Open Reduction and Plate Fixation of Subtrochanteric Femoral Fractures In Children
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 5
Abstract
Introduction: The treatment of subtrochanteric femoral fractures in children is controversial. Different treatment options have been used: skin traction, 90/90 skeletal traction, immediate spica casting, cast bracing, internal fixation and external fixation. Treatment choices are influenced by the child’s age and size and whether the femoral fracture is an isolated injury or part of a polytrauma. The aim of the study is to evaluate the results of plate fixation of subtrochanteric femoral fractures in children. Materials and Methods: This prospective study was conducted in Patna Medical College & Hospital. 10 children with closed subtrochanteric femoral fractures were included in this study. Under general anaesthesia, a posterolateral muscle splitting approach was used. In all cases, a single 3.5 mm LCP plate was used. Results: All fractures united with anatomical alignment within an average of eight weeks (range, 6 to 12 weeks). At the latest follow-up there were no patients with implant failure, refracture, heterotopic bone formation or avascular necrosis of the femoral head. Conclusion: Open reduction and internal fixation with plate appears as a good treatment option for subtrochanteric femoral fractures in children.
Authors and Affiliations
Priya Ranjan, Shakti Kishore, Vijay Kumari
Keywords
Related Articles
- EP ID EP536722
- DOI 10.21276/ijmrp.2018.4.5.014
- Views 87
- Downloads 0
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