Journal of Pain Management and Therapy

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Commentary - Journal of Pain Management and Therapy (2023) Volume 7, Issue 6

A brief note on pediatric orthopedic trauma surgery.

John Elizabeth*

Department of Epidemiology, University of New Heaven, New Heaven, USA

*Corresponding Author:
John Elizabeth
Department of Epidemiology
University of New Heaven
New Heaven, USA
E-mail:elizabeth.j@hotmail.com

Received:26-Oct-2023,Manuscript No. AAPMT-23-119427; Editor assigned: 28-Oct-2023, PreQC No. AAPMT-23-119427(PQ); Reviewed:11-Nov-2023, QC No. AAPMT-23-119427; Revised:16-Nov-2023, Manuscript No. AAPMT-23-119427(R); Published:23-Nov-2023, DOI: 10.35841/aapmt- 7.5.172

Citation: Elizabeth J. A brief note on pediatric orthopedic trauma surgery. J Pain Manage Ther. 2023;7(6):172

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Introduction

Pediatric orthopedic trauma surgery is a specialized field within pediatric orthopedics that focuses on the treatment of musculoskeletal injuries in children. Accidents, falls, sports-related injuries, and other traumatic events can lead to fractures, dislocations, and other orthopedic issues in children. These conditions can have a profound impact on a child's physical development and quality of life. Pediatric orthopedic trauma surgeons play a vital role in restoring hope and mobility to young patients, allowing them to grow, play, and thrive. In this article, we will explore the field of pediatric orthopedic trauma surgery, its importance, common conditions treated, surgical techniques, and the impact it has on the lives of young patients. Children are prone to a wide range of orthopedic injuries due to their natural curiosity, high activity levels, and still-developing musculoskeletal systems. These injuries can occur as a result of falls, sports activities, bicycle accidents, car accidents, and various other traumatic events. Pediatric orthopedic trauma surgeons are essential in providing specialized care to these young patients for several reasons[1].

Growth and development: Children's bones and joints are still growing and developing. A trauma surgeon with expertise in pediatric orthopedic understands the unique needs of a growing child's musculoskeletal system and can provide the appropriate treatment to ensure proper growth and development [2].

Quick recovery: Early and accurate diagnosis and treatment of orthopedic injuries in children are crucial for a swift recovery. Pediatric orthopedic trauma surgeons are trained to address these injuries efficiently to minimize the long-term impact on a child's life.

Pain management: Orthopedic injuries can be painful, and children may not always be able to communicate their discomfort effectively. Surgeons in this field are skilled at assessing pain levels in young patients and providing pain management strategies[3].

Common conditions treated in pediatric orthopedic trauma surgery

Fractures: Bone fractures are one of the most common injuries in pediatric orthopedic trauma. Children can experience fractures in their arms, legs, hands, and feet. Pediatric orthopedic trauma surgeons use various techniques, including casting, traction, and surgical intervention, to ensure proper healing.

Dislocations: Joint dislocations can occur when the bones that make up a joint are forced out of their normal positions. In children, dislocations often involve the shoulder or elbow joints. Surgeons can carefully manipulate the joint to return it to its proper alignment[4].

Growth plate injuries:The growth plates in children's bones are areas of active bone growth that are prone to injury. Fractures that occur near growth plates can impact a child's future growth and require precise surgical management.

Sports injuries: Children and adolescents are actively engaged in sports, which can lead to a variety of injuries, including ligament tears, tendon injuries, and stress fractures. Surgeons can repair these injuries to help young athletes return to their sports[5].

Complex fractures:Some pediatric orthopedic trauma cases involve complex fractures or multiple fractures in one area. Surgeons may need to use internal fixation methods, such as pins, plates, or screws, to stabilize the bones and promote healing.

Surgical techniques in pediatric orthopedic trauma

Closed reduction:In cases of simple fractures and dislocations, surgeons may perform a closed reduction. This technique involves manually manipulating the bone or joint to bring it back into proper alignment without making an incision. Once the alignment is achieved, a cast or splint is applied to maintain the position while the injury heals[6].

Open reduction:When closed reduction is not possible, or the injury is complex, surgeons may opt for an open reduction. This involves making an incision to access the fractured or dislocated area directly. Surgeons can then manipulate the bones or joints into the correct position and secure them with screws, plates, or other fixation devices

External fixation:In cases where there is a high risk of infection or soft tissue damage, external fixation may be used. This technique involves the use of pins or wires placed outside the body to stabilize fractured bones, promoting alignment and healing without the need for invasive surgery[7].

Traction:Traction is often used in pediatric orthopedic trauma to gently pull on the bones and align them correctly. It is frequently used for hip or femur fractures and is crucial in cases of growth plate injuries to ensure proper healing

Bone grafting:In more severe cases, where there is a loss of bone or significant damage, surgeons may use bone grafting techniques. This involves transplanting healthy bone tissue from one part of the body to the affected area to stimulate healing and regrowth[8].

The impact of pediatric orthopedic trauma surgery

Pediatric orthopedic trauma surgery has a profound impact on the lives of young patients, their families, and society as a whole. Here are some ways in which this specialized field makes a difference:

Pain relief:Pediatric orthopedic trauma surgery relieves children from the pain and discomfort associated with their injuries. Pain management is a critical aspect of the care provided, ensuring that young patients can recover more comfortably

Restoring functionality:These surgeries help restore functionality to the affected limbs or joints, allowing children to return to their normal activities, play sports, and engage in physical education[9].

Preventing long-term complications:Proper treatment of pediatric orthopedic injuries prevents long-term complications and disabilities that can arise from untreated or improperly managed conditions. It ensures that children can grow and develop normally.

Emotional well-being:The psychological impact of injuries on children can be significant. Successful surgery and rehabilitation not only restore physical well-being but also boost a child's self-esteem and mental health.

Economic benefits:Treating pediatric orthopedic trauma early and effectively can lead to shorter hospital stays and reduced rehabilitation needs. This, in turn, reduces the financial burden on families and healthcare systems[10].

Conclusion

Pediatric orthopedic trauma surgery is a vital field that plays a critical role in the lives of young patients who experience musculoskeletal injuries. These surgeons are dedicated to providing accurate diagnosis, timely treatment, and compassionate care to ensure that children can heal, grow, and thrive. Through various surgical techniques and interventions, they help restore hope and mobility to young patients, alleviating pain and preventing long-term complications. The impact of pediatric orthopedic trauma surgery extends beyond the operating room, touching the lives of children and their families, and contributing to a healthier, happier, and more active future.

References

  1. Xie J, Tong Z, Guan X, et al.Critical care crisis and some recommendations during the COVID-19 epidemic in China.Intensive Care Med. 2020;46:837-40.
  2. Indexed at, Google Scholar, Cross Ref

  3. Christey G, Amey J, Campbell A, et al.Variation in volumes and characteristics of trauma patients admitted to a level one trauma centre during national level 4 lockdown for COVID-19 in New Zealand.N Z Med J. 2020;133(1513):81-6.
  4. Indexed at, Google Scholar

  5. Bram JT, Johnson MA, Magee LC, et al.Where have all the fractures gone? The epidemiology of pediatric fractures during the COVID-19 pandemic.J Pediatr Orthop. 2020;40(8):373-9.
  6. Indexed at, Google Scholar, Cross Ref

  7. Kutikov A, Weinberg DS, Edelman MJ, et al.A war on two fronts: Cancer care in the time of COVID-19.Ann Intern Med. 2020;172(11):756-8.
  8. Indexed at, Google Scholar, Cross Ref

  9. Naranje SM, Erali RA, Warner Jr WC, et al.Epidemiology of pediatric fractures presenting to emergency departments in the United States.J Pediatr Orthop. 2016;36(4):e45-8.
  10. Indexed at, Google Scholar,Cross Ref

  11. Gould MT, Langworthy MJ, Santore R, et al.An analysis of orthopaedic liability in the acute care setting.Clin Orthop Relat Res. 2003;407:59-66.
  12. Indexed at, Google Scholar,Cross Ref

  13. Traina F.Medical malpractice: The experience in Italy.Clin Orthop Relat Res. 2009;467:434-42.
  14. Indexed at, Google Scholar,Cross Ref

  15. Jena AB, Seabury S, Lakdawalla D, et al.Malpractice risk according to physician specialty.N Engl J Med. 2011;365(7):629-36.
  16. Indexed at, Google Scholar, Cross Ref

  17. Atrey A, Nicolaou N, Katchburian M, et al.A review of reported litigation against English health trusts for the treatment of children in orthopaedics: Present trends and suggestions to reduce mistakes.J Child Orthop. 2010;4(5):471-6.
  18. Indexed at, Google Scholar, Cross Ref

  19. Burns J, Shrader MW, Boan C, et al.Characteristics of medical professional liability claims in pediatric orthopedics.J Patient Saf. 2021;17(8):e1088-96.
  20. Indexed at, Google Scholar, Cross Ref

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