NDLI: Locking plate versus external fixation in the treatment of displaced femoral supracondylar fracture in children

Content Provider	Springer Nature : BioMed Central
Author	Li, Jin Guo, Xikai Wang, Hai Qiang Yue, Changjie Chen, Kailei Ma, Jiewen Wang, Jing Tang, Xin
Abstract	Background Displaced supracondylar femoral fractures (SFF) are difficult injuries to treat in children. Several techniques have been widely used but few studies have compared the merits and drawbacks of each surgical intervention in order to analyze clinical values. The aim of this study was to (1) evaluate postoperative and functional conditions after treatments with locking plate (LP) or external fixation (EF), (2) observe adverse events associated with these two techniques, and (3) evaluate the clinical value of these two techniques. Methods Twenty-eight patients less than 14 years of age were included in this study with supracondylar femoral fractures. They underwent locking plate or external fixation in authors’ hospital. The postoperative healing and functional outcome were elevated according to radiographic and clinical measures, including American Knee Society Score (KSS). Fisher’s exact test and independent samples t test were used for statistical analysis. Results All fractures healed without delayed union. The KSS scoring results of locking plate and external fixation groups were both excellent. The alignment of lower limbs was acceptable with knee valgus less than 2° for all involved patients. In addition, leg length discrepancy was less than 1 cm. No acute or severe complications were noted. There was significant difference in union time (p = 0.03), operating time (p< 0.001), intraoperative blood loss (p< 0.001), and limb length discrepancy (p = 0.04) between LP group and EF group. Conclusions External fixation is superior than locking plate in terms of union, operation time phrases, and intraoperative blood loss. EF techniques are better options for treating displaced supracondylar femoral fracture in children. Level of evidence Retrospective comparative study; level III.
Related Links	https://josr-online.biomedcentral.com/counter/pdf/10.1186/s13018-020-01759-7.pdf
Ending Page	6
Page Count	6
Starting Page	1
File Format	HTM / HTML
DOI	10.1186/s13018-020-01759-7
Journal	Journal of Orthopaedic Surgery and Research
Issue Number	1
Volume Number	15
Language	English
Publisher	BioMed Central
Publisher Date	2020-06-23
Access Restriction	Open
Subject Keyword	Orthopedics Surgical Orthopedics Locking plate External fixation Supracondylar femoral fractures Pediatric fracture
Content Type	Text
Resource Type	Article
Subject	Surgery Orthopedics and Sports Medicine
Journal Impact Factor	2.8/2023
5-Year Journal Impact Factor	3/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

External fixation in the treatment of displaced supracondylar femoral fracture in children: A retrospective case series

Displaced Supracondylar Fractures of the Humerus in Children

Treatment of Displaced Fractures of the Femoral Neck: Smith-Petersen Osteosynthesis versus Sliding-Nail-Plate Osteosynthesis

Locking compression plate fixation of femoral intertrochanteric fractures in patients with preexisting proximal femoral deformity: a retrospective study

Plate Fixation for Unstable Displaced Distal Radius Fractures in Children.

Clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach

Treatment of pediatric open femoral fractures with external fixator versus flexible intramedullary nails.

Treatment of pediatric open femoral fractures with external fixator versus flexible intramedullary nails.

Efficacy of ultra-early rehabilitation on elbow function after Slongo’s external fixation for supracondylar humeral fractures in older children and adolescents

Locking plate versus external fixation in the treatment of displaced femoral supracondylar fracture in children

Similar Documents

External fixation in the treatment of displaced supracondylar femoral fracture in children: A retrospective case series

Displaced Supracondylar Fractures of the Humerus in Children

Treatment of Displaced Fractures of the Femoral Neck: Smith-Petersen Osteosynthesis versus Sliding-Nail-Plate Osteosynthesis

Locking compression plate fixation of femoral intertrochanteric fractures in patients with preexisting proximal femoral deformity: a retrospective study

Plate Fixation for Unstable Displaced Distal Radius Fractures in Children.

Clinical effect of locking compression plate via posterolateral approach in the treatment of distal femoral fractures: a new approach

Treatment of pediatric open femoral fractures with external fixator versus flexible intramedullary nails.

Treatment of pediatric open femoral fractures with external fixator versus flexible intramedullary nails.

Efficacy of ultra-early rehabilitation on elbow function after Slongo’s external fixation for supracondylar humeral fractures in older children and adolescents

Locking plate versus external fixation in the treatment of displaced femoral supracondylar fracture in children