Internal fixation of subtrochanteric femoral fractures in children using a T-plate | ||||
| The Egyptian Orthopaedic Journal | ||||
| Volume 50, Issue 4, October 2015, Page 268-272 PDF (372.58 K) | ||||
| DOI: 10.4103/1110-1148.182314 | ||||
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| Author | ||||
| Mohamed A. Aziz Hassan | ||||
| Abstract | ||||
| Background Displaced subtrochanteric femoral fractures in children can be difficult to treat because of inherent fracture instability, a short metaphyseal fragment, and close proximity of the fracture to the growth plate. Different treatment options are used: traction, spica casting, internal fixation, and external fixation. Objective The aim of this study was to present our results with internal fixation of subtrochanteric femoral fractures in children using a 3.5-mm T-plate. Patients and methods Between January 2012 and July 2014, 10 patients with closed displaced subtrochanteric femoral fractures were treated in Al-Azhar University Hospitals. The average age at the time of injury was 7.2 years (range: 5.5–9.3 years). Open fractures, pathological fractures, and fractures associated with neuromuscular diseases were excluded from this study. Three patients had multiple injuries and seven (70%) patients had isolated subtrochanteric femoral fractures. In all cases a single 3.5-mm T-plate was used, and two or three 4-mm cancellous screws were inserted through the plate into the femoral neck. Average follow-up was 12 months (range: 9–18 months). Results All fractures united with anatomical alignment within an average of 8 weeks (range: 6–12 weeks). There were no complications. At the latest follow-up, no patient had any restriction of activities. Conclusion Internal fixation with a T-plate appears to be a good treatment option for children with subtrochanteric femoral fractures. | ||||
| Keywords | ||||
| internal fixation; subtrochanteric femoral fractures in children; t-plate | ||||
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