini-open osteoplasty is done in the same sitting to avoid later femoro-acetabular impingement.

Factors determining loss of reduction in paediatric supracondylar humerus fractures treated by closed reduction and percutaneous pinning.

Closed reduction and percutaneous pinning is the preferred surgical intervention for paediatric supracondylar humerus fractures (SCHF). Loss of reduction (LOR) is one of the infrequent complications associated with percutaneous pinning. We aim to analyse the various factors that could lead to LOR.

Paediatric Ankle Fractures: Guidelines to Management.

Introduction: Paediatric ankle fractures represents about 5% of all paediatric fractures. It is the most common physis to be injured in the lower limb accounting to approximately 15-20% of all physeal injuries. This article reviews the literature on this common injury which still has many controversial areas and gives guidelines to management based on the existing evidence along with clinical experience gained from a Level I trauma center.

Ender's nailing of displaced tibia shaft fractures in children - A nine-year experience.

Background: Displaced fractures of the tibial shaft in children can be effectively treated with minimal complications with flexible nails. Our aim is to evaluate the outcome of displaced paediatric tibia shaft fractures treated with Ender's nails.

Materials: We retrospectively reviewed the records of all unstable tibial fractures treated between 2010 and 2018, in our institution.