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[Guidelines in pediatric traumatology].

Guidelines for the treatment of fractures in children must meet the specific requirements of the growing organism. Diagnosis must be based on X-ray findings, but occasionally also on sonography or MRT. Treatment is successful only after one-stage exact reduction and safe, conservative or operative fixation. Secondary manipulations or a change in treatment have a negative effect. A growth-induced correction of a remaining false position cannot be anticipated. The older the child, the more must treatment result in perfect anatomic conditions. Especially injuries to the epiphysis require excellent reduction and perfect fixation. Damage of the growth plate and/or a posttraumatic false growth demand long-term follow-up and subsequent corrective surgery.