Adult proximal humerus locking plate for fixation of paediatric subtrochanteric fractures

Gogna, Paritosh; Mohindra, Mukul; Verma, Saurabh; Thora, Ankit; Tiwari, Anurag; Singla, Rohit

doi:10.1007/s12306-013-0310-z

Cited by 11 publications

(20 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Few reports exist in the literature regarding the use of adult proximal humerus plates for pediatric subtrochanteric femur fractures. To the best of our knowledge, Gogna et al reported the largest series including 8 pediatric subtrochanteric femur fractures treated with adult proximal humerus plate and showed favorable outcomes 13. Chew et al used the adult proximal humerus plate for the treatment of a subtrochanteric femur fracture in a 13-year-old female patient and reported a satisfactory outcome 14.…”

Section: Discussionmentioning

confidence: 99%

An Alternative Fixation Option for Subtrochanteric Femur Fractures in Children: Adult Proximal Humerus Plate

Danışman

Özdemir

Dursun

et al. 2022

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

Background: Subtrochanteric femur fractures are unstable injuries due to strong muscle forces on the proximal femur. The ideal fixation device is controversial in the treatment of subtrochanteric femur fractures in children. The aim of this study is to evaluate the clinical and radiological outcomes of subtrochanteric femur fractures in children treated with an adult proximal humerus plate. Methods: A total of 9 patients [mean age at surgery, 8.3 years (range: 7 to 12); mean follow-up period, 28.1 months (range: 12 to 56)] who underwent surgery due to a subtrochanteric femur fracture and treated with an adult proximal humerus between January 2017 and December 2021 were retrospectively evaluated. Four of the patients had a pathological fracture associated with a benign bone tumor while 5 patients had a nonpathological fracture. The clinical and radiological outcomes were assessed using the Flynn scoring system at the latest follow-up. Time to union and complications were recorded. Results: All patients demonstrated a solid fusion of the fracture site and were able to bear full weight at the latest follow-up. The mean time to union was 8.2 weeks (range: 6 to 10). Based on the Flynn scoring system at the latest follow-up, seven patients had excellent clinical outcomes and two patients had satisfactory outcomes. Two patients had limb length discrepancy, and one patient had coxa valga and a limb length discrepancy of 16 mm. There were no patients with nonunion, infection, implant failure, osteonecrosis of the femoral head, and heterotopic bone formation. Conclusion:This study suggests that the adult proximal humerus plate may be an effective alternative fixation option in the treatment of subtrochanteric femur fractures in children, including pathological fractures.

show abstract

Section: Discussionmentioning

confidence: 99%

An Alternative Fixation Option for Subtrochanteric Femur Fractures in Children: Adult Proximal Humerus Plate

Danışman

Özdemir

Dursun

et al. 2022

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

show abstract

“…Previously, adult proximal humerus locking plates 5 , 6 and adult lower-extremity periarticular locking plates 9 have been used for pediatric subtrochanteric fractures. Since these are monoaxial locking plates, it is impossible to adjust the direction of screw insertion.…”

Section: Discussionmentioning

confidence: 99%

Pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: A case report

Tsutsumi

Mammoto

2022

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

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.

show abstract

“…ediatric subtrochanteric fracture defined as 10% percent the length of the whole femur below the lesser trochanter. 1 Subtrochanteric fractures constitute 1% in children. 1,2 Adolescent subtrochanteric fractures are unusual and have received less attention in literature.…”

Section: Introductionmentioning

confidence: 99%

“…1 Subtrochanteric fractures constitute 1% in children. 1,2 Adolescent subtrochanteric fractures are unusual and have received less attention in literature. [1][2][3] There are various deforming forces around this fracture like proximal fracture tends to flex, abduct, and external rotate and distal fragment adducts.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Adolescent subtrochanteric fractures are unusual and have received less attention in literature. [1][2][3] There are various deforming forces around this fracture like proximal fracture tends to flex, abduct, and external rotate and distal fragment adducts. 1 Due to various deforming forces around this fracture, this fracture requires special attention.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prospective Study of Radiological and Functional Outcome of Closed Subtrochanteric Fracture Fixation with Proximal Humerus Interlocking Plate in Adolescent Patients

Bansal¹

2020

GJMR

View full text Add to dashboard Cite

Background: Subtrochanteric fractures constitute 1% in children. Subtrochanteric fractures in pediatric age defined as 10% length of total femur below the lesser trochanter. Mostly these fractures are unstable types. There are various treatment options available for the management of this fracture, depending on the age group of the patient. But there is no well-defined management for adolescent subtrochanteric fractures. Methods: This study includes five patients present to orthopedic emergency with closed subtrochanteric fracture without distal neurological deficit. Patients were managed operatively after informed consent with proximal humerus locking plate under regional anesthesia. Postoperatively patients were kept nonweight bearing with in-bed exercises. Follow-up was done at 2, 6, 12, 24, and 36 weeks. Patients were evaluated as functional and radiologically.

show abstract

Adult proximal humerus locking plate for fixation of paediatric subtrochanteric fractures

Cited by 11 publications

References 12 publications

An Alternative Fixation Option for Subtrochanteric Femur Fractures in Children: Adult Proximal Humerus Plate

An Alternative Fixation Option for Subtrochanteric Femur Fractures in Children: Adult Proximal Humerus Plate

Pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: A case report

Prospective Study of Radiological and Functional Outcome of Closed Subtrochanteric Fracture Fixation with Proximal Humerus Interlocking Plate in Adolescent Patients

Contact Info

Product

Resources

About