Document Detail


Overgrowth and correction of rotational deformity in 12 femoral shaft fractures in 3-6-year-old children treated with an external fixator.
MedLine Citation:
PMID:  12079014     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We treated 11 young children (3-6 years old) who had uncomplicated femoral shaft fractures primarily with an external fixator. 9 children were available for follow-up and were evaluated for the amount of overgrowth and rotational deformity. All underwent a clinical examination and an MRI after mean 21 (13-25) months. The mean overgrowth was 0.4 (-0.3-1.1) cm and the anteversion angle showed a mean increase of 12 degrees, as compared to the contralateral femur. In 5 children with an anteversion angle difference of 10 degrees or more, a second MRI was done 4 years after the trauma. The mean anteversion angle difference of the femora in these 5 children had diminished from 15 degrees on the first MRI to 7.4 degrees on the second. 3 of the 5 children had a full correction of their rotational deformity. Growth did not correct the rotational deformity in the oldest child in this group.
Authors:
Ivo M Buchholz; Hugo W Bolhuis; Frederik H L Bröker; Jan Willem C Gratama; Ralph J B Sakkers; Wim H Bouma
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta orthopaedica Scandinavica     Volume:  73     ISSN:  0001-6470     ISO Abbreviation:  Acta Orthop Scand     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2002-06-24     Completed Date:  2002-07-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370352     Medline TA:  Acta Orthop Scand     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  170-4     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, University Medical Center, Utrecht, The Netherlands. buchholz@worldonline.nl
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
External Fixators*
Female
Femoral Fractures / complications*,  physiopathology,  surgery*
Femur / growth & development*,  physiopathology,  surgery*
Follow-Up Studies
Hip Joint / growth & development*,  physiopathology,  surgery*
Humans
Joint Deformities, Acquired / etiology*,  physiopathology
Male
Patient Satisfaction
Recovery of Function / physiology
Remission, Spontaneous
Rotation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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