Hypertension as a complication of Taylor spatial frame.
Circular external fixators in children are widely used for limb lengthening, deformity correction and the treatment of fractures. We report a case of successful management of hypertension in a 13-year-old treated with a Taylor spatial frame after a road traffic accident and a tibial fracture. A heightened awareness of the association of hypertension and external fixators is required to improve patient outcomes. Outcomes are improved by prompt diagnosis and treatment of hypertension, preventing hypertensive end-organ damage, choice of an appropriate first line antihypertensive treatment, and not subjecting children to invasive investigations looking for an alternative secondary cause of hypertension.
Changulani
Manesh
M
Department of Orthopaedics and Trauma, Booth Hall Children's Hospital, Manchester, UK.
Bradbury
Mark
M
Zenios
Michalis
M
D000293:Adolescent; D017311:Amlodipine / Q000627:therapeutic use; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001852:Bone Lengthening / Q000009:adverse effects*; D004867:Equipment Design; D016267:External Fixators / Q000009:adverse effects*; D017102:Fracture Healing; D005597:Fractures, Open / Q000628:therapy*; D006801:Humans; D006973:Hypertension / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D019637:Orthopedic Procedures / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D013978:Tibial Fractures / Q000628:therapy*; D016896:Treatment Outcome
D000959:Antihypertensive Agents; D017311:Amlodipine