Consultation on distal femoral fracture in 9-year-old children

I am a staff member of an orthopedic hospital. Children fractures are more common. Most of the upper limbs were fixed with Kirschner wires, while the lower limbs were fixed with steel plates. The difference is that plaster external fixation is more secure than lower limbs after upper limb surgery. It is true that lower limb steel plate affects bone development, but it is not as serious as you think. Children's bones develop rapidly, and they can grow well in 8 months, not for life. I suggest that steel plates can be considered, with the advantage of complete reduction. In the future, the shape of the bone can be guaranteed without deformation. No matter how well the kirschner wire is fixed, there will always be dislocation when the child is noisy, and it is impossible to operate twice. It is inevitable that you will be deformed when you grow up. Up to now, I haven't seen such operations as 100 and 80, and I haven't seen kirschner wires used in lower limbs. These advantages and disadvantages can be consulted by experts so as not to affect children's lives.