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[Femoral fractures in school age (6th-12th year)]
1Chirurgische Abteilung, Kinderspital Wildermeth, Biel.
Zeitschrift Fur Unfallchirurgie Und Versicherungsmedizin : Offizielles Organ Der Schweizerischen Gesellschaft Fur Unfallmedizin Und Berufskrankheiten = Revue De Traumatologie Et D'Assicurologie : Organe Officiel De La Societe Suisse De
|January 1, 1990
Summary
Femoral fractures in children typically heal with minimal leg length discrepancy, even with some initial shortening or angulation. Growth and remodeling largely correct deformities, ensuring normal gait.
Area of Science:
- Orthopedics
- Pediatric skeletal development
Context:
- Femoral fractures in growing bone present unique challenges.
- Understanding length, axial, and rotational recovery is crucial.
Purpose:
- To analyze outcomes of femoral fractures in pediatric patients.
- To investigate factors influencing leg length and rotational recovery.
- To explore bone remodeling mechanisms.
Summary:
- Conservative treatment of pediatric femoral fractures resulted in minor mean initial shortening (-0.85 cm) and overgrowth (0.6 cm), leading to a final mean leg length difference of -0.25 cm.
- Modest angulation (<20 degrees) or initial shortening (<2 cm) did not result in significant final overgrowth.
- A mean anteversion difference of 13 degrees was observed, with no abnormal gaits reported.
Impact:
- Findings suggest favorable outcomes for conservative management of pediatric femoral fractures.
- Highlights the potential for spontaneous correction of torsion deformities through growth.
- Raises questions about the role of streaming potentials in bone remodeling and adaptation.