Journal of pediatric orthopedics
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Osteochondral flap fracture in a child is rare. A 7 year-old boy with an osteochondral flap fracture is reported. ⋯ Furthermore, the immaturity of bone of the child may result in avulsion fracture, not in injury of the distal part of the ligament. Osteosynthesis with poly-L-lactic acid pins was useful to reacquire good elbow function.
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The surgical treatment of severe early-onset scoliosis (EOS) is controversial. Obtaining and maintaining deformity correction, achieving adequate spinal growth, allowing lung development, and the high complication rate make surgical treatment very challenging. Growing rods are the most common method of management. ⋯ The current expandable spinal implant systems appear effective in controlling progressive EOS, allowing for spinal growth and improving lung development. All have a moderate complication rate, especially rod breakage and hook displacement.