RééDOC
75 Boulevard Lobau
54042 NANCY cedex

Christelle Grandidier Documentaliste
03 83 52 67 64


F Nous contacter

0

Article

--";3! O
     

-A +A

Childhood femoral fracture can lead to premature knee-joint arthritis

PALMU SA; LOHMAN M; PAUKKU RT; PELTONEN JI; NIETOSVAARA Y
ACTA ORTHOP , 2013, vol. 84, n° 1, p. 71-75
Doc n°: 161621
Localisation : en ligne

D.O.I. : http://dx.doi.org/DOI:10.3109/17453674.2013.765621
Descripteurs : DE44 - TRAUMATISMES - CUISSE-FEMUR, DE55 - PATHOLOGIE GENOU

During the past decades, treatment of pediatric femoral
fractures in Finland has changed from mostly non-operative to more operative. In
this retrospective study, we analyzed the long-term results of treatment.
Patients and methods 74 patients (mean age 7 (0-14) years) with a femoral
fracture were treated in Aurora City Hospital in Helsinki during the period
1980-89. 52 of 74 patients participated in this clinical study with a mean
follow-up of 21 (16-28) years. Fracture location, treatment mode, time of
hospitalization, and fracture alignment at union were assessed. Subjective
assessment and range of motion of the hip and knee were evaluated. Leg-length
discrepancy and alignment of the lower extremities were measured both clinically
and radiographically.
Results Of the 52 children, 28 had sustained a shaft
fracture, 13 a proximal fracture, and 11 a distal fracture. 44 children were
treated with traction, 5 by internal fixation, and 3 with cast-immobilization.
Length of the hospital treatment averaged 58 (3-156) days and the median traction
time was 39 (3-77) days. 21 of the 52 patients had angular malalignment of more
than 10 degrees at union. 20 patients experienced back pain. Limping was seen in
10 patients and leg-length discrepancy of more than 15 mm was in 8 of the 52
patients. There was a positive correlation between angular deformity and
knee-joint arthritis in radiographs at follow-up in 6 of 15 patients who were
over 10 years of age at the time of injury. Interpretation Angular malalignment
after treatment of femoral fracture may lead to premature knee-joint arthritis.
Tibial traction is not an acceptable treatment method for femoral fractures in
children over 10 years of age.

Langue : ANGLAIS

Mes paniers

4

Gerer mes paniers

0