Fractures about the Knee: Growth Disturbances and Problems of Stability at Long-Term Follow-Up

Buess-Watson, E.; Exner, G. Ulrich; Illi, O. E.

doi:10.1055/s-2008-1066109

Cited by 19 publications

(7 citation statements)

References 2 publications

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“…Sixty-one studies were retrieved for full text examination. After review of these full text articles, 45 studies were excluded as they did not satisfactorily meet the inclusion criteria as outlined in Appendix V. Sixteen case series studies were appraised, of which one study was excluded at this stage as there was inadequate detail of primary outcomes (47). The process of study identification, selection and inclusion is illustrated in Figure 3.1.…”

Section: Process Of Study Selectionmentioning

confidence: 99%

Effectiveness of Surgical versus Conservative Treatment for Distal Femoral Growth Plate Fractures: A Systematic Review

Hayes¹,

Umapathysivam²,

Foster³

2019

TOORTHJ

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Background and Objective:The objective of this review was to determine whether surgery, in comparison to conservative treatment, is a safe and effective intervention for the management of distal femoral growth plate fractures.Methods:A systematic literature review was performed using a three-step search strategy. The PubMed, Embase and Scopus databases were utilized to identify current studies from 1 January 1990 to 8 January 2017. Papers selected for retrieval were assessed by two independent reviewers for methodological validity prior to inclusion in the review using standardized critical appraisal instruments. Primary outcomes of interest were rates of growth arrest and angular deformity.Results:Of the 7740 studies identified with the search, 15 case studies with data inclusive of outcomes of interest were selected for inclusion. A total of 466 patients were included.The rate of complication in the surgical population was 37.8%. In the conservative population the rate of complication was 34.0%. Five of the 15 papers showed Salter-Harris (SH) classification to correlate with prognosis, three papers showed the presence of displacement to correlate with prognosis which would have had an influence on the results of these higher graded injuries likely to have been managed operatively. A high rate of position loss and subsequent growth abnormalities was observed when conservative management was instituted.Conclusion:The rate of complication was marginally higher in the surgical population than that in the conservative population. This study also identified that higher severity distal femur physeal fractures, determined by the amount of displacement and Salter Harris grade, may associate a poorer outcome. It appears that managing higher severity distal femoral physeal injuries conservatively would be less likely to achieve and maintain reduction and therefore associate higher risks of malunion with subsequent growth arrest, leg length discrepancy and angular deformity as compared with surgical intervention. Further studies with higher patient numbers and comparable cohorts are needed to compare surgical and conservative interventions for the lower severity distal femoral physeal fractures.

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Section: Process Of Study Selectionmentioning

confidence: 99%

Effectiveness of Surgical versus Conservative Treatment for Distal Femoral Growth Plate Fractures: A Systematic Review

Hayes¹,

Umapathysivam²,

Foster³

2019

TOORTHJ

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“…LLD is known to favor pain along the spinal column, starting with lumbar pain 1 5 . LLDs also contribute to pain in the sacroiliac joint 4 6 15 , as well as coxalgia and gonalgia, which are the result of a functional overload that is usually located in the longer leg when standing 17 24 and in the shorter leg when walking or running. These troubles can evolve toward osteoarthritis over the longer term 6 .…”

Section: Introductionmentioning

confidence: 99%

“…LLDs also contribute to pain in the sacroiliac joint 4 6 15 , as well as coxalgia and gonalgia, which are the result of a functional overload that is usually located in the longer leg when standing 17 24 and in the shorter leg when walking or running. These troubles can evolve toward osteoarthritis over the longer term 6 . The foot on the longer leg may have a tendency toward pronation 14 and greater eversion 27 .…”

Section: Introductionmentioning

confidence: 99%

Does Intensive Soccer Playing During the Growth Period Lead to Leg Length Discrepancies?

Guer

Blanchard

Harnagea³

et al. 2017

Sports Med Int Open

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Leg length discrepancies (LLD) are a common reason for podiatry consultations and can affect up to 90% of the overall population. Furthermore, it is widely recognized that intensive participation in certain sports can alter bone development. The aim of this study is to explore any possible relation between playing soccer and the appearance or evolution of LLD, by means of a retrospective study based on the analysis of case reports of patients followed for foot or plantar troubles. Case reports were selected in the archives of a podiatric clinic for the period between 2002 and 2016 among patients who declared regular to intensive soccer playing, aged 13 years or more. LLD was detected in the vast majority of cases (95 cases out of 104). Pearson correlation coefficients were computed and revealed a strong correlation between the laterality of the kicking limb and that of the shorter leg. The shorter limb was on the side of the kicking leg in 96% of the cases when considering the players who began practice before the age of 13, and only 53% of the cases for others. Intensive soccer playing at a young age may encourage the appearance and evolution of a real LLD.

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“…Diz üstü alçı tespiti genellikle yeterli olursa da uyumsuz hastalarda pelvi pedal alçı tespiti uygulanmalıdır. [6] Konservatif olarak tedavi edilen kırıklarda yerleştirmenin bozulmasının erken tanısı için haftalık radyolojik izlem gereklidir. kaydırılarak uygun yerleştirme sağlanabilir.…”

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Çocuklarda diz çevresi epifiz yaralanmalarında tedavi yaklaşımları

Ağuş¹

2018

TOTBID

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Bu yaralanmalar çocuk kırıklarının %1'ini ve büyüme plağı yaralanmalarının %1-6'sını oluşturur ve genellikle adolesan çağının yaralanmaları olarak görülür. [2] Femurun alt uç epifizi vücudun en büyük ve en hızlı büyüyen epifizidir ve bu nedenle, yaklaşık olarak femur büyümesinin 2/3'ünden, alt uzvun büyümesinin de 1/3'ünden sorumludur. Dolayısıyla, yaralanma neticesi büyümenin zarar görmesi, ciddi şekil bozukluğu ve kısalık sorunlarına yol açabilir.Ç ocuklarda diz çevresi epifiz yaralanmalarının önemi, gelişebilecek komplikasyonların ciddi sorunlara yol açabilme olasılıklarından ileri gelir. Diz çevresi vücudun en hızlı büyüyen bölgesidir ve büyüme plaklarının zarar görmesi büyüme potansiyelini olumsuz etkileyerek ciddi şekil bozukluklarına yol açabilir. [1] Bu yaralanmalar genellikle yüksek enerji gerektirdiğinden, komşu damar ve sinir yapılarının da tehlike altında olduğu, tanı ve tedavi sırasında göz önünde tutulmalıdır. Çocuklarda diz çevresi epifiz yaralanmalarında tedavi yaklaşımlarıTreatment approaches to epiphysis injuries around the knee in children

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Fractures about the Knee: Growth Disturbances and Problems of Stability at Long-Term Follow-Up

Cited by 19 publications

References 2 publications

Effectiveness of Surgical versus Conservative Treatment for Distal Femoral Growth Plate Fractures: A Systematic Review

Effectiveness of Surgical versus Conservative Treatment for Distal Femoral Growth Plate Fractures: A Systematic Review

Does Intensive Soccer Playing During the Growth Period Lead to Leg Length Discrepancies?

Çocuklarda diz çevresi epifiz yaralanmalarında tedavi yaklaşımları

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