تاثير پلاك گذاري در رشد استخوان ران بچه ها به دنبال شكستگي

Length Discrepancy Following Femur Fracture Plating in Children

Background: Treatment of femoral fractures in children sometimes requires open reduction and plate fixation. There is potential for complication in any type of fixation, leg length discrepancy being one of the m. We are reporting the results of plate fixation, with special emphasis on limb length inequality problem. Materials: In a cross-sec tional stud y,4 2 pa tients at 6-12 years 0 f age with femoral shaft fractures treated dynamic compression plate fixation were assessed for malunion, nonunion. infection, device failure, and limb length discrepancy in a mean follow-up of26 months (18-60 months). Physical examination, serial X-rays and scanogram were used for assessment. Results: Out of the 42 case s. 32 (76.2%) were boy s and the re maining 1 0(23.8%) were girls. Seven patients ha d comminuted fractures, 5 fractures were open Gustillo ty pe 1. Twenty four were associated with poly trauma. The mean limb length discrepancy at the end of treat ment was 1. (7 centi meters (0.4-2.4 centi meters). There were no devic e failure, malunion. or infection Conclusion: Treatment of paediatric femoral shaft fracture with dynamic compression plating has minimal side effects and causes minimal, ifany, inequality in the length of the femur.