PREMATURE GREATER TROCHANTERIC EPIPHYSIODESIS SECONDARY TO INTRAMEDULLARY FEMORAL RODDING

被引:84
作者
RANEY, EM [1 ]
OGDEN, JA [1 ]
GROGAN, DP [1 ]
机构
[1] SHRINERS HOSP CRIPPLED CHILDREN,12502 N PINE DR,TAMPA,FL 33612
关键词
GREATER TROCHANTER; OPEN REDUCTION; PHYSEAL INJURY; PROXIMAL FEMUR;
D O I
10.1097/01241398-199307000-00018
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Five skeletally immature patients developed premature closure of the greater trochanteric physis consequent to placement of an intramedullary rod for primary treatment of a femoral diaphyseal fracture. Each patient developed increased femoral neck valgus as compared with the contralateral hip. To date, however, none of these patients has had any functional disability, although one has developed mild radiographic subluxation. In addition, anatomic specimens demonstrated the likelihood of traversing a portion of the greater trochanteric physis. Other methods of fracture treatment, either operative or nonoperative, should be considered in skeletally immature patients who have not entered the final phase of skeletal maturation characterized by subchondral ''sclerosis'' along the greater trochanteric physis.
引用
收藏
页码:516 / 520
页数:5
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