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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

3.4K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: Jul 26, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

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PROXIMAL HUMERAL LOCKING PLATE: A VIABLE ALTERNATIVE FOR FIXATION OF DISTAL FEMORAL FRACTURES IN CHILDREN.

Weverley Rubele Valenza1,2, Jamil Faissal Soni1,2, Bruno Henrique Schuta Bodanese1

  • 1. Hospital do Trabalhador de Curitiba, Curitiba, PR, Brazil.

Acta Ortopedica Brasileira
|June 16, 2023
PubMed
Summary

Proximal humeral locking plates offer a viable treatment for pediatric distal femoral metaphyseal fractures, promoting healing and preserving growth plates with minimal complications. This approach ensures patients regain mobility and resume pre-injury activities.

Keywords:
ChildrenFemoral FracturesSurgical Procedures, Operative

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Traumatology

Background:

  • Distal femoral metaphyseal fractures are uncommon in children.
  • Fractures near the growth plate present unique treatment challenges.
  • Evaluating novel fixation methods is crucial for optimal pediatric outcomes.

Purpose of the Study:

  • To assess the efficacy and safety of using proximal humeral locking plates for treating distal femoral metaphyseal fractures in pediatric patients.
  • To analyze clinical and radiographic outcomes, as well as complications associated with this treatment modality.

Main Methods:

  • A retrospective study was conducted from 2018 to 2021.
  • Seven pediatric patients with distal femoral metaphyseal fractures were included.
  • Data analyzed included patient demographics, injury mechanisms, fracture classifications, treatment outcomes, and complications.

Main Results:

  • The mean follow-up was 20 months. All seven patients achieved full mobility and returned to pre-trauma activities.
  • All fractures healed successfully, with one case of mild residual valgus deformity (5 degrees) and no other complications.
  • Six patients underwent implant removal without refracture, indicating good long-term stability.

Conclusions:

  • Proximal humeral locking plates represent a feasible and effective treatment option for pediatric distal femoral metaphyseal fractures.
  • This technique demonstrates good outcomes and a low complication rate, importantly preserving epiphyseal cartilage.
  • The study supports the use of these plates as a valuable tool in managing these challenging pediatric fractures.