Therapy

The child’s skeleton is far from mature. There is a high repair tendency of the bones. With increasing age this tendency decreases further and further.

This repair tendency justifies a conservative, non-surgical procedure for infantile fractures in the case of uncomplicated fractures without significant malposition or injury to the growth plate – they are therefore usually put in a plaster cast. The techniques used depend entirely on the type of fracture.In case of malpositioning – return to normal position – must always be done under tension. The aim should be to join the bones together in one axis.

They can also be compensated at a later time with a wedge in the plaster cast. A plaster cast should not be worn for longer than 4 – 5 weeks. If the wearing period is longer than 5 weeks, there is a risk that the muscles will regress too much.

However, the duration and type of plaster cast always depends on the type of fracture and the healing process, so it can never be determined across the board. When plastering joints, care must be taken to ensure that the cast is positioned correctly. Incorrect positioning can shorten the tendons and muscles and, once the fracture has healed successfully, leave the joint restricted in its function.

Surgical treatment is sometimes necessary in special cases. For example: The decision about a conservative or surgical therapy must always be made taking into account all situational conditions. The healing process can be supported by homeopathy.

Epiphyseal fractures (Aitken I and II)
Fractures of the elbow, patella
Multiple fractures in one bone
Fractures where vessels or nerves have been injured

The time required for a child’s fracture to heal completely depends on various factors. Both the type of fracture, which bone is affected by the injury, and the type of therapy are decisive for the healing time. In most cases, conservative therapy with a plaster cast is the therapy of choice.

The plaster cast must normally be worn for about 3-4 weeks. Complete healing of the bone can usually be expected after 6 weeks. If surgical therapy is preferred to conservative therapy, this usually involves the insertion of special wires, intramedullary nails or temporary external fixation.

These procedures stabilize the bone so that the injured bone can be loaded shortly after the operation. The inserted metals can be removed after about 3 months. Although the affected child is thus significantly less restricted, definitive healing of the bone still takes about 6 weeks.

The forearm fracture in children is one of the most common fractures in childhood. Both ulna and radius can break here. If the bone is broken in the middle, i.e. in the shaft area, surgery is often performed.

In the part of the bone that is far from the body, on the other hand, a conservative therapy with a plaster cast is often performed. If the fracture occurs in the shaft area, the healing time can last up to 15 weeks. In the wrist area, it rarely takes longer than 5-6 weeks for the bone to heal completely.

It is important here whether the growth plate is affected by the fracture. If this structure is involved, it depends on the type of fracture and the position of the bones whether treatment with a plaster cast is sufficient or whether surgical therapy is the procedure of choice. Fractures of the upper or lower leg normally occur only after an enormous application of force.

This can be the case, for example, if you fall from a great height. If a plaster cast is necessary, it is worn for 3-5 weeks. Surgical treatment is also frequently performed in this area.

It is not uncommon for the affected leg to be relieved by means of crutches or a wheelchair for several weeks. Depending on the location of the fracture, it takes at least 6 weeks for the bone to heal. The metallic objects in surgical therapy are usually removed after about 3 months.

The time until healing of a greenwood fracture depends on the type and location of the fracture.In order to improve the healing process, the bone affected by the fracture must be broken completely under anesthesia. In some cases, the fracture can simply be treated with a plaster cast, which should be worn for about 3-5 weeks. However, it may also be necessary to fix the bone with wires.

In this case, healing may take longer, but the bone is often stable under load immediately after the operation. In children, fractures heal more quickly than in adults. The risk of joint stiffening is also significantly lower. Possible malpositions that may occur during healing can be compensated by the growth in length (corrective power).