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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Herrera-Soto, José A. Meuret, Robert Phillips, Jonathan H. Vogel, Daniel J. |
| Description | Author Affiliation: Herrera-Soto JA ( *Center for Orthopedics at the Arnold Palmer Hospital for Children, Orlando, FL) |
| Abstract | OBJECTIVES: To evaluate locked intramedullary (IM) fixation as an alternative treatment method for children with subtrochanteric fractures. DESIGN: Retrospective review. SETTING: Level 1 trauma center in a Children's Hospital. PATIENTS/PARTICIPANTS: Pediatric patients with subtrochanteric femur fractures with open growth plates. INTERVENTION: All patients were treated with a lateral entry IM locking nail. OUTCOME MEASUREMENTS: Patients were followed until full fracture consolidation or until implant removal. Data on time to full weight bearing, return to full activity, residual pain, any form of gait abnormality, and any other complication from follow-up visits were collected. RESULTS: There were 9 males and 1 female patient with an average age of 12 years and average follow-up of 22 months. Most of the fractures occurred secondary to high-energy trauma. Partial weight bearing was started at 24 days and full at 66 days. Implants were removed on average at 11 months after implantation. There were neither intraoperative complications nor major complications in the postoperative period recorded after removal. Two patients presented with a longer limb on the affected side, both 8 mm, and 2 presented with asymptomatic grade I heterotopic ossification. CONCLUSIONS: The use of a statically locked lateral entry IM nail for subtrochanteric femur fractures in children is a safe and efficacious method of treatment with few complications and risks and satisfactory outcomes in children over the age of 8 years. LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. |
| File Format | HTM / HTML |
| ISSN | 08905339 |
| Issue Number | 1 |
| Volume Number | 29 |
| e-ISSN | 15312291 |
| Journal | Journal of Orthopaedic Trauma |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2015-01-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Orthopedics Discipline Sports Medicine Fracture Fixation, Intramedullary Hip Fractures Surgery Adolescent Bone Nails Child Female Growth Plate Physiopathology Humans Male Retrospective Studies Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery Sports Science |
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