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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2016, Number 1

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Acta Ortop Mex 2016; 30 (1)

Surgical treatment of subtrochanteric fractures in children

Guzmán-Vargas R, Rincón-Cardozo DF, Camacho-Casas JA
Full text How to cite this article

Language: Spanish
References: 10
Page: 21-24
PDF size: 211.66 Kb.


Key words:

Fracture, subtrochanteric, children, treatment, plate.

ABSTRACT

Subtrochanteric fractures in children are rare events, occur in only 4% of all femur fractures, most injuries occur as a result of high energy trauma, being young male’s patient the most affected. The management of this type of injury is controversial, there are many forms of treatment, including the use of plaster spica 90-90, closed reduction and use of elastic or rigid intramedullary nails, open reduction and plate placement and external fixators. Most suggest that children under 10 should be preferred non-operative and for older than 12 surgical management is indicated, but the discussion is between 6 and 12 years old. Through this article we present the treatment of such entity with a proximal fracture plate using a minimally invasive technique.


REFERENCES

  1. Jarvis J, Davidson D, Letts M: Management of subtrochanteric fractures in skeletally immature adolescents. J Trauma. 2006; 60(3): 613-9.

  2. Kim JW, Oh CW, Byun YS, Oh JK, Kim HJ, Min WK, et al: A biomechanical analysis of locking plate fixation with minimally invasive plate osteosynthesis in a subtrochanteric fracture model. J Trauma. 2011; 70(1): E19-23.

  3. Pombo MW, Shilt JS: The definition and treatment of pediatric subtrochanteric femur fractures with titanium elastic nails. J Pediatr Orthop. 2006; 26(3): 364-70.

  4. El-Sayed M, Abulsaad M, El-Hadidi M, El-Adl W, El-Batouty M: Reconstruction plate fixation of subtrochanteric femoral fractures in children. Acta Orthop Belg. 2007; 73(4): 484-90.

  5. Cortes LE, Triana M, Vallejo F, Slongo TF, Streubel PN: Adult proximal humerus locking plate forthe treatment of a pediatric subtrochanteric femoral nonunion: a case report. J Orthop Trauma. 2011; 25(7): e63-7.

  6. Sahu RL, Gupta P: A comparative study of surgical management of subtrochanteric fractures in children. Bangladesh Journal of Medical Science. 2012; 11(3): 91-7.

  7. Theologis TN, Cole WG: Management of subtrochanteric fractures of the femur in children. J Pediatr Orthop. 1998; 18(1): 22-5.

  8. Loizou CL, McNamara I, Ahmed K, Pryor GA, Parker MJ: Classification of subtrochanteric femoral fractures. Injury. 2010; 41(7): 739-45.

  9. Forward DP, Doro CJ, OʼToole RV, Kim H, Floyd JC, Sciadini MF, et al: A biomechanical comparison of a locking plate, a nail, and a 95° angled blade plate for fixation of subtrochanteric femoral fractures. J Orthop Trauma. 2012; 26(6): 334-40.

  10. Kuzyk PR, Bhandari M, McKee MD, Russell TA, Schemitsch EH: Intramedullary versus extramedullary fixation for subtrochanteric femur fractures. J Orthop Trauma. 2009; 23(6): 465-70.




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Acta Ortop Mex. 2016 Ene-Feb;30