Article

The relatively new paediatric LCP hip plate (Synthes GmBH
Eimattstrasse 3 CH-4436 Oberdorff) is used in children, both with and without
neuromuscular disease, for fixation of proximal femoral osteotomy for a variety
of indications.
We retrospectively reviewed the notes and
radiographs of all those children who have had paediatric LCP device for the
fixation of proximal femoral osteotomy and proximal femur fractures in our
institution (Royal Manchester Children's Hospital), between October 2007 and July
2010, for their clinical progress, mobilization status, radiological healing and
any complications. RESULTS: Forty-three paediatric LCP hip plates were used in 40
patients (27 males and 13 females) for the fixation of 40 proximal femoral
osteotomies and three proximal femur fractures. This included 13 children with
underlying neuromuscular pathology and 27 children without neuromuscular disease.
All osteotomies and fractures radiologically healed within 6 months [majority (n
= 40) within 3 months]. There was no statistically significant difference (p =
0.45) in the neck shaft angle between the immediately post-operative and final
X-rays after completion of bone healing. There were no implant-related
complications both in patients with and without neuromuscular disease. No
metalwork loosening was observed and no plate revisions were required. Three
post-operative fractures occurred in patients with neuromuscular pathology
treated with post-operative plaster immobilisation. CONCLUSION: The paediatric
LCP hip plate provides a stable and reliable fixation of the proximal femoral
osteotomy performed for a variety of paediatric orthopaedic conditions.

Langue : ANGLAIS