Implant-related fractures in children with proximal femoral osteotomy: Blade plate versus screw-side plate constructs

Amit Jain, John M. Thompson, Jaysson T. Brooks, Michael C. Ain, Paul D. Sponseller

Research output: Research - peer-reviewArticle

Abstract

Background: Implant design may affect risk of fracture, especially in the proximal femur, which has been shown to have the highest risk of implant-related fracture (IRF). Blade plate (BPL) and screw-side plate (SSP) implants are used to stabilize proximal femoral osteotomies (PFOs). Our goal was to compare BPL and SSP constructs with regard to the rate, location, and timing of IRF in children undergoing PFOs. Methods: We retrospectively reviewed clinical and radiographic records from 1 pediatric orthopaedic practice from 1995 through 2010. We identified 734 children 18 years or younger who underwent PFO with a BPL (480 patients) or an SSP (254 patients). Manufacture and style of implants were consistent throughout this period. There were no significant differences between the 2 groups in terms of mean age, sex, race, or diagnosis. The 2 groups were compared with respect to the rate, location, and timing of IRF. The t, Z, w2, and Fisher exact tests were used to analyze the data (statistical significance, P

LanguageEnglish (US)
Pagese1-e5
JournalJournal of Pediatric Orthopaedics
Volume36
Issue number1
DOIs
StatePublished - 2016

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Osteotomy
Thigh
Statistical Data Interpretation
Femur
Orthopedics
Pediatrics

Keywords

  • Children
  • Implant-related fracture
  • Proximal femoral osteotomy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

Cite this

Implant-related fractures in children with proximal femoral osteotomy : Blade plate versus screw-side plate constructs. / Jain, Amit; Thompson, John M.; Brooks, Jaysson T.; Ain, Michael C.; Sponseller, Paul D.

In: Journal of Pediatric Orthopaedics, Vol. 36, No. 1, 2016, p. e1-e5.

Research output: Research - peer-reviewArticle

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