Fractures of the femoral neck in children: long-term follow-up in 62 hip fractures

Toğrul, Emre; Bayram, Hüseyin; Gulsen, Mahir; Kalacı, Aydıner; Özbarlas, Serdar

doi:10.1016/j.injury.2004.04.010

Cited by 108 publications

(126 citation statements)

References 18 publications

Supporting

Mentioning

108

Contrasting

Order By: Relevance

“…However, Leung and Lam [7] noted that the clinical and radiological outcomes of the same hips could change significantly within a few years in pediatric femur neck fractures. It was previously stated that a better outcome in pediatric femur neck fractures was correlated with the absence of AVN during follow-up, patient's age (\8 years), type of fracture (cervicotrochanteric, intertrochanteric fractures, and fractures without any displacement), a proper initial management procedure (early, anatomical, stable internal fixation), decompression of the intra-articular fracture hematoma, and application of postoperative immobilization [1,4,[7][8][9][10][11][12][13][14][15][16][17][18][19]. The present study has a satisfactory outcome rate of 72%.…”

Section: Discussionmentioning

confidence: 99%

Pediatric femur neck fractures: A retrospective analysis of 39 hips

İnan

Köse

Ömeroğlu

2009

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

Purpose The aim of this retrospective study was to analyze the radiological and clinical results of pediatric femur neck fractures. Methods This study included 39 children (mean age 11.1, range 4 to 16 years) who had a femur neck fracture and had at least one year of complete follow-up. The most common etiological factor was traffic accident and the most common associated skeletal injury was pelvis fracture. Results According to Delbet's classification system, there were no type I (transepiphyseal) fractures and 21 type II (transcervical), 14 type III (cervicotrochanteric), and four type IV (intertrochanteric) fractures. The mean follow-up was 3.4 (1-9.5) years. A satisfactory outcome according to Ratliff's radiological and clinical criteria was obtained in 28 (72%) hips. Avascular necrosis (AVN) of the femoral head was seen in 11 (28%) hips and the rate of satisfactory outcome was significantly higher in hips without AVN than in hips with AVN (P \ 0.001). Transcervical fractures had the worst outcome (P = 0.014) and the highest rate of AVN (P = 0.077) when compared with cervicotrochanteric and intertrochanteric fractures. No significant correlation was found between both the outcome and development of AVN and age, gender, laterality, amount of fracture displacement, treatment time, and the type of reduction (open/closed) (P [ 0.05). Conclusions It has been concluded that the development of AVN primarily influences the outcome in pediatric femur neck fractures and that fracture type is essentially correlated with the development of AVN and outcome.

show abstract

Section: Discussionmentioning

confidence: 99%

Pediatric femur neck fractures: A retrospective analysis of 39 hips

İnan

Köse

Ömeroğlu

2009

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

show abstract

“…Studies have shown that subsequent to fulfilling its function a device can negatively affect the host giving rise to complications such as delayed infections (Highland and LaMont, 1985;Emel et al, 2007), allergic reactions (Summer et al, 2007), implant loosening or breakage , device migration (Seipel et al, 2001) and hindrance of skeletal growth (Togrul et al, 2005). For hand applications the irritation of overlying free gliding tendons in contact with the plate is also of concern (Nazzal et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Surface polishing positively influences ease of plate and screw removal

Hayes

Seidenglanz²,

Pearce³

et al. 2010

eCM

View full text Add to dashboard Cite

Difficulties removing temporary fracture fixation devices due to excessive bony on-growth results in extended surgical time leading to excessive blood loss, debris contamination and potentially refracture. Commercially available locking plates and screws are manufactured for clinics with a micro-rough surface, which contributes to the excessive bony on-growth reported. We have applied polishing technology to commercially pure titanium locking compression plates (LCP) and titanium-6%aluminium-7%niobium (TAN) plates and screws to assess if it can alleviate problems with strong bony overgrowth. Samples were implanted for 6, 12 and 18 months in a bilateral sheep tibia non fracture model and assessed for screw removal torque, percentage of bone contact and tissue-material response. Both electropolishing (p=0.001) and paste polishing (p=0.010) of TAN screws significantly reduced the mean torque required for removal compared to their micro-rough counterparts. This was accompanied by a trend for a lower percentage of bone contact for polished screws. This difference in bone contact was significant for paste polished TAN screws (p<0.001) but not electropolished TAN screws (p=0.066). Ex vivo, soft tissue removal was much easier (~five minutes) for polished constructs, which was difficult and at least four times longer for standard micro-rough constructs. We suggest that polishing of locked plate/screw systems will improve ease of removal and reduce implant related removal complications encountered due to excessive strong bony on-growth while maintaining biocompatibility and implant stability. Future studies aim to assess the potential of this technology in the next level of complication, a fracture model.

show abstract

“…Now days because of increased rate of vehicular accident these fractures can be seen frequently. These fractures are classified using Delbert classification 3 based on the X-ray depending upon the AVN is the most common complication. 4 The most important factor is the severity of vascular compromise sustained at the time of trauma and the other factors are age, degree of initial displacement, type of fracture, time to surgery, and method of fixation.…”

Section: Discussionmentioning

confidence: 99%