Locking plate fixation in pediatric femur fracture: evaluation of the outcomes in our experience.
Journal
Acta bio-medica : Atenei Parmensis
ISSN: 2531-6745
Titre abrégé: Acta Biomed
Pays: Italy
ID NLM: 101295064
Informations de publication
Date de publication:
14 01 2019
14 01 2019
Historique:
received:
14
01
2019
accepted:
14
01
2019
entrez:
5
2
2019
pubmed:
5
2
2019
medline:
19
3
2020
Statut:
epublish
Résumé
Femoral shaft fracture is a common traumatic musculoskeletal injures in pediatric population. The treatment of diaphyseal femoral fractures depends on age patient and pattern fracture. We present our record about the use of locking plate fixation and their outcomes. We conduct a retrospective analysis in 22 patients, surgically treated for 26 diaphyseal femur fracture between 2008 and 2013. The mean age was 13 years. All the patients underwent a clinical and radiological follow-up for two years. We recorded time to weight bearing, time to union, complication (malalignment, dysmetria, infection), time to resumption to sport, plate removal, parents' satisfaction. All the patients had a minimal clinical e radiological follow-up of 24 months. The average fracture healing time was of 7.4 weeks. All the patients had a full hip and knee range of movements. Fifteen patients developed minor malalignment (varovalgus or procurvatum femur) without clinical effects. No cases of infections. The mean time to a full weight bearing was 12 weeks and the return to sportive activity was 24 weeks. Four patients required a plate and screws removal. The average result of parents' satisfaction was 8/10. Locking plate fixation is to be considered a successful way of treatment for pediatric femur fractures, especially in patients older than 6 years, head-injured or in the treatment of polytrauma. The anatomic and functional outcomes are comparable to those of other fixation techniques for this kind of fracture.
Sections du résumé
BACKGROUND AND AIM
Femoral shaft fracture is a common traumatic musculoskeletal injures in pediatric population. The treatment of diaphyseal femoral fractures depends on age patient and pattern fracture. We present our record about the use of locking plate fixation and their outcomes.
METHOD
We conduct a retrospective analysis in 22 patients, surgically treated for 26 diaphyseal femur fracture between 2008 and 2013. The mean age was 13 years. All the patients underwent a clinical and radiological follow-up for two years. We recorded time to weight bearing, time to union, complication (malalignment, dysmetria, infection), time to resumption to sport, plate removal, parents' satisfaction.
RESULTS
All the patients had a minimal clinical e radiological follow-up of 24 months. The average fracture healing time was of 7.4 weeks. All the patients had a full hip and knee range of movements. Fifteen patients developed minor malalignment (varovalgus or procurvatum femur) without clinical effects. No cases of infections. The mean time to a full weight bearing was 12 weeks and the return to sportive activity was 24 weeks. Four patients required a plate and screws removal. The average result of parents' satisfaction was 8/10.
CONCLUSIONS
Locking plate fixation is to be considered a successful way of treatment for pediatric femur fractures, especially in patients older than 6 years, head-injured or in the treatment of polytrauma. The anatomic and functional outcomes are comparable to those of other fixation techniques for this kind of fracture.
Identifiants
pubmed: 30715008
doi: 10.23750/abm.v90i1-S.8109
pmc: PMC6503420
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
110-115Références
Curr Opin Pediatr. 2007 Feb;19(1):51-7
pubmed: 17224662
J Pediatr Orthop. 1999 Sep-Oct;19(5):578-81
pubmed: 10488854
Orthopedics. 2016 Nov 1;39(6):353-358
pubmed: 27459140
J Pediatr Orthop. 2003 Jul-Aug;23(4):448-52
pubmed: 12826941
J Pediatr Orthop. 2005 Jan-Feb;25(1):39-44
pubmed: 15614057
Indian J Orthop. 2014 Jan;48(1):30-4
pubmed: 24600060
J Pediatr Orthop. 2018 Mar;38(3):e111-e117
pubmed: 29324528
Clin Orthop Relat Res. 2004 Sep;(426):244-51
pubmed: 15346081
J Pediatr Orthop. 2009 Oct-Nov;29(7):709-12
pubmed: 20104150
J Pediatr Orthop B. 2006 May;15(3):210-4
pubmed: 16601591
Evid Based Child Health. 2014 Dec;9(4):753-826
pubmed: 25504970
J Pediatr Orthop. 2012 Sep;32(6):587-93
pubmed: 22892620
J Bone Joint Surg Am. 1993 Dec;75(12):1774-80
pubmed: 8258547
J Bone Joint Surg Am. 2010 Jul 21;92(8):1790-2
pubmed: 20660244
J Bone Joint Surg Br. 1992 Sep;74(5):765-9
pubmed: 1527131
J Orthop Trauma. 2005 Nov-Dec;19(10):724-33
pubmed: 16314721
J Pediatr Orthop. 2008 Jan-Feb;28(1):6-9
pubmed: 18157038
J Pediatr Orthop. 2006 Sep-Oct;26(5):561-6
pubmed: 16932091
Strategies Trauma Limb Reconstr. 2016 Aug;11(2):87-97
pubmed: 27401456
J Child Orthop. 2013 Jun;7(3):235-43
pubmed: 24432082
Curr Rev Musculoskelet Med. 2012 Feb 9;:
pubmed: 22315162
J Bone Joint Surg Am. 1999 Apr;81(4):500-9
pubmed: 10225795
Acta Orthop. 2010 Feb;81(1):148-53
pubmed: 20175744
World J Orthop. 2017 Feb 18;8(2):156-162
pubmed: 28251066
Curr Opin Pediatr. 2013 Feb;25(1):52-7
pubmed: 23295718
J Pediatr Orthop. 2013 Jul-Aug;33(5):519-23
pubmed: 23752149