Coxa vara is a deformity of the hip, whereby the angle between the head and the shaft of the femur is reduced to less than 120 degrees this results in the leg being shortened, and the development of a limp. A variety of strategies are utilized for management of pediatric diaphyseal femur fractures, depending chiefly on the age of the patient other factors that can influence the selection of a technique—which range from skeletal traction with spica casting to immediate spica casting, flexible. Abstract medial femoral condyle malunion in the coronal plane is a very rare injury in this presented case, we performed intra-articular corrective osteotomy for a malunited medial femoral condyle in the coronal plane of a 22-year-old man and obtained good functional and radiographic results. Pediatric femur fractures femur anatomy definition: fracture of the femoral diaphysis between the area 5 cm distal to the lesser trochanter and 5 cm proximal to the adductor tubercle.
Case log guidelines for pediatric orthopaedic surgery review committee for orthopaedic surgery the acgme case log system for pediatric orthopaedic surgery allows fellows to document. Pediatric femoral shaft fracture xray / diagnositc tests a/p and lateral views of femur high quality a/p and lateral views of the hip and knee are indicated to r/o associated injuries, especially femoral neck fractures. A review of william shakespeares she walks in beauty skaggs dl femoral shaft fractures in rockwood and wilkins' can compress femoral nerve if excessive hip malunion treatment of a pediatric femoral malunion deformity typical deformity is varus and dr john flynn discusses of treatment of pediatric femur pediatric femoral shaft fracture. Fractures of the femoral shaft in the pediatric patient - powerpoint ppt presentation initial results of the treatment of femoral shaft fractures in children using the trigen trochanteri - 6 sports injury 8 passenger involved in an auto accident 5 fractures of the femoral shaft in the pediatric patient is the property of its.
“treatment of pediatric diaphyseal fractures: guideline and evidence report” 2009 while she remodels the deformity a do a femoral osteotomy to correct the deformity and fix it with flexible nails b malunion / deformity re-fracture complications. Malunion of a proximal humerus fracture is difficult to manage once bone union has been achieved in a wrong position malunion may be encountered after conservative treatment or internal fixation of fractures, and also around a joint prosthesis. Aim to retrospectively assess treatment outcomes of long bone deformities of the lower extremities accompanied by shortening in pediatric patients using a software-assisted ortho-suv frame. Proximal femoral osteotomy is a joint-sparing procedure that relies on maintaining the biologic integrity of the femoral head once common for hip dysplasia and arthritis of the hip, proximal femoral osteotomies are performed less commonly now but they are still used in the treatment of hip fracture nonunions and malunions and in cases of congenital and acquired hip deformities. The above preoperative planning work flow has proven a reliable method for obtaining desired deformity corrections for a variety of proximal femoral malunion and nonunions it is easily adapted to both old style hard copy radiograph or digital/picture archive and communication system environments.
Pediatric subtrochanteric femur fracture classification / treatment 2-3weeks in traction followed by spica cast, external fixation, elastic nails, orif pediatric subtrochanteric femur fracture associated injuries / differential diagnosis pediatric subtrochanteric femur fracture complications malunion (coxa varus, shortening. Abstract this article reports a case of a femoral malunion after a gunshot fracture deformity correction in this case was performed gradually by computer-assisted ortho-suv frame. Genu valgum key points: hemiepiphysiodesis is the treatment of choice for pathologic genu valgum in a skeletally immature patient while valgus deformity can arise from the distal femur or the proximal tibia, it is most often primarily from the femur. Most pediatric supracondylar femur fractures occur in adolescents 2 peaks: shaft often overrides anteriorly as the gastrocnemius pulls the distal fragment posteriorly into an apex-anterior deformity the adductors often cause a varus deformity midterm results of treatment of periprosthetic fractures with intramedullary nails are. Malunion vs nonunion fractures by upmc orthopaedic care, march 20, 2015 rest and immobilization are typically prescribed to allow for natural bone healing after a fracture this strategy, along with forms of casting, can help rehabilitate many different fractures with minimal complications.
Malunion and nonunion surgery and treatment options malunion treatment treatment of a malunion often depends on how the injury occurred if a bone is misshapen enough to cause a disfigurement, you may need surgery to repair or correct it. Fractures of the femoral shaft are common childhood injuries and among the most common causes of hospitalization for pediatric orthopedic injuries the strong blood supply of the femoral shaft allows for rapid healing and generally favorable outcomes the treatment for femoral shaft fractures varies. Products cannulated screws orthopediatrics cannulated screws are available in multiple lengths and thread patterns, making them ideally suited for pediatric applications when treating slipped.
Operative treatment of fractures generally results in a decreased incidence of malunion ( table 1 rotational deformity rotational deformity of less than 25 degrees is well tolerated [ 34 . Fig 3a right distal femoral shaft malunion with angular deformity and shortening treated with a femoral osteotomy, 1-stage femoral lengthening of 3 cm, static locked nail stabilization, and corticocancellous bone grafting. Examples of conditions treated at the riao include bowleg, foot deformities, knee contracture, malunion and nonunion. Anatomic reduction is preferred in the treatment of pediatric femoral neck fractures because it has been associated with a decreased risk of osteonecrosis 13 in the authors' series, 1 or more.
Operative treatment for malunion of most fractures should not be considered until 6 to 12 months after the fracture deformity, whereas a 20º angulation caused a functional loss distal femur malunion indications for surgery: - malunions in valgus & varus - ante, or recurvation deformities. Malunion typical deformity is varus + flexion of the distal fragment dr john flynn discusses of treatment of pediatric femur fractures with flexible 7/26/2012 3974 views spica cast technique pediatrics - femoral shaft fractures - pediatric hpi - was injured in a car accident two years ago and sustained left hip fracture.