Pediatric fracture treatment encompasses the comprehensive management of broken bones in children from infancy through adolescence. Children's bones differ fundamentally from adult bones in several important ways: they are more flexible and porous (making them prone to unique fracture patterns like greenstick and buckle fractures), they have growth plates (physes) that can be injured and affect future growth, they have tremendous healing capacity (allowing faster recovery than adults), and they have potential for remodeling (spontaneous correction of angular deformities over time). These characteristics require specialized knowledge and treatment approaches that differ significantly from adult fracture care. Dr. Kumar provides expert pediatric fracture care at Arthoscenter, treating the full spectrum of childhood fractures from simple stable injuries requiring only casting to complex fractures requiring surgical fixation. Common pediatric fractures include supracondylar humerus fractures (elbow), forearm fractures (radius and ulna - the most common childhood fracture), clavicle fractures, femur fractures, tibia fractures, and physeal (growth plate) injuries. The mechanism of injury varies by age, with toddlers suffering falls from low heights, school-age children experiencing playground and sports injuries, and adolescents sustaining higher-energy trauma from motor vehicle accidents or competitive sports. Understanding the child's age, injury mechanism, fracture pattern, and growth remaining is essential for optimal treatment planning. Treatment decisions in pediatric fractures balance multiple factors: achieving and maintaining acceptable alignment, minimizing complications (especially growth disturbances), ensuring proper healing, and returning the child to normal activities safely. Many pediatric fractures can be treated non-operatively with closed reduction (manipulation without surgery) and casting, taking advantage of children's remarkable healing capacity and remodeling potential. However, surgical intervention is indicated for unstable fractures that cannot maintain alignment in a cast, displaced growth plate injuries (Salter-Harris types III-V), open fractures, fractures with neurovascular compromise, and certain fracture patterns known to have poor outcomes with non-surgical treatment (such as displaced supracondylar humerus fractures). Surgical techniques for pediatric fractures prioritize minimally invasive approaches and respect for the growth plates. Dr. Kumar employs flexible intramedullary nailing for long bone fractures (femur, tibia, forearm), which provides stable fixation while allowing continued growth and requires minimal soft tissue dissection. Smooth K-wires are used for metaphyseal and epiphyseal fractures, avoiding hardware that crosses the growth plate when possible. Plates and screws are reserved for specific fracture patterns and older children nearing skeletal maturity. External fixators are valuable for severe open fractures, fractures with significant soft tissue injury, and polytrauma cases. The goal is to achieve stable fixation that allows early mobilization while minimizing growth disturbance and avoiding overly aggressive treatment that could cause complications. At Arthoscenter, our pediatric fracture care emphasizes family-centered treatment with clear communication about expected outcomes, healing timelines, and potential complications. We understand the anxiety parents experience when their child is injured and provide reassurance through education and compassionate care. Most pediatric fractures heal completely within 4-8 weeks depending on the bone involved and child's age, with younger children healing faster. Outcomes are generally excellent, with over 95% of fractures healing without complications when properly treated. Growth disturbances are rare (occurring in less than 2% of physeal injuries) and typically seen only with severe crush injuries to the growth plate. Our comprehensive approach includes not only fracture treatment but also injury prevention counseling and coordination with pediatricians for overall child health and development.