COMPLICATIONS AFTER PEDIATRIC LOWER EXTREMITY FRACTURES

Both high-energy and low-energy traumas can lead to pediatric lower extremity fractures. While such fractures are rarely encountered in regions like the pelvis, they are more commonly seen in areas such as the tibia and foot. In contrast to adult lower extremity fractures, conservative treatment methods are frequently preferred in the pediatric population. Although complications such as compartment syn-drome, neurovascular injuries, and joint stiffness-also observed in adults-can occur, certain complica-tions are specific to pediatric fractures, including physeal arrest and limb length discrepancies. Unlike adult fractures, where standardized treatment protocols are generally established, the immature skeletal structure in children necessitates individualized treatment planning. This plan should consider factors such as the patient’s age, height, weight, sex, fracture location, and fracture type to minimize the risk of complications. When managing pediatric fractures, it is essential to have a thorough understanding of skeletal growth phases. Additionally, informing families about potential complications and resulting deformities may improve treatment adherence. While previous sections have discussed fracture loca-tions and treatment strategies, this section will focus on complications related to both the fractures and their management.