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Year : 2019  |  Volume : 3  |  Issue : 3  |  Page : 286-291

Submuscular bridge plating in the treatment of unstable femur fractures in children and adolescents

Department of Orthopedics, Trabalhador Hospital, Federal University of Paraná, Curitiba, Paraná, Brazil

Correspondence Address:
Prof. Jamil Soni
Av Silva jardim 1502, 91, Curitiba, Paraná 80250 200
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmsr.jmsr_44_19

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Objectives: To evaluate the recommendations for submuscular bridge plating and the outcomes of this procedure in pediatric patients with unstable femur fractures. Methods: This was a retrospective analysis of 13 patients with unstable femur fractures treated over a period of 2 years. We analyzed the patients' age, mechanism of trauma, fracture type and location, follow-up duration, and associated injuries. The results were evaluated using the modified Flynn's criteria. Results: Overall, 12 patients were boys and 7 fractures affected the right femur. Two open fractures were classified as Gustilo Type IIIA. The mean age of the patients was 10.2 years. The mechanism of trauma included falls (n = 5), automobile accidents (n = 4), direct trauma (n = 2), and gunshot (n = 2). Six fractures involved the proximal third of the femur, whereas four involved the middle third and three involved the distal third. The fractures were long oblique in 7 cases, spiral in 2 cases, and comminuted in 4 cases. We had 11 excellent and 2 acceptable results. As for potential complications, we observed no pseudarthrosis, malalignment, or leg-length discrepancy. Conclusions: Despite the small number of patients in this study, submuscular bridge plating emerged as a viable and safe therapeutic alternative for unstable femur fractures and fractures in the distal and proximal femoral metaphysis in children and adolescents.

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