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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 2

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Acta Ortop Mex 2016; 30 (2)

Subtrochanteric fracture in children treated with minimally invasive surgery: case report

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

Language: Spanish
References: 10
Page: 96-99
PDF size: 280.39 Kb.


Key words:

Fracture, femur, surgery, treatment, subtrochanteric.

ABSTRACT

Subtrochanteric fractures in children are rare events that occur in only 4% of all femur fractures; most injuries occur as a result of high-energy trauma, being young male patients 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 the use of external fixators. Most suggest that for children under 10 a nonoperative approach should be preferred and that older ones should be managed surgically, but it is between six and 12-year-olds that most of the controversy exists. In this article, we present the management of this entity with a proximal fracture plate using a minimally invasive technique.


REFERENCES

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  2. Kim JW, Oh CW, Byun YS, Oh JK, Kim HJ, Min WK, et al: A biomechanical analysis of locking plate fi xation with minimally invasive plate osteosynthesis in a subtrochanteric fracture model. J Trauma. 2011; 70(1): E19-23. doi: 10.1097/TA.0b013e3181d40418.

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

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

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Acta Ortop Mex. 2016 Mar-Abr;30