ArticleActa orthopaedica2017
The AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF).
Article in Acta orthopaedica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Reliability and clinical utility of paediatric ankle fracture classifications : a systematic review.Bone & joint open · 2026Pooled it
- Comparing the Outcomes of Cast Immobilization with and Without K-Wire Fixation for Displaced Distal Radius Fractures in the Pediatric Population: A Systematic Review and Meta-Analysis.Medicina (Kaunas, Lithuania) · 2025Pooled it
- Short and long-arm fiberglass cast immobilization for displaced distal forearm fractures in children: a randomized controlled trial.International orthopaedics · 2021Trial
- Article
- Clinical and Radiological Outcomes of Titanium Elastic Intramedullary Nailing in Pediatric Tibial Shaft Fractures.Cureus · 2026Article
- Secondary Displacement of Forearm Fractures in Children: When to Anticipate Remodeling and When to Intervene?Children (Basel, Switzerland) · 2026Article
- Considerations and Challenges of Resorbable Intramedullary Nailing in Pediatric Forearm Fractures.Children (Basel, Switzerland) · 2025Article
- Treatment of Pediatric Displaced Intraarticular Olecranon Fractures with Resorbable Poly-L-Lactic-Co-Glycolic Acid (PLGA) Pins and Polydioxanone (PDS) Loops.Children (Basel, Switzerland) · 2025Article
- Risk factors of avascular femoral head necrosis after a pediatric femoral neck fracture: a 15-year follow up and an adjustment to the Delbet classification.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Article
- Trends in the Management of Femur Fractures in Young Children.Journal of the Pediatric Orthopaedic Society of North America · 2023Article
- Comparative study of K-wire combined with screw vs. K-wire in the treatment of AO type B3.1 phalangeal fractures.BMC musculoskeletal disorders · 2023Article
- Functional outcomes of pediatric true and equivalent Monteggia fractures - Review of the literature.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Review
- Epidemiology and treatment of pediatric tibial fractures in Sweden: a nationwide population-based study on 5828 fractures from the Swedish Fracture Register.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Article
- PROXIMAL HUMERAL LOCKING PLATE: A VIABLE ALTERNATIVE FOR FIXATION OF DISTAL FEMORAL FRACTURES IN CHILDREN.Acta ortopedica brasileira · 2023Article
- Epidemiology of paediatric lower extremity fractures in a tertiary care center in Switzerland.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Determining the development stage of the ossification centers around the elbow may aid in deciding whether to use ESIN or not in adolescents' forearm shaft fractures.Acta orthopaedica · 2021Article
- Management of Adolescent Three-Part Lateral Triplane Ankle Fracture with Ipsilateral Shaft of Tibia Fracture and Intact Fibula in COVID Pandemic: A Case Report with Review of Literature.Journal of orthopaedic case reports · 2021Article
- Operative Choice for Length-Unstable Femoral Shaft Fracture in School-Aged Children: Locking Plate vs. Monolateral External Fixator.Frontiers in pediatrics · 2021Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - To achieve a common understanding when dealing with long bone fractures in children, the AO Pediatric Comprehensive Classification of Long Bone Fractures (AO PCCF) was introduced in 2007. As part of its final validation, we present the most relevant fracture patterns in the lower extremities of a representative population of children classified according to the PCCF. Patients and methods - We included patients up to the age of 17 who were diagnosed with 1 or more long bone fractures between January 2009 and December 2011 at either of 2 tertiary care university hospitals in Switzerland. Patient charts were retrospectively reviewed. Results - More lower extremity fractures occurred in boys (62%, n = 341). Of 548 fractured long bones in the lower extremity, 25% involved the femur and 75% the lower leg. The older the patients, the more combined fractures of the tibia and fibula were sustained (adolescents: 50%, 61 of 123). Salter-Harris (SH) fracture patterns represented 66% of single epiphyseal fractures (83 of 126). Overall, 74 of the 83 SH patterns occurred in the distal epiphysis. Of all the metaphyseal fractures, 74 of 79 were classified as incomplete or complete. Complete oblique spiral fractures accounted for 57% of diaphyseal fractures (120 of 211). Of all fractures, 7% (40 of 548) were classified in the category "other", including 29 fractures that were identified as toddler's fractures. 5 combined lower leg fractures were reported in the proximal metaphysis, 40 in the diaphysis, 26 in the distal metaphysis, and 8 in the distal epiphysis. Interpretation - The PCCF allows classification of lower extremity fracture patterns in the clinical setting. Re-introduction of a specific code for toddler's fractures in the PCCF should be considered.
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