scholarly journals Leg-length discrepancy and associated risk factors after paediatric femur shaft fracture: a multicentre study

2021 ◽  
pp. 1-8
Author(s):  
Tae Gyun Kim ◽  
Moon Seok Park ◽  
Sang Hyeong Lee ◽  
Kug Jin Choi ◽  
Byeong-eun Im ◽  
...  
Keyword(s):  
Risk Factors ◽  
Shaft Fracture ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Femur Shaft Fracture ◽  
Length Discrepancy ◽  
Associated Risk Factors ◽  
Femur Shaft ◽  
Fracture Stability ◽  
Femur Shaft Fractures

Purpose This study was performed to investigate leg-length discrepancy (LLD) and associated risk factors after paediatric femur shaft fractures. Methods A total of 72 consecutive patients under 13 years old (mean age 6.7 years; 48 boys, 24 girls) with unilateral femur shaft fracture, and a minimum follow-up of 18 months, were included. The amount of LLD was calculated by subtracting the length of the uninjured from that of the injured limb. Risk factors for an LLD ≥ 1 cm and ≥ 2 cm were analyzed using multivariable logistic regression analysis. Results Hip spica casting, titanium elastic nailing and plating were performed on 22, 40 and ten patients, respectively. The mean LLD was 7.8 mm (sd 8.8) and 29 (40.3%) had a LLD of ≥ 1 cm, while nine (12.5%) had a LLD of ≥ 2 cm. There were significant differences in fracture stability (p = 0.005) and treatment methods (p = 0.011) between patients with LLD < 1 cm and ≥ 1 cm. There were significant differences in fracture site shortening (p < 0.001) and LLD (p < 0.001) between patients with length-stable and length-unstable fractures. Fracture stability was the only factor associated with LLD ≥ 1 cm (odds ratio of 4.0; p = 0.020) in the multivariable analysis. Conclusion This study demonstrated that fracture stability was significantly associated with LLD after paediatric femur shaft fractures. Therefore, the surgeon should consider the possibility of LLD after length-stable femur shaft fracture in children. Level of Evidence Prognostic level III

scholarly journals Leg length discrepancy, overgrowth, and associated risk factors after a pediatric tibial shaft fracture

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Woo Young Choi ◽  
Moon Seok Park ◽  
Kyoung Min Lee ◽  
Kug Jin Choi ◽  
Hyon Soo Jung ◽  
...  
Keyword(s):  
Risk Factors ◽  
Shaft Fracture ◽  
Leg Length Discrepancy ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Leg Length ◽  
Treatment Methods ◽  
Length Discrepancy ◽  
Associated Risk Factors ◽  
Tibial Shaft Fractures

Abstract Background This study was performed to investigate leg length discrepancy (LLD), overgrowth, and associated risk factors after pediatric tibial shaft fractures. Materials and methods This study included 103 patients younger than 14 years of age (mean age 7.1 years; 75 boys, 28 girls) with unilateral tibial shaft fracture and a minimum follow-up of 24 months. LLD was calculated as the difference between the lengths of the injured and uninjured limbs. Overgrowth was calculated by adding the fracture site shortening from the LLD. Risk factors were assessed in patients with LLD < 1 cm and ≥ 1 cm and overgrowth < 1 cm and ≥ 1 cm. Results Casting and titanium elastic nailing (TEN) were performed on 64 and 39 patients, respectively. The mean LLD and overgrowth were 5.6 and 6.4 mm, respectively. There were significant differences in sex (p = 0.018), age (p = 0.041), fibular involvement (p = 0.005), injury mechanism (p = 0.006), and treatment methods (p < 0.001) between patients with LLDs < 1 cm and ≥ 1 cm. There were significant differences in sex (p = 0.029), fibular involvement (p = 0.002), injury mechanism (p = 0.008), and treatment methods (p < 0.001) between patients with overgrowth < 1 cm and ≥ 1 cm. Sex and treatment methods were risk factors associated with LLD ≥ 1 cm and overgrowth ≥ 1 cm following pediatric tibial shaft fracture. The boys had a 7.4-fold higher risk of LLD ≥ 1 cm and 5.4-fold higher risk of overgrowth ≥ 1 cm than the girls. Patients who underwent TEN had a 4.3-fold higher risk of LLD ≥ 1 cm and 4.8-fold higher risk of overgrowth ≥ 1 cm than those treated by casting. Conclusions Patients undergoing TEN showed greater LLD and overgrowth than those undergoing casting, with boys showing greater LLD and overgrowth than girls. Surgeons should consider the possibility of LLD and overgrowth after pediatric tibial shaft fractures, especially when performing TEN for boys. Level of evidence Level III

Leg Length Discrepancy after Ender Nail Fixation in Children Femoral Shaft Fracture

2000 ◽  
Vol 13 (1) ◽  
pp. 172
Author(s):  
Jin Woo Kwon ◽  
Seung Ho Shin ◽  
Won Ho Cho ◽  
Woo Se Lee ◽  
Jin Ho Park
Keyword(s):  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Length Discrepancy

scholarly journals A five year learning experience with sequence of events in a child with closed femur shaft fracture

2021 ◽  
Vol 7 (3) ◽  
pp. 686
Author(s):  
Shrihari L. Kulkarni ◽  
Sunil Mannual ◽  
Manjunath Daragad ◽  
Naveenkumar Patil ◽  
Prateek M. Sharan
Keyword(s):  
Learning Experience ◽  
Shaft Fracture ◽  
Fracture Pattern ◽  
Definitive Treatment ◽  
Basic Principles ◽  
Femur Shaft Fracture ◽  
Sequence Of Events ◽  
Shaft Fractures ◽  
Femur Shaft ◽  
Femur Shaft Fractures

<p class="abstract">Femur shaft fractures are the most common fractures requiring hospitalization in children. Management of these fractures mainly depend on the age of the child. Associated injuries, fracture pattern, weight of the child and overlying soft tissue condition also influence the management. Still, the definitive treatment remains controversial in children between 5-16 years. We present our experience in management of 5 year old boy with mid shaft femur fracture and its complications. In his paper we want to highlight the importance of sticking to the basic principles and the recommendations in the management of the paediatric femur shaft fractures.</p>

scholarly journals Risk factors for leg length discrepancy in patients with congenital vascular malformation

2006 ◽  
Vol 44 (3) ◽  
pp. 545-553 ◽  
Author(s):  
Young-Wook Kim ◽  
Sang-Hoon Lee ◽  
Dong-Ik Kim ◽  
Young-Soo Do ◽  
Byung-Boong Lee
Keyword(s):  
Risk Factors ◽  
Vascular Malformation ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Length Discrepancy ◽  
Congenital Vascular Malformation

scholarly journals The risk factors of nonunion after intramedullary nailing fixation of femur shaft fracture in middle age patients

Medicine ◽  
2019 ◽  
Vol 98 (29) ◽  
pp. e16559 ◽  
Author(s):  
Kuan-Jou Wu ◽  
Shu-Hao Li ◽  
Kuang-Ting Yeh ◽  
Ing-Ho Chen ◽  
Ru-Ping Lee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intramedullary Nailing ◽  
Middle Age ◽  
Shaft Fracture ◽  
Femur Shaft Fracture ◽  
Femur Shaft

Changes in patient-perceived leg length discrepancy following total hip arthroplasty

2021 ◽  
Author(s):  
Kentaro Iwakiri ◽  
Yoichi Ohta ◽  
Takashi Fujii ◽  
Yukihide Minoda ◽  
Akio Kobayashi ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Total Hip ◽  
Length Discrepancy
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