Subtrochanteric Fractures of the Femur in Children

Ireland, Damian C.R.; Fisher, Robert L.

doi:10.1097/00003086-197507000-00020

Cited by 34 publications

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“…Paediatric subtrochanteric femoral fractures present a special unstable type which receives no special attention in the literature 2,3 . Patient's age may be the most important single variable regarding pediatric femoral fracture treatment.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study Of Surgical Management Of Subtrochanteric Fractures In Children

Sahu

Gupta

2012

Bangladesh J Med Sci

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Abstract:Introduction: Subtrochateric femoral fracture is a major cause of morbidity and mortality in patients with lower extremity injuries. There have been no studies that have specifically looked at the management of subtrochanteric femoral fractures in skeletally immature adolescents. It was the purpose of this study to investigate the treatment of this injury in this unique patient population. Methods: This study was conducted in the Department of Orthopaedic surgery in M. M. Medical College from July 2006 to November 2008. Thirty-four patients were recruited from Emergency and out patient department having closed subtrochanteric femoral fracture. All patients were operated under general or spinal anesthesia. All patients were followed for twelve months. Results: All children achieved union in a mean time of 10 weeks (range from 6 -16 weeks) depending on the type of long bone. Full weight bearing was possible in a mean time of 8.8 weeks. Mean duration of hospital stay was 9.8 days. The mean follow-up period was 28 months (17-48 months). Complications were recorded in 4 (11.77%) patients and included: two entry site skin irritations, one protrusion of the wires through the skin and one delayed union. The results were excellent in 97.06% and good in 2.97% patients. Conclusions: We conclude that Rigid and close interlocking nailing between the age of 9-16 years offered excellent fracture stability allowing early mobilization (early weight bearing) and joint motion in comparisons to the other groups and between the age of 6-8 years titanium elastic nail and bridging plate offered excellent result.

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Section: Discussionmentioning

confidence: 99%

A Comparative Study Of Surgical Management Of Subtrochanteric Fractures In Children

Sahu

Gupta

2012

Bangladesh J Med Sci

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“…In adults, these fractures are defined as occurring within a region extending to 5 cm distal to the lesser trochanter. 16 In children, the proximal one-quarter of the femur, 4 and a region up to 2 cm 14 or 3 cm 5 distal to the lesser trochanter have all been employed. In this series, the definition employed was that of Ireland and Fisher,4 in which the proximal one-quarter of the femur was defined as a subtrochanteric fracture.…”

Section: Discussionmentioning

confidence: 99%

“…Owing to the infrequency of these injuries, subtrochanteric femoral fractures in skeletally immature adolescents have received little attention in the literature. These fractures most commonly result from high-energy trauma, are associated with a significant male preponderance, [3][4][5] and tend to occur in younger children. 4 -6 Subtrochanteric fractures are distinguished from other pediatric femoral fractures because of an increased incidence of comminution, shortening, and coronal plane angulation.…”

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confidence: 99%

“…4 -6 Subtrochanteric fractures are distinguished from other pediatric femoral fractures because of an increased incidence of comminution, shortening, and coronal plane angulation. 1,4,7 Further, in children and skeletally immature adolescents, these injuries are distinct from those in adults due to less comminution, less complicated fracture pattern, and significantly higher union rate. 8 Several factors have been reported to be responsible for management difficulties, including displacement of the proximal fragment into flexion, abduction, and external rotation, decreased soft-tissue constraint of the proximal fragment, and the presence of high compressive forces on the medial aspect and high tensile forces on the lateral aspect of the proximal femur.…”

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confidence: 99%

“…For children older than 10 years, those with multiple trauma injuries, or those with an unacceptable alignment while in traction, surgical fixation has been advocated. [3][4][5][6]12,13 Because there have been no studies emphasizing the treatment of skeletally immature adolescents older than 10 years of age who sustain subtrochanteric femoral fractures, it was the purpose of this study to describe the experience at a major pediatric trauma center with the management of these injuries. Furthermore, it was the goal to increase awareness of the different methods of fixation available for the treatment of these fractures in skeletally immature adolescents and, where possible, to make specific recommendations.…”

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confidence: 99%

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Management of Subtrochanteric Fractures in Skeletally Immature Adolescents

Jarvis

Davidson

Letts

2006

The Journal of Trauma: Injury, Infection, and Critical Care

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Femur

Skeletal Injury in the Child

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FIGURE 21-4. Roentgenographic development of the distal femur. (A) Serial sections from a 3-year-old child (accident victim). Note the differences in the physeal/metaphyseal contours. There is a torus fracture in the distal metaphysis (arrows). (B) Irregular medial ossification (arrow) is evident in this specimen from a 7-year-old. (C) Femur from a 15-year-old showing early stages of physiologic epiphysiodesis.

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Subtrochanteric Fractures of the Femur in Children

Cited by 34 publications

References 0 publications

A Comparative Study Of Surgical Management Of Subtrochanteric Fractures In Children

A Comparative Study Of Surgical Management Of Subtrochanteric Fractures In Children

Management of Subtrochanteric Fractures in Skeletally Immature Adolescents

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