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PROXIMAL HUMERAL LOCKING PLATE: A VIABLE ALTERNATIVE FOR FIXATION OF DISTAL FEMORAL FRACTURES IN CHILDREN

Distal femoral metaphyseal fractures are rare in children, and the proximity of the fracture to the growth plate makes their approach challenging. OBJECTIVE: Evaluate outcomes and complications of treatment of distal femoral metaphyseal fractures in children with proximal humeral locking plates. MET...

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Autores principales: VALENZA, WEVERLEY RUBELE, SONI, JAMIL FAISSAL, BODANESE, BRUNO HENRIQUE SCHUTA, ROSSETTO, DEIVIDE MATEUS, KOSOVITS, FRANCISCO GUILHERME DE PAULA, CORDEIRO, PEDRO IVO PEDRONI
Formato: Online Artículo Texto
Lenguaje:English
Publicado: ATHA EDITORA 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263410/
https://www.ncbi.nlm.nih.gov/pubmed/37323152
http://dx.doi.org/10.1590/1413-785220233102e262167
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author VALENZA, WEVERLEY RUBELE
SONI, JAMIL FAISSAL
BODANESE, BRUNO HENRIQUE SCHUTA
ROSSETTO, DEIVIDE MATEUS
KOSOVITS, FRANCISCO GUILHERME DE PAULA
CORDEIRO, PEDRO IVO PEDRONI
author_facet VALENZA, WEVERLEY RUBELE
SONI, JAMIL FAISSAL
BODANESE, BRUNO HENRIQUE SCHUTA
ROSSETTO, DEIVIDE MATEUS
KOSOVITS, FRANCISCO GUILHERME DE PAULA
CORDEIRO, PEDRO IVO PEDRONI
author_sort VALENZA, WEVERLEY RUBELE
collection PubMed
description Distal femoral metaphyseal fractures are rare in children, and the proximity of the fracture to the growth plate makes their approach challenging. OBJECTIVE: Evaluate outcomes and complications of treatment of distal femoral metaphyseal fractures in children with proximal humeral locking plates. METHOD: Retrospective study between 2018 and 2021, including seven patients. The analysis included general characteristics, trauma mechanism, classification, clinical and radiographic outcomes, and complications. RESULTS: The mean follow-up was 20 months, the average age was nine years, five patients were boys, and six fractured on the right side. Five fractures were caused by car accidents, one by falling from their own height and one by playing soccer. Five fractures were classified as 33-M/3.2 and two as 33-M/3.1. Three fractures were open, Gustilo IIIA. All seven patients recovered mobility and resumed their pre-trauma activities. All seven healed, and one fracture was reduced to 5 degrees valgus, without any other complications. Six patients had the implant removed and did not present refracture. CONCLUSION: Treatment of distal femoral metaphyseal fractures with proximal humeral locking plates is a viable option that offers good results and fewer complications, saving the epiphyseal cartilage. Level of Evidence II; Controlled study without randomization.
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spelling pubmed-102634102023-06-15 PROXIMAL HUMERAL LOCKING PLATE: A VIABLE ALTERNATIVE FOR FIXATION OF DISTAL FEMORAL FRACTURES IN CHILDREN VALENZA, WEVERLEY RUBELE SONI, JAMIL FAISSAL BODANESE, BRUNO HENRIQUE SCHUTA ROSSETTO, DEIVIDE MATEUS KOSOVITS, FRANCISCO GUILHERME DE PAULA CORDEIRO, PEDRO IVO PEDRONI Acta Ortop Bras Original Article Distal femoral metaphyseal fractures are rare in children, and the proximity of the fracture to the growth plate makes their approach challenging. OBJECTIVE: Evaluate outcomes and complications of treatment of distal femoral metaphyseal fractures in children with proximal humeral locking plates. METHOD: Retrospective study between 2018 and 2021, including seven patients. The analysis included general characteristics, trauma mechanism, classification, clinical and radiographic outcomes, and complications. RESULTS: The mean follow-up was 20 months, the average age was nine years, five patients were boys, and six fractured on the right side. Five fractures were caused by car accidents, one by falling from their own height and one by playing soccer. Five fractures were classified as 33-M/3.2 and two as 33-M/3.1. Three fractures were open, Gustilo IIIA. All seven patients recovered mobility and resumed their pre-trauma activities. All seven healed, and one fracture was reduced to 5 degrees valgus, without any other complications. Six patients had the implant removed and did not present refracture. CONCLUSION: Treatment of distal femoral metaphyseal fractures with proximal humeral locking plates is a viable option that offers good results and fewer complications, saving the epiphyseal cartilage. Level of Evidence II; Controlled study without randomization. ATHA EDITORA 2023-06-09 /pmc/articles/PMC10263410/ /pubmed/37323152 http://dx.doi.org/10.1590/1413-785220233102e262167 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
VALENZA, WEVERLEY RUBELE
SONI, JAMIL FAISSAL
BODANESE, BRUNO HENRIQUE SCHUTA
ROSSETTO, DEIVIDE MATEUS
KOSOVITS, FRANCISCO GUILHERME DE PAULA
CORDEIRO, PEDRO IVO PEDRONI
PROXIMAL HUMERAL LOCKING PLATE: A VIABLE ALTERNATIVE FOR FIXATION OF DISTAL FEMORAL FRACTURES IN CHILDREN
title PROXIMAL HUMERAL LOCKING PLATE: A VIABLE ALTERNATIVE FOR FIXATION OF DISTAL FEMORAL FRACTURES IN CHILDREN
title_full PROXIMAL HUMERAL LOCKING PLATE: A VIABLE ALTERNATIVE FOR FIXATION OF DISTAL FEMORAL FRACTURES IN CHILDREN
title_fullStr PROXIMAL HUMERAL LOCKING PLATE: A VIABLE ALTERNATIVE FOR FIXATION OF DISTAL FEMORAL FRACTURES IN CHILDREN
title_full_unstemmed PROXIMAL HUMERAL LOCKING PLATE: A VIABLE ALTERNATIVE FOR FIXATION OF DISTAL FEMORAL FRACTURES IN CHILDREN
title_short PROXIMAL HUMERAL LOCKING PLATE: A VIABLE ALTERNATIVE FOR FIXATION OF DISTAL FEMORAL FRACTURES IN CHILDREN
title_sort proximal humeral locking plate: a viable alternative for fixation of distal femoral fractures in children
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10263410/
https://www.ncbi.nlm.nih.gov/pubmed/37323152
http://dx.doi.org/10.1590/1413-785220233102e262167
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