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ISSN 2007-087X (Print)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

1997, Number 2

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Rev Mex Ortop Ped 1997; 1 (2)

Experiencia en fracturas de la diáfisis femoral en niños

Gracian TMM, Martinez LAC

Language: Spanish
References: 21
Page: 20-23
PDF size: 447.84 Kb.


ABSTRACT

Eight-two patients from 0 to 13 years old, with fracture of the femoral diaphysis were treated. They were managed under two types of treatment: 1) spica cast initially placed or 2) Spica cast with previous skeletal traction, depending on the initial displacement at their arrival to our hospital. The follow-up consisted of out patient visits with a minimum average of 32 weeks and frequent x-ray control during the first weeks. The results in patients under 6 years old were similar in both groups: no one presented a shortening of more than 2 cm; nor an angular deformity of more than 15°. In patients older than 6 years old we had: in the initial spica cast group, 8 patients (16%) with an angular deformity of more than 15°; in the spica cast with previous traction group, 2 patients with shortening of more than 2 cm and 18 patients with an angular deformity were obtained in patients over 6 years old, where a different type of treatment is suggested.


REFERENCES

  1. Wilkins, K.E: The pediatric patient who presents with a limp. (Diagnostic considerations). Instruccional course UTHSC. 1997.

  2. Ziv, Israel: Femoral intramedullary nailing in the growing child. The joumal o trauma; vo1.24 No. 5:432-34,1984.

  3. Canale, Terry: Fractures of the femur in children. J. bone and joint surg; 77A: 294-315, Feb 1995.

  4. Levy, Jon: Pediatric femur fractures an overview of treatment. Orthopaedics; vol. 16 No.2: 183-89, Feb 1993.

  5. Thometz, John G: Osteonecrosis of the femoral head after intramedullary nailing of a fracture of the femoral shaft in an adolescent. J. bone and joint surg; 77A:1423-26, Sep 1995.

  6. Reichert, I.L.H: The acute vascular response to intramedullary reaming. J. Bone and Joint Surg; 77B:490-93, May 1995.

  7. Hensinger, Robert N: Operative management of the lower extremity fractures in children. AAOS monograph series. 1992.

  8. Tachdjian, M.O: Ortopedia Pediátrica. Interamericana; segunda edición. 1994.

  9. Rockwood, CH.A; Wilkins, K.E: Fractures in children. J.B lippincott company; Third edition, Vol 3. 1991.

  10. Bucholz, Robert W.: Orthopeadic decision making. Mosby. second edition. 1996.

  11. Frymoyer, John W.: Orthopaedic knowledge update IV AAOS. Garsi first edition, 1993.

  12. Wilkins, K.E: The pediatric patient who presents with a limp. (Diagnostic considerations). Instruccional course UTHSC. 1997.

  13. Ziv, Israel: Femoral intramedullary nailing in the growing child. The joumal o trauma; vo1.24 No. 5:432-34,1984.

  14. Canale, Terry: Fractures of the femur in children. J. bone and joint surg; 77A: 294-315, Feb 1995.

  15. Levy, Jon: Pediatric femur fractures an overview of treatment. Orthopaedics; vol. 16 No.2: 183-89, Feb 1993.

  16. Thometz, John G: Osteonecrosis of the femoral head after intramedullary nailing of a fracture of the femoral shaft in an adolescent. J. bone and joint surg; 77A:1423-26, Sep 1995.

  17. Reichert, I.L.H: The acute vascular response to intramedullary reaming. J. Bone and Joint Surg; 77B:490-93, May 1995.

  18. Hensinger, Robert N: Operative management of the lower extremity fractures in children. AAOS monograph series. 1992.

  19. Tachdjian, M.O: Ortopedia Pediátrica. Interamericana; segunda edición. 1994.

  20. Rockwood, CH.A; Wilkins, K.E: Fractures in children. J.B lippincott company; Third edition, Vol 3. 1991. Bucholz, Robert W.: Orthopeadic decision making. Mosby. second edition. 1996.

  21. Frymoyer, John W.: Orthopaedic knowledge update IV AAOS. Garsi first edition, 1993.




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