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Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2022, Number 1-3

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Rev Mex Ortop Ped 2022; 24 (1-3)

Clinical functionality in the treatment of subtrochanteric fractures in children from 6 to 15 years old with endomedular elastic nailing versus plate

López MF, Tapia OVM, Casas LM

Language: Spanish
References: 16
Page: 14-18
PDF size: 180.15 Kb.


ABSTRACT

Introduction: Subtrochanteric fractures in children are rare events, most injuries occur as a result of high-energy trauma, with young male patients being the most affected. Objective: To evaluate the clinical functionality with the HHS scale, in subtrochanteric fractures in children aged 6-15 years, comparing the ELNT treatment against proximal femur screwed plates. Material and methods: Study: retrospective, cross-sectional. Inclusion criteria: patients aged 6-15 years, with a diagnosis of subtrochanteric fracture, through closed reduction with the use of elastic ELNT nails or open reduction with placement of proximal femur plates. Exclusion criteria: refractures and peri-implant fractures. Sample size: 18 patients. Results: Greater functionality was presented in those operated with proximal femur plate compared to ELNT (-0.5439 p = 0.000), as well as type of implant and days of support (0.80 p = 0.000), type of implant and functionality (-0.565, p = 0.015) and time of support and functionality (-0.763 p = 0.000). Conclusions: The functionality scale at 30 days of support shows that patients with plaque present better functionality (excellent), compared to ELNT (good), as well as consolidation and support in less time.


REFERENCES

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EVIDENCE LEVEL

III




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