Overgrowth of the Femur After Internal Fixation in Children With Femoral Shaft Fracture—A Multicenter Study

2020 ◽  
Vol 34 (3) ◽  
pp. e90-e95
Author(s):  
Kyeong-Hyeon Park ◽  
Byoung Kyu Park ◽  
Chang-Wug Oh ◽  
Dae-Wook Kim ◽  
Hoon Park ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Multicenter Study ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture

scholarly journals Comparison of efficacy between internal fixation of minimally invasive elastic stable intramedullary nail and plate in the treatment of pediatric femoral shaft fracture

2019 ◽  
Vol 35 (5) ◽  
Author(s):  
Wenxia Wang ◽  
Xiaoyong Zheng ◽  
Zuoyong Sun
Keyword(s):  
Minimally Invasive ◽  
Internal Fixation ◽  
Fracture Healing ◽  
Intramedullary Nail ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Control Group ◽  
Observation Group ◽  
Elastic Stable Intramedullary Nail

Objective: To compare and analyze the clinical effects of internal fixation of minimally invasive elastic stable intramedullary nail and plate in the treatment of pediatric femoral shaft fracture. Methods: A total of 120 children with femoral shaft fractures who were admitted to our hospital from December 2016 to April 2018 were enrolled. The children were divided into an observation group and a control group by random number table, with 60 children in each group. The children in the observation group underwent internal fixation of minimally invasive elastic stable intramedullary nail, while those in the control group underwent open reduction based on internal fixation of plate. The surgical status and postoperative complications of the two groups were observed and compared, and Kolmert knee function scoring criteria were used for assessing the surgical effects of children. Results: The operation duration, intraoperative blood loss, hospitalization duration, fracture healing time and time of off-bed loaded activity of the observation group were significantly shorter than those of the control group, and the differences were statistically significant (P<0.05). The excellent and good rate of fracture healing in the observation group was 100%, which was higher than that of the control group, 83.33%, and the difference was statistically significant (P<0.05). The total incidence rate of complications in the observation group was 8.33%, which was lower than that of the control group, 10.00%, but the difference was not statistically significant (P>0.05). Conclusion: Pediatric femoral shaft fractures can be treated with internal fixation of minimally invasive elastic intramedullary nail, and it has advantages of significant curative effect, small trauma and fast postoperative recovery, which is conducive to fracture healing and worth promoting. doi: https://doi.org/10.12669/pjms.35.5.513 How to cite this:Wang W, Zheng X, Sun Z. Comparison of efficacy between internal fixation of minimally invasive elastic stable intramedullary nail and plate in the treatment of pediatric femoral shaft fracture. Pak J Med Sci. 2019;35(5):---------.   doi: https://doi.org/10.12669/pjms.35.5.513 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Delayed Internal Fixation of Femoral Shaft Fracture Reduces Mortality Among Patients with Multisystem Trauma

2009 ◽  
Vol 91 (1) ◽  
pp. 3-13 ◽  
Author(s):  
Saam Morshed ◽  
Theodore Miclau ◽  
Oliver Bembom ◽  
Mitchell Cohen ◽  
M Margaret Knudson ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture

scholarly journals Low-Energy Traumatic Obturator Hip Dislocation with Ipsilateral Femoral Shaft Fracture in a Patient with Omolateral Knee Arthroplasty

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
G. Gazzotti ◽  
L. Patrizio ◽  
S. Dall’Aglio ◽  
E. Sabetta
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Femoral Shaft Fracture ◽  
Hip Dislocation ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Low Energy ◽  
Knee Prostheses ◽  
Older Woman ◽  
Great Awareness

Ipsilateral obturator hip dislocation and femoral shaft fracture are rare. We report such a case in an older woman after a low-energy injury. She had a knee prostheses in the same limb. The patient was treated by open manipulative reduction of the luxation without opening joint and open reduction and internal fixation of the femur with angular stability plate and screws. We could not find a similar case in the literature. An early diagnosis of the dislocation is crucial in order to obtain good results. Great awareness and radiologic examination are fundamental to achieve precocious diagnosis of both these rare combined injuries, as treatment in these cases is considered an emergency. The first step was an attempt to reduce the dislocation by closed means but it failed. Then we performed a short approach at the trochanteric region and used Lambotte forceps to manoeuvre the proximal femur without opening the joint achieving reduction. Thereafter the femoral shaft fracture underwent open reduction and internal fixation with an angular stable plate. After a 2-year follow-up the outcome was very good.

scholarly journals Open Reduction and Internal Fixation of a Proximal Femoral Shaft Fracture in a Patient with Bilateral Congenital Hip Disease

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Stefania Kanata ◽  
Antonios Anastasiadis
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Rare Case ◽  
Femoral Shaft Fracture ◽  
Hip Dislocation ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Leg Length ◽  
Congenital Hip Dislocation ◽  
Hip Disease

We present a rare case of a femoral shaft fracture in a 74-year-old woman with a preexisting untreated bilateral congenital hip dislocation and with concomitant leg length discrepancy. Because of the marked deformity of the upper femur, a derivative of the congenital hip disease, an open reduction and internal fixation was performed, with the use of an anatomic femur plate originally designed for the treatment of periprosthetic fractures. The patient was treated successfully and returned to her previous status of activity. The management of a femoral fracture in the presence of ipsilateral hip disease is a challenging issue. The surgical treatment choice in such cases has to be individualized, taking into consideration several anatomic and medical parameters.

A regression orthogonal biomechanical analysis of internal fixation for femoral shaft fracture

2020 ◽  
Vol 40 (3) ◽  
pp. 1277-1290
Author(s):  
Runxin Fang ◽  
Aimin Ji ◽  
Zhonghang Zhao ◽  
Dengyan Long ◽  
Changsheng Chen
Keyword(s):  
Internal Fixation ◽  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Biomechanical Analysis

Femoral-shaft fracture below hip prosthesis

JAMA ◽  
1965 ◽  
Vol 194 (13) ◽  
pp. 1378-1381
Author(s):  
O. E. Aufranc
Keyword(s):  
Femoral Shaft Fracture ◽  
Hip Prosthesis ◽  
Femoral Shaft ◽  
Shaft Fracture
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