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Evidence-based Review: Management of Open Pediatric Fractures

Pace, James Lee MD*; Kocher, Mininder S. MD, MPH; Skaggs, David L. MD*

Journal of Pediatric Orthopaedics: September 2012 - Volume 32 - Issue - p S123–S127
doi: 10.1097/BPO.0b013e318259f326
EBM Supplement

Open fractures in the pediatric population are rare. As such, recommendations for care based on high-level studies are scarce. Furthermore, most level I and II recommendations come from studies involving open fractures in adults. Although it is generally accepted that open pediatric fractures have better outcomes than open fractures in adults, the lack of quality studies provide ample opportunities to answer questions regarding care of these injuries. This review explores the available literature and gives corresponding recommendations based on the level of evidence.

*Division of Orthopaedic Surgery, Children’s Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA

Department of Orthopaedic Surgery, Division of Sports Medicine, Children’s Hospital Boston, Harvard Medical School, Boston, MA

None of the authors received financial support for the completion of this study.

The authors declare no conflict of interest.

Reprints: James Lee Pace, MD, Division of Orthopaedic Surgery, Children's Hospital Los Angeles, 4650 Sunset Blvd MS ♯69, Los Angeles, CA 90027. E-mail:

© 2012 Lippincott Williams & Wilkins, Inc.