Femoral overgrowth following plate fixation of the fractured femur in children.
BACKGROUND
The purpose of this study is to determine the overgrowth phenomenon of the affected femur following plate fixation of femoral fractures in children.


METHODS
15 patients (aged between eight and 14 years old), who underwent open reduction and plate fixation for fractures of the femur, were assessed at two years postoperation for limb length discrepancy. Measurements were made using a computed tomography (CT) scanogram. Its association with age, limb dominancy and site of fracture were analysed.


RESULTS
There were 12 boys and three girls. All children had femoral overgrowth of the injured femur, ranging from 0.1 cm to 2.0 cm with a mean of 1.15 cm. There was a significant correlation between age and bone overgrowth. Limb dominancy and site of fracture had no significant influence on femoral overgrowth.


CONCLUSIONS
The amount of femoral overgrowth following fracture stabilisation with plate in children was minimal. It could still occur even without fracture overlapping during the healing process. The overgrowth was less in older subjects.
Sulaiman
A R
AR
Department of Orthopaedics, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Kelantan, Malaysia. abdrazak@kb.usm.my
Joehaimy
J
J
Iskandar
M A
MA
Anwar Hau
M
M
Ezane
A M
AM
Faisham
W I
WI
D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005269:Femur / Q000293:injuries / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011184:Postoperative Period; D014055:Tomography, Emission-Computed