Overgrowth of the femur after fracture in childhood. An increased effect in boys

Clement, DA; Colton, CL

doi:10.1302/0301-620x.68b4.3733825

Cited by 69 publications

(32 citation statements)

References 4 publications

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“…Although femoral lengthening for congenital femoral deficiency has been described using a variety of techniques [4,31], to our knowledge, no data on the amount of length gained, ROM of the hip and knee, femoral growth inhibition or stimulation, patient-reported outcome scores, or specific complications have been reported using a single consistent technique. Inhibition of growth of the affected femur in congenital femoral deficiency is well known [3,8] as is the stimulation of growth after femur fracture [5,7,12,18,23,37,40,42]; however, the effect of limb lengthening on bone growth is controversial [17,34,38,45]. Lengthening surgery exerts tension on the soft tissues and pressure on the adjacent physis that may result in growth inhibition [25,26].…”

Section: Introductionmentioning

confidence: 99%

Lengthening With External Fixation Is Effective in Congenital Femoral Deficiency

Prince

Herzenberg

Standard

et al. 2015

Clin Orthop Relat Res

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Background Treatment of congenital femoral deficiency is a complex, multistage protocol and a variety of strategies have been devised to address joint instability, limb length inequality, and deformities. Despite being an important part of the algorithmic approach to the overall treatment of patients with congenital femoral deficiency, a reproducible, safe, and functional treatment for femoral length discrepancy in patients with mild and moderate congenital femoral deficiency has not been reported. Questions/purposes (1) Does femoral lengthening by means of distraction osteogenesis, using a monolateral external fixator, result in effective lengthening without loss of hip or knee range of motion? (2) Does femoral lengthening cause an inhibition of femoral growth in patients with congenital femoral deficiency? (3) Do patients/families report satisfactory functional and emotional outcomes after undergoing femoral lengthening? (4) (Schaumburg, IL, USA), Pega Medical, and Springer (New York, NY, USA) outside the submitted work. The institution of one or more of the authors (JEH, SCS, DP) has received, during the study period, funding from Smith & Nephew, DePuy Synthes, Orthofix, Biomet, and OrthoPediatrics. One or more of the authors certifies that he (SCS), or a member of his or her immediate family, has received or may receive payments or benefits, during the study period, an amount less than USD 10,000 from Smith & Nephew, an amount less than USD 10,000 from Ellipse Technologies, and an amount less than USD 10,000 from Orthofix. One or more of the authors certifies that he (DP), or a member of his or her immediate family, has received or may receive payments or benefits, during the study period, an amount of USD 100,001 to USD 1,000,000 from Orthofix, Inc during the period of this study. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Clinical Orthopaedics and Related Research 1 neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDA approval status, of any drug or device before clinical use. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. 123Clin Orthop Relat Res (2015) 473:3261-3271 DOI 10.1007 Clinical Orthopaedics and Related Research ® A Publication of The Association of Bone and Joint Surgeons® 1a, 1b, or 2a that had not previously undergone lengthening and had stable hip and knee joints. Of the 32 patients that completed treatment, 30 (94%) were available at a minimum of 2 years (mean, 3 years; range, 2-4.5 years) and were evaluated in this retrospective study. Preoperative and postoperative radiographic analysis, physiotherapy data, patient-based outcomes s...

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Section: Introductionmentioning

confidence: 99%

Lengthening With External Fixation Is Effective in Congenital Femoral Deficiency

Prince

Herzenberg

Standard

et al. 2015

Clin Orthop Relat Res

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“…This phenomenon of overgrowth had been attributed by Speed 2 to a compensatory mechanism. Others regarded the increase to be due to hyperaemia associated with the healing process 3 .…”

Section: Introductionmentioning

confidence: 99%

Bone Overgrowth after Fracture of the Femoral Shaft in Children

Yong¹,

Saw²,

Sengupta³

et al. 2007

MOJ

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Forty children treated non-operatively for fractures of the femoral shaft were reviewed with regard to differences in limb length after treatment. Follow up duration ranged from two to seven years. The average femoral overgrowth was 0.85cm (range 0 -2.5cm) and was influenced by age at the time of fracture. We were not able to find any association between the quantity of overgrowth and race, gender, level or configuration of the fracture.

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“…It has been observed that bone fractures may stimulate longitudinal bone growth (Clement and Colton, 1986). In this study it was not possible to check for completely healed bone fractures.…”

Section: Discussionmentioning

confidence: 91%

A Cross-sectional Growth Study of Forearm Length and Tibial Length in an Indigenous Andean Population of 6 to 19 Years of Age.

Dittmar¹

1997

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Patterns of growth in forearm length and tibial length were studied in 149 school-children of Aymara ancestry (73 boys and 76 girls), aged 6 to 19 years. The investigation was based on a cross-sectional survey performed in 1987 in the rural community of Putre (3,530 m), northern Chile. The results show that there is little sexual dimorphism over the age period of 6 to 13 years, while sex differences are more pronounced between the ages of 14 and 17 years, both for forearm length and tibial length, with boys having higher means. Correspondingly, the maximum values achieved for both measurements are greater in boys than in girls. The growth spurt begins about two years earlier in girls than in boys. In both sexes, tibial growth precedes forearm growth. The analysis of growth relationships between forearm length and tibial length in relation to other measurements shows higher positive correlations to stature than to sitting height. Inter-populational comparisons between the extremity growth pattern of the Aymara children and that of children of different ethnic ancestry reveal that at all ages, the Aymara have longer forearms in proportion to their tibiae than is the case with children of Asiatic, European and African ancestry. It is suggested that the relatively longer forearms in the Aymara might be related to their larger thoracic dimensions.

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Overgrowth of the femur after fracture in childhood. An increased effect in boys

Cited by 69 publications

References 4 publications

Lengthening With External Fixation Is Effective in Congenital Femoral Deficiency

Lengthening With External Fixation Is Effective in Congenital Femoral Deficiency

Bone Overgrowth after Fracture of the Femoral Shaft in Children

A Cross-sectional Growth Study of Forearm Length and Tibial Length in an Indigenous Andean Population of 6 to 19 Years of Age.

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