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Pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: A case report
Pediatric subtrochanteric fractures are relatively rare. There are some surgical options with various plate techniques. Here, we report the first description of a pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate and describe the good clin...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9021574/ https://www.ncbi.nlm.nih.gov/pubmed/35465021 http://dx.doi.org/10.1177/2050313X221093112 |
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author | Tsutsumi, Ryosuke Mammoto, Takeo |
author_facet | Tsutsumi, Ryosuke Mammoto, Takeo |
author_sort | Tsutsumi, Ryosuke |
collection | PubMed |
description | Pediatric subtrochanteric fractures are relatively rare. There are some surgical options with various plate techniques. Here, we report the first description of a pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate and describe the good clinical outcomes achieved. A 10-year-old boy had a pathological subtrochanteric fracture. A non-contact bridging proximal humerus osteosynthesis plate was used. Although this is designed for the adult proximal humerus, its size and shape were considered to fit the pediatric proximal femur. In addition, this is a polyaxial locking plate with a choice of screw insertion directions. During surgery, it was possible to determine an appropriate plate installation position and screw direction in consideration of the location of pathological lesions, the bone shape, and the femoral neck angle. Twelve months postoperatively, the fracture was healed, and pathological lesion consolidated without obvious growth failure. |
format | Online Article Text |
id | pubmed-9021574 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-90215742022-04-22 Pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: A case report Tsutsumi, Ryosuke Mammoto, Takeo SAGE Open Med Case Rep Case Report Pediatric subtrochanteric fractures are relatively rare. There are some surgical options with various plate techniques. Here, we report the first description of a pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate and describe the good clinical outcomes achieved. A 10-year-old boy had a pathological subtrochanteric fracture. A non-contact bridging proximal humerus osteosynthesis plate was used. Although this is designed for the adult proximal humerus, its size and shape were considered to fit the pediatric proximal femur. In addition, this is a polyaxial locking plate with a choice of screw insertion directions. During surgery, it was possible to determine an appropriate plate installation position and screw direction in consideration of the location of pathological lesions, the bone shape, and the femoral neck angle. Twelve months postoperatively, the fracture was healed, and pathological lesion consolidated without obvious growth failure. SAGE Publications 2022-04-19 /pmc/articles/PMC9021574/ /pubmed/35465021 http://dx.doi.org/10.1177/2050313X221093112 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Report Tsutsumi, Ryosuke Mammoto, Takeo Pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: A case report |
title | Pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: A case report |
title_full | Pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: A case report |
title_fullStr | Pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: A case report |
title_full_unstemmed | Pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: A case report |
title_short | Pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: A case report |
title_sort | pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9021574/ https://www.ncbi.nlm.nih.gov/pubmed/35465021 http://dx.doi.org/10.1177/2050313X221093112 |
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