Conditions + Treatments

Treatments for Fractures in Children

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Children's bones are softer than adult bones, which enables them to heal more quickly. This is good news for recovery, but it also means that your child should get medical and/or surgical attention quickly to ensure that the bone is kept in the correct position as it heals.

How are fractures treated?

Specific treatment for a fracture will be based on the type of fracture, its severity and your child's age.

In most cases, fractures in children are treated with a splint or cast, which immobilize the injured bone(s) to promote healing and reduce pain and swelling.

Splints

   •    Doctors will usually put a splint on a newly broken bone because a cast can be too tight and can affect
        circulation.
        They will replace it with a cast once the swelling has gone down. Splints are also used for minor fractures.
   •   Casts are stronger than splints and provide more protection to the injured area. Casts have two layers: a soft
        inside layer that rests against the skin and a hard outer layer that prevents the injured bone from moving.

Other treatments for fractures include:

   •   Medication to control pain and to prevent infection if the fracture is open

   •   Surgery may be needed to put broken bones back into place. The surgeon may also insert metal rods or pins
       into the bone (internal fixation) or outside the body (external fixation) to hold bone fragments in place to allow
       alignment and healing

   •   Closed reduction is a non-surgical procedure used to reduce and set the fracture. Using an anesthetic (typically
       given through an IV), the doctor realigns the bone fragments from outside the body and holds them in place with
       a cast or splint.

   •   Traction corrects broken or dislocated bones by using a gentle and steady pulling motion in a specific direction
       to stretch muscles and tendons around the broken bone in a specific direction.  This allows the bone ends to align
       and heal, and in some cases, it reduces painful muscle spasms.

We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944

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