TY - JOUR
T1 - Subtrochanteric femoral fractures in children
T2 - Alignment after 90°- 90°traction and cast application
AU - Jeng, Clifford
AU - Sponseller, Paul D.
AU - Yates, Adolph
AU - Paletta, George
PY - 1997/8
Y1 - 1997/8
N2 - Fifteen children younger than 10 years of age with subtrochanteric fractures treated by a uniform method were evaluated. These patients had been treated with femoral skeletal traction, with the hip and knee flexed to 90°until radiographic callus appeared, then with a hip spica cast. True neck to shaft and anteversion angles were calculated bilaterally using a biplanar method. Leg lengths were measured radiographically and clinically. Mean age at injury was 4.5 years, and mean followup was 6.5 years. Overgrowth averaged 10 mm after fracture. Anteversion at final followup differed only by a mean of 2°from the contralateral side (range, -3°-+4°), and the mean neck shaft angle differed by only 1°. Remodeling of coronal angulation was 50% or more in all cases.
AB - Fifteen children younger than 10 years of age with subtrochanteric fractures treated by a uniform method were evaluated. These patients had been treated with femoral skeletal traction, with the hip and knee flexed to 90°until radiographic callus appeared, then with a hip spica cast. True neck to shaft and anteversion angles were calculated bilaterally using a biplanar method. Leg lengths were measured radiographically and clinically. Mean age at injury was 4.5 years, and mean followup was 6.5 years. Overgrowth averaged 10 mm after fracture. Anteversion at final followup differed only by a mean of 2°from the contralateral side (range, -3°-+4°), and the mean neck shaft angle differed by only 1°. Remodeling of coronal angulation was 50% or more in all cases.
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U2 - 10.1097/00003086-199708000-00026
DO - 10.1097/00003086-199708000-00026
M3 - Article
C2 - 9269171
AN - SCOPUS:0030817996
VL - 341
SP - 170
EP - 174
JO - Clinical Orthopaedics and Related Research
JF - Clinical Orthopaedics and Related Research
SN - 0009-921X
ER -