Non-union of pediatric fibula fractures: Easy to overlook, painful to ignore

Haramati, Nogah; Roye, David P.; Adler, P; Ruzal-Shapiro, Carrie

doi:10.1007/bf02015446

Cited by 13 publications

(7 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The rate of fracture nonunion in the long bones of pediatric patients has been reported in several relatively large series and ranged from 0% to 1.7% (15). A few reports of nonunion of pediatric ankle fractures have been reported (16,17). Haramati et al (17) reported on 3 nonunions associated with distal fibular fractures.…”

Section: Discussionmentioning

confidence: 95%

Atypical Chronic Ankle Instability in a Pediatric Population Secondary to Distal Fibula Avulsion Fracture Nonunion

Ashry

Gamal

Platt

2017

The Journal of Foot and Ankle Surgery

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 95%

Atypical Chronic Ankle Instability in a Pediatric Population Secondary to Distal Fibula Avulsion Fracture Nonunion

Ashry

Gamal

Platt

2017

The Journal of Foot and Ankle Surgery

View full text Add to dashboard Cite

“…8 Literature search showed four case reports describing nonunion following conservative treatment of closed paediatric fractures. 9 Two involved distal ulna, one distal radius and one distal fibula. In a series of thirty cases of diaphyseal nonunion in children reported by Lewallen et al, only two cases were closed fractures treated by closed means, both involving tibia.…”

Section: Discussionmentioning

confidence: 99%

Infected gap nonunion of fractures proximal humerus in adolescent: an outcome of 12 cases

2017

View full text Add to dashboard Cite

Background: There is little data about the risk factors, demographics, and prognosis for nonunions in children. Previous literature has reviewed time periods when contemporary techniques of internal fixation and management of open injuries had not been available. Infected gap nonunion of proximal 1/3 humerus in adolescent is not much reported the in literature. The purpose of our study was to evaluate the outcome of infected gap nonunion in 12 cases of adolescent treated by debridement and fibular graft and plating.Methods: This study was conducted between 2009 to 2015, 12 cases of Infected gap nonunion of fractures proximal humerus was included in our study. Each child was followed up minimum for 12 months. Although non unions in the pediatric population are rare, these data underscore the importance of careful evaluation and treatment of these fractures at risk for nonunion.Results: In our series of 12 cases of infected nonunion of fracture humerus which were treated by bone grafting using fibula strut graft and plating resulted 99% union rate. The rate of union is depending on thorough debridement and fixation along with bone grafting.Conclusions: Nonunion of pediatric fractures is a rare complication. Most studies on developing pediatric nonunions describe specific fractures that are particularly susceptible to nonunion and malunion, nonunion of humeral lateral condyle and open tibia fractures have received the most attention. Reports of nonunion among pediatric long bone fractures are rare, being either case reports or isolated entities in a larger series of predominantly adult fractures. Fibula is a popular substitute for this method because of its easy accessibility and minimal donor site morbidity.

show abstract

“…Fracture non-union in the pediatric population can occur from childhood to adolescence, and is often due to underlying causes such as neurofibromatosis or osteogenesis imperfecta. Although less commonly seen, non-union may also occur in the otherwise healthy pediatric population ( 31 ).…”

Section: Discussionmentioning

confidence: 99%

Effect of Pentoxifylline Administration on an Experimental Rat Model of Femur Fracture Healing With Intramedullary Fixation

Farahani

Mostafavinia

et al. 2015

Iran Red Crescent Med J

View full text Add to dashboard Cite

Background:Globally, musculoskeletal injuries comprise a major public health problem that contributes to a large burden of disability and suffering. Pentoxifylline (PTX) has been originally used as a hemorheologic drug to treat intermittent claudication. Previous test tube and in vivo studies reported the beneficial effects of PTX on bony tissue.Objectives:This study aims to evaluate the effects of different dosages of PTX on biomechanical properties that occur during the late phase of the fracture healing process following a complete femoral osteotomy in a rat model. We applied intramedullary pin fixation as the treatment of choice.Materials and Methods:This experimental study was conducted at the Shahid Beheshti University of Medical Sciences, Tehran, Iran. We used the simple random technique to divide 35 female rats into five groups. Group 1 received intraperitoneal (i.p.) PTX (50 mg/kg, once daily) injections, starting 15 days before surgery, and group 2, group 3, and group 4 received 50 mg/kg, 100 mg/kg, and 200 mg/kg i.p. PTX injections, respectively, once daily after surgery. All animals across groups received treatment for six weeks (until sacrificed). Complete surgical transverse osteotomy was performed in the right femur of all rats. At six weeks after surgery, the femurs were subjected to a three-point bending test.Results:Daily administration of 50 mg/kg PTX (groups 1 and 2) decreased the high stress load in repairing osteotomized femurs when compared with the control group. The highest dose of PTX (200 mg/kg) significantly increased the high stress load when compared with the control group (P = 0.030), group 1 (P = 0.023), group 2 (P = 0.008), and group 3 (P = 0.010), per the LSD findings.Conclusions:Treatment with 200 mg/kg PTX accelerated fracture healing when compared with the control group.

show abstract

Non-union of pediatric fibula fractures: Easy to overlook, painful to ignore

Cited by 13 publications

References 14 publications

Atypical Chronic Ankle Instability in a Pediatric Population Secondary to Distal Fibula Avulsion Fracture Nonunion

Atypical Chronic Ankle Instability in a Pediatric Population Secondary to Distal Fibula Avulsion Fracture Nonunion

Infected gap nonunion of fractures proximal humerus in adolescent: an outcome of 12 cases

Effect of Pentoxifylline Administration on an Experimental Rat Model of Femur Fracture Healing With Intramedullary Fixation

Contact Info

Product

Resources

About