First of all it is necessary to state that children?s fractures are predominantly not treated operatively but by orthopaedic methods, i.e. by closed reduction and plaster cast fixation. The German speaking European countries are most active in indicating the surgical treatment of child fractures.
The U.K. and North American countries are traditionally conservative. However, nowadays a rapid increase in the number of indications for surgical approaches to skeletal trauma in children can be seen.
Contemporary surgical treatment of child fractures in strictly limited indications can ensure the treatment success without follow-up operations, a shortened hospital stay and recovery period of the injured child.