[Femoral shaft fractures in the growth period--results following the end of the growing period].
Between 1960 and 1987 we treated 270 children for fractures of the femoral shaft. 195 could be followed up two times clinically and radiologically. The age at the time of accident is decreasing, might be a sign of battered-child syndrome. Boys were two times more afflicted than girls. Normally we use overhead extension or Weber-Bock-extension for 4-6 weeks and a pelvis leg cast for the same time afterwards. If the extension is not sufficient one reduction trial is allowed, the second one should give way the operation in the following complications: axial shift of more than 20 degrees, rotational aberration of more than 15 degrees and fragment deviation in more fragment fractures. The torsion was measured using Rippstein's method. 17 patients showed a difference between the angles of antetorsion of more than 10 degrees after being 18 years of age (only 2 of them were operated). Length growing was also measured and more confirmed in the only extended fractures. Both parameters showed better results, when both "detorsional thrusts" came after the accident. So the indication for an operative proceeding should be more liberal after the 7th and more often after the 12th year of age.
Bettermann
A
A
Unfallchirurgische Klinik der Universität Giessen.
Kunze
K
K
van Ackeren
V
V
D001858:Bone Nails; D001860:Bone Plates; D002648:Child; D002675:Child, Preschool; D005260:Female; D005264:Femoral Fractures / Q000628:therapy*; D005269:Femur / Q000254:growth & development; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D005594:Fracture Fixation, Intramedullary; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009984:Orthopedic Fixation Devices
Oberschenkelschaftfrakturen im Wachstumsalter--Resultate nach Wachstumsabschluss.