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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)

Plate treatment in femur fractures in the immature skeleton

Sosa A, Pérez M, Gil J, Alves S

Language: Spanish
References: 33
Page: 25-33
PDF size: 146.59 Kb.


ABSTRACT

Introduction: Femur diaphyseal fractures represent about 1.6% of all bone lesions in children. A number of therapeutic options for treating this condition have been available recently. The purpose of this paper is to evaluate the evolution of those patients who suffered traumatic femur fractures who were treated with either DCP, LC-DCP or locked plates in our department. Materials and methods: This is a retrospective cohort of children aged five years or older with immature skeletons treated in our hospital between 2007 and 2011 with an indication for plate placement for increasing stability and avoiding shortenings and rotations. Fracture-, patient-, treatment-, and evolution-related variables were assessed. Child medical records were reviewed and an extra follow-up visit was scheduled 12 months after the surgical treatment, in which consolidation status, functional parameters, and potential angle alterations, rotations or dysmetria of the affected limb were assessed. Results: Twenty-eight patents underwent surgery, 20 with DCP/LC-DCP implants and eight with locked implants. The mean age was 11.6 years at the time of surgery, and the median follow-up was 31.5 months. Over 50% of the patients were treated with a minimally invasive technique (MIPO), eight received blocked implants and 20 DCP implants, one presented over-rotation, and four presented dysmetria at the expense of femur lengthening. Conclusion: All the patients consolidated within one year of the fracture and returned to their regular activities by the end of the follow-up period. One patient suffered from pain one year after the lesion, two had postoperative infection, and all the patients achieved excellent functional parameters.


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