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	<title>Children`s Orthopaedics</title>
	<link>http://www.children-orthopaedics.com</link>
	<description>Notes on Paediatric Orthopaedics</description>
	<pubDate>Sun, 06 Jan 2008 15:17:43 +0000</pubDate>
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		<title>Femur Fracture</title>
		<link>http://www.children-orthopaedics.com/?p=57</link>
		<comments>http://www.children-orthopaedics.com/?p=57#comments</comments>
		<pubDate>Sun, 06 Jan 2008 14:43:11 +0000</pubDate>
		<dc:creator>children-orthopaedics</dc:creator>
		
		<category><![CDATA[Femur Fracture]]></category>

		<guid isPermaLink="false">http://www.children-orthopaedics.com/?p=57</guid>
		<description><![CDATA[General guideline according to age
&#60;  6 months
Palvik harness
Angulation &#38; overlapping will remodel and overgrowth
Rotation will not self correct
&#60; 5 years
Immediate hip spica cast in 90 degrees knee and hip flexion
5 - 10 years
Skin traction followed by hip spica cast
10 - 15 years
Screw &#38; plate  or elastic titanium nail
&#62; 15 years
Intramedullary nail ( ILN [...]]]></description>
		<wfw:commentRss>http://www.children-orthopaedics.com/?feed=rss2&amp;p=57</wfw:commentRss>
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		<title>Injuries Around Elbow</title>
		<link>http://www.children-orthopaedics.com/?p=55</link>
		<comments>http://www.children-orthopaedics.com/?p=55#comments</comments>
		<pubDate>Sun, 23 Dec 2007 07:43:34 +0000</pubDate>
		<dc:creator>children-orthopaedics</dc:creator>
		
		<category><![CDATA[Injuries Around Elbow]]></category>

		<guid isPermaLink="false">http://www.children-orthopaedics.com/?p=55</guid>
		<description><![CDATA[Distal humeral physeal separation
In newborn &#38; young children ( around 2-4 years old )
Less common  &#62; 6 year old
Need to rule out child abuse in newborn
Clinical
Grossly swollen elbow
Radiology
Distal fragment is posteromedially displaced
Radiocapitullar relationship is maintained
Treatment
Closed reduction and pinning
]]></description>
		<wfw:commentRss>http://www.children-orthopaedics.com/?feed=rss2&amp;p=55</wfw:commentRss>
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		<title>Legg Calve Perthes</title>
		<link>http://www.children-orthopaedics.com/?p=51</link>
		<comments>http://www.children-orthopaedics.com/?p=51#comments</comments>
		<pubDate>Sat, 22 Dec 2007 13:53:03 +0000</pubDate>
		<dc:creator>children-orthopaedics</dc:creator>
		
		<category><![CDATA[Perthes]]></category>

		<guid isPermaLink="false">http://www.children-orthopaedics.com/?p=51</guid>
		<description><![CDATA[Osteonecrosis of femoral head in growing child
Unknown etiology
Males more common (4:1)
Age between 4 - 7 years old
Bilateral in 10 % of cases
Variable outcome
Higher risk in

 Caucasian
 Positive family history
 Coagulopathy / Thrombopilia

]]></description>
		<wfw:commentRss>http://www.children-orthopaedics.com/?feed=rss2&amp;p=51</wfw:commentRss>
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		<item>
		<title>Benign Bone Tumours</title>
		<link>http://www.children-orthopaedics.com/?p=46</link>
		<comments>http://www.children-orthopaedics.com/?p=46#comments</comments>
		<pubDate>Sat, 22 Dec 2007 10:12:41 +0000</pubDate>
		<dc:creator>children-orthopaedics</dc:creator>
		
		<category><![CDATA[Benign]]></category>

		<guid isPermaLink="false">http://www.children-orthopaedics.com/?p=46</guid>
		<description><![CDATA[


Approach to benign bone tumours
Characteristic
History
Slow growing
Painless / less pain
No constitutional symptoms
Trivial injury prior to pathological fracture
Small swelling
]]></description>
		<wfw:commentRss>http://www.children-orthopaedics.com/?feed=rss2&amp;p=46</wfw:commentRss>
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		<item>
		<title>Tarsal Coalition</title>
		<link>http://www.children-orthopaedics.com/?p=44</link>
		<comments>http://www.children-orthopaedics.com/?p=44#comments</comments>
		<pubDate>Thu, 20 Dec 2007 08:42:04 +0000</pubDate>
		<dc:creator>children-orthopaedics</dc:creator>
		
		<category><![CDATA[Tarsal Coalition]]></category>

		<guid isPermaLink="false">http://www.children-orthopaedics.com/?p=44</guid>
		<description><![CDATA[Due to embryonic failure of segmentation of tarsal bones. Forming connecting bar between tarsal bones commonly calcaneonavicular and talocalcaneum. Less common in talonavicular and calcaneocuboidal. 70 % bilateral in calcaneonavicular and 50 % bilateral in talocalcaneal.
Tarsal coalition can be in form of

Fibrous bar
Cartilage bar
Bone bar

Genetically inherited as autosomal dominant
Associated congenital abnormalities

Fibular hemimelia

]]></description>
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