Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Sep-Oct;37(5):1353-1358.
doi: 10.12669/pjms.37.5.3938.

Outcome of proximal femur shaft fractures in school going children treated with locking compression plates

Faaiz Ali Shah  1 , Mian Amjad Ali  2 , Naeemullah  3
Affiliations

Outcome of proximal femur shaft fractures in school going children treated with locking compression plates

Faaiz Ali Shah et al. Pak J Med Sci. 2021 Sep-Oct.

Abstract

Objectives: To determine the clinical and radiological outcome of proximal femur shaft fractures in school going children treated with locking compression plates (LCP).

Methods: This descriptive study was conducted in Orthopaedic Division Lady Ready Reading Hospital Peshawar from 25th June 2018 to 25th September 2020. Children of either gender and age 6 to 12 years old with subtrochanteric and proximal one third femur factures fulfilling the inclusion criteria were enrolled in this study. Open reduction and internal fixation with 4.5 mm narrow locking compression plates (LCP) were done in all. Post operative clinical outcome was evaluated by using Flynn scoring system and graded as excellent, satisfactory and poo results. Radiological assessment of fracture union was done through anteroposterior (AP) and lateral X-ray radiographs.

Results: A total of 60 children with mean age 9.01±1.61 SD (range 6 to 12 years) were included in our study. Oblique fractures were present in 23(38.3%) children, spiral in 20(33.3%), transverse in 11(18.3%) and comminuted in 6 (10%) children. The radiological union time was 13.3±1.2 weeks (range 9.4 to 18 weeks). Majority (88.3%, n=53) of children had excellent clinical outcome according to Flynn's scoring system while satisfactory outcome was noted in 7(11.6%) children. No cases of delayed union, mal union, nonunion and implant failure was reported.

Conclusion: The results of our study indicated that proximal femoral shaft fractures in school going children treated with locking compression plates had excellent clinical and radiological outcome. We therefore recommend locking compression plate as the implant of choice to fix proximal femoral shaft fractures in school going children.

Keywords: Locking compression plate; Proximal femur shaft fracture; Subtrochanteric fracture.

PubMed Disclaimer

Figures

None
Radiographs-I & II: Pre operative and post operative radiographs of a 9 year old boy.
None
Radiographs-III & IV: Pre operative and post operative radiographs of 11 year old boy.
See this image and copyright information in PMC

References

    1. Jeng C, Sponseller PD, Yates A, Palette G. Subtrochanteric femoral fractures in children:Alignment after 90 degrees 90 degrees traction and cast application. Clin Orthop Relat Res. 1997;341:170–174. - PubMed
    1. Luo Y, Wang L, Zhao L, Wang YC, Chen MJ, Wang S, et al. Elastic stable Titanium flexible intramedullary nails versus plates in treating low grade comminuted femur shaft fractures in children. Orthop Surg. 2019;11(4):664–670. doi:10.1111/os.12514. - PMC - PubMed
    1. Segal LS. Custom 95-degree condylar blade plate for pediatric subtrochanteric femur fractures. Orthopedics. 2000;23:103–107. doi:10.3928/0147-7447-20000201-10. - PubMed
    1. Buford JD, Christensen K, Weatherall P. Intramedullary nailing of femoral fractures in adolescents. Clin Orthop Relat Res. 1998;350:85–89. - PubMed
    1. Sagan ML, Datta JC, Olney BW, Lansford TJ, McIff TE. Residual deformity after treatment of pediatric femur fractures with flexible titanium nails. J Pediatr Orthop. 2010;30:638–643. doi:10.1007/s11999-013-3240-z. - PubMed

LinkOut - more resources