Common Techniques Useful to the Practicing or Training Orthopaedic Surgeon on Call in a Pediatric Hospital

Benjamin W. Sheffer, MD


Curr Orthop Pract. 2018;29(3):197-202. 

In This Article

Abstract and Introduction


This article highlights surgical procedures with which orthopaedic residents entering a pediatric rotation should be familiar. Closed reduction and percutaneous pinning of supracondylar humeral fractures, in situ pinning of slipped capital femoral epiphysis, and flexible intramedullary nailing of long bone fractures are described. Although these are just a few of many procedures a resident will learn while on a pediatric rotation, they probably are the most utilized while on call at a pediatric hospital.


Visits to pediatric emergency departments for musculoskeletal complaints are common; with an estimated 1,087,000 visits per year.[1] These visits can range from the benign, such as ankle sprains, to highly acute multiple injuries. Some fractures in children can be adequately treated nonoperatively; however, open fractures, widely displaced fractures, or Salter-Harris types III and IV physeal fractures, among others, require open or closed reduction and internal fixation. The purpose of this article was to highlight some of the procedures used to treat fractures that without surgery would most likely have a poor outcome.