Adult Proximal Humerus Locking Plate for the Treatment of a Pediatric Subtrochanteric Femoral Nonunion: A Case Report

Cortes, Luis E; Triana, Miguel; Vallejo, Francisco Mateo; Slongo, Theddy; Streubel, Philipp N.

doi:10.1097/bot.0b013e3181f8d9c3

Cited by 16 publications

(11 citation statements)

References 25 publications

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“…Fernandez et al 5 treated six cases of non-union of forearm shaft fractures in children after intramedullary nailing. Behr et al 6 reported seven cases of scaphoid, Cortes et al 7 treated one case of non-union following subtrochanteric femoral fracture in a child. Pourtaheri8 reported one case of clavicle non-union.…”

Section: Discussionmentioning

confidence: 99%

Non-union of the great toe in a 4-year-old child

Göksel¹,

Ermutlu²,

Gölge

et al. 2015

BMJ Case Reports

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Phalangeal fractures of the foot are very rare in children. They are treated with closed reduction and splinting. Cases reported of non-union in children are rare. We report on treatment of a 4-year-old child with non-union of the proximal phalanx of the great toe foot following an open fracture caused by a motor vehicle accident 4 months prior. No graft was used. We present this case with good clinical outcome at 1 year follow-up.

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Section: Discussionmentioning

confidence: 99%

Non-union of the great toe in a 4-year-old child

Göksel¹,

Ermutlu²,

Gölge

et al. 2015

BMJ Case Reports

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“…The locking screws and plate offer stable mechanical support to the bone, and reduce potential damage to surrounding blood supply. [ 15 , 16 ] The rational length of the plate avoids damage to epiphyseal cartilage, which is especially beneficial in our case.…”

Section: Discussionmentioning

confidence: 90%

Single-cortex is better than double-cortex in fibula grafts for large tibia bone defect in a 2-year-old child

Pan

Yan

et al. 2017

Medicine

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Background:Large bone defect in infant or small patients has been little reported and the management of such a patient is difficult. Considering the little knowledge of this area, we present this special case of a successful single-cortex fibula graft for the treatment of a large tibia bone defect in a 2-year-old patient to share our experience.Case summary:A 2-year-old male patient presented to our hospital with history of leg pain for 4 months. According to his medical records, he was involved in a traffic accident and diagnosed with open tibia fracture. A previous surgery of emergent debridement and external fixation was performed in our institution, leaving a 6-cm tibia bone defect. After that this patient received several times of vacuum sealing drainage (VSD), skin grafting, and changed external fixation to cast because of pin tract infection.The physical examination of the patient showed a healed skin wound and a good dorsal arterial pulse. X-ray indicated a large bone defect at the tibia fracture site with osteosclerosis at the fracture sections. This patient received ipsilateral single-cortex vascularized single-cortex fibula graft, other than double-cortex fibula graft. X-ray and CT scan 4 months after the operation confined bone healing. The patient returned to normal activities with an inconspicuous limb.Conclusion:Ipsilateral single-cortex fibula graft is effective for the treatment of large tibia bone defect in infant or small aged patients. It exhibited better potential benefits than double-cortex graft in such cases.

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“…DBX has been described in a case report, showing the successful treatment of a subtrochanteric nonunion of an 11-year-old patient with an adult proximal humeral locking plate and additional grafting with DBX. 32 This study provides level IV evidence that DBX may be used as a bone graft substitute to treat nonunion.…”

Section: Resultsmentioning

confidence: 85%

“…For example, the use of DBX is only described in a small case series of sternum fractures 30 and a single case report of nonunion. 32 Furthermore, the case-control study that used Grafton DBM or OrthoBlast in fracture treatment 48 included only 13 and 15 cases and did not have a control group. The RCT by Hierholzer et al 53 which concludes that grafting humeral nonunions with Grafton DBM is as effective as using autologous bone reported union rates of 97% and 100%, respectively, after four months.…”

Section: Discussionmentioning

confidence: 99%

The available evidence on demineralised bone matrix in trauma and orthopaedic surgery

Stok

Hartholt

Schoenmakers

et al. 2017

Bone & Joint Research

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ObjectivesThe aim of this systematic literature review was to assess the clinical level of evidence of commercially available demineralised bone matrix (DBM) products for their use in trauma and orthopaedic related surgery.MethodsA total of 17 DBM products were used as search terms in two available databases: Embase and PubMed according to the Preferred Reporting Items for Systematic Reviews and Meta Analyses statement. All articles that reported the clinical use of a DBM-product in trauma and orthopaedic related surgery were included.ResultsThe literature search resulted in 823 manuscripts of which 64 manuscripts met the final inclusion criteria. The included manuscripts consisted of four randomised controlled trials (level I), eight cohort studies (level III) and 49 case-series (level IV). No clinical studies were found for ten DBM products, and most DBM products were only used in combination with other grafting materials. DBM products were most extensively investigated in spinal surgery, showing limited level I evidence that supports the use Grafton DBM (Osteotech, Eatontown, New Jersey) as a bone graft extender in posterolateral lumbar fusion surgery. DBM products are not thoroughly investigated in trauma surgery, showing mainly level IV evidence that supports the use of Allomatrix (Wright Medical, London, United Kingdom), DBX (DePuy Synthes, Zuchwil, Switzerland), Grafton DBM, or OrthoBlast (Citagenix Laval, Canada) as bone graft extenders.ConclusionsThe clinical level of evidence that supports the use of DBM in trauma and orthopaedic surgery is limited and consists mainly of poor quality and retrospective case-series. More prospective, randomised controlled trials are needed to understand the clinical effect and impact of DBM in trauma and orthopaedic surgery.Cite this article: J. van der Stok, K. A. Hartholt, D. A. L. Schoenmakers, J. J. C. Arts. The available evidence on demineralised bone matrix in trauma and orthopaedic surgery: A systemati c review. Bone Joint Res 2017;6:423–432. DOI: 10.1302/2046-3758.67.BJR-2017-0027.R1.

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Adult Proximal Humerus Locking Plate for the Treatment of a Pediatric Subtrochanteric Femoral Nonunion: A Case Report

Cited by 16 publications

References 25 publications

Non-union of the great toe in a 4-year-old child

Non-union of the great toe in a 4-year-old child

Single-cortex is better than double-cortex in fibula grafts for large tibia bone defect in a 2-year-old child

The available evidence on demineralised bone matrix in trauma and orthopaedic surgery

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