Paediatrics

As children’s bones are still growing, different techniques are employed for the reduction and fixation of fractures in children than those used in adults. For all paediatric procedures, radiation protection is of paramount significance. This is best achieved by using dose reduction settings on the image intensifier, good collimation to avoid excessive irradiation, and judicious use of Pb shielding on or around the patient. This chapter covers a selection of orthopaedic procedures for paediatric patients, covering manipulation under anaesthesia, K-wiring, and elastic nailing or flexi-nailing for long bone injuries. Each procedure includes images that demonstrate the position of the C-arm, patient, and surgical equipment, with accompanying radiographs demonstrating the resulting images.