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The Management of Complex Pediatric Fractures: Case Examples Demonstrating 5 Principles for Success.

Advances in imaging, surgical techniques, and surgical implants have improved pediatric fracture care, yielding results that are demanded by families who expect anatomic reductions and rapid return to activities. There are 5 principles for success in the management of complex pediatric fractures: assessing for associated injuries, optimizing imaging and precisely define the injury preoperatively, thoughtfully completing preoperative planning and operating room set up, assuring reduction/fixation is optimal before leaving the operating room and getting immobilization, observation and follow-up just right.