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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2018, Number 1

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Rev Mex Ortop Ped 2018; 20 (1)

Treatment of tibia fractures with blocked plate in children

de Peña F, Silveri C, Francescoli L, Cuneo A

Language: Spanish
References: 14
Page: 12-17
PDF size: 170.05 Kb.


ABSTRACT

The gold standard of treatment in most tibia fractures is non-surgical, others because of their complexity require surgery. The indication, method and implant to be used continues to generate controversies. Objective: To evaluate the clinical outcome of the treatment of tibia fractures with blocked plate in pediatric patients. Material and methods: A retrospective, observational study of case series was performed in patients with surgical treatment for tibia fracture using blocked plate placed with open or minimally invasive reduction between December 2010 and August 2012. Demographic data, type of fracture, technique used, support time, bone consolidation, complications. Results: Eight patients, average age of 12 years (8-14), average follow-up of four years eight months. Five open fractures, two closed and one pseudoartrosis. Open reduction and internal fixation were performed in six fractures and two minimally invasive. All fractures consolidated, the average consolidation was 15 weeks (12-21). No serious complications, minor complications four implant intolerance. The clinical results were four excellent and four satisfactory. Conclusion: The use of blocked plate in pediatric patients is an alternative method for the treatment of some fracture patterns.


REFERENCES

  1. Gordon JE, O’Donnell JC. Tibia fractures: what should be fixed? J Pediatr Orthop. 2012; 32 Suppl 1: S52-S61.

  2. Masquijo JJ. Percutaneous plating of distal tibial fractures in children and adolescents. J Pediatr Orthop B. 2014; 23(3): 207-211.

  3. Özkul E, Gem M, Arslan H, Alemdar C, Azboy İ, Arslan SG. Minimally invasive plate osteosynthesis in open pediatric tibial fractures. J Pediatr Orthop. 2016; 36(4): 416-422.

  4. Flynn JM, Hresko T, Reynolds RA, Blasier RD, Davidson R, Kasser J. Titanium elastic nails for pediatric femur fractures: a multicenter study of early results with analysis of complications. J Pediatr Orthop. 2001; 21(1): 4-8.

  5. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am. 1976; 58(4): 453-458.

  6. Yusof NM, Oh CW, Oh JK, Kim JW, Min WK, Park IH et al. Percutaneous plating in paediatric tibial fractures. Injury. 2009; 40(12): 1286-1291.

  7. Gordon JE, Gregush RV, Schoenecker PL, Dobbs MB, Luhmann SJ. Complications after titanium elastic nailing of pediatric tibial fractures. J Pediatr Orthop. 2007; 27(4): 442-446.

  8. Srivastava AK, Mehlman CT, Wall EJ, Do TT. Elastic stable intramedullary nailing of tibial shaft fractures in children. J Pediatr Orthop. 2008; 28(2): 152-158.

  9. Sankar WN, Jones KJ, David Horn B, Wells L. Titanium elastic nails for pediatric tibial shaft fractures. J Child Orthop. 2007; 1(5): 281-286.

  10. Lascombes P, Haumont T, Journeau P. Use and abuse of flexible intramedullary nailing in children and adolescents. J Pediatr Orthop. 2006; 26(6): 827-834.

  11. Pandya NK. Flexible intramedullary nailing of unstable and/or open tibia shaft fractures in the pediatric population. J Pediatr Orthop. 2016; 36 Suppl 1: S19-S23.

  12. Swindells MG, Rajan RA. Elastic intramedullary nailing in unstable fractures of the paediatric tibial diaphysis: a systematic review. J Child Orthop. 2010; 4(1): 45-51.

  13. Goodwin RC, Gaynor T, Mahar A, Oka R, Lalonde FD. Intramedullary flexible nail fixation of unstable pediatric tibial diaphyseal fractures. J Pediatr Orthop. 2005; 25(5): 570-576.

  14. Ricci WM. Use of locking plates in orthopaedic trauma surgery. JBJS Rev. 2015; 3(3). pii: 01874474-201503030-00003.




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