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The Journal of Bone and Joint Surgery 81:1038-43 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.

Treatment of Fractures Complicated by Burn or Head Injuries in Children*{dagger}

R. DALE BLASIER, M.D., F.R.C.S.(C){ddagger}, LITTLE ROCK, ARKANSAS

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons


   Introduction
 
The treatment of fractures in children who have multiple injuries is often complex. Fractures that are complicated by burn or head injuries may be especially challenging because such injuries may be extremely severe and the prognosis may be poor. These children may be in extremis or in a very unstable condition at the time of presentation and thus may be poor candidates for anesthesia. Other injuries may be deemed to take precedence, and orthopaedic procedures tend to be postponed. However, because of the unique problems that occur in these patients both immediately after the injury and in the long term, operative stabilization of fractures often can provide great benefits.


   Treatment of Fractures in Children Who Have Burn Injuries
 
The coexistence of burn injuries and fractures is not unusual in children because of the association between fire and traumatic injury. Kaplan and Pruitt noted orthopaedic injuries in 197 (6.1 percent) of 3221 patients who had burn injuries11. Because burns . . . [Full Text of this Article]


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