소아, 청소년기 대퇴 간부 골절의 수술적 치료 후 발생하는 하지부동

Abstract

Introduction: Leg length discrepancy is a complication after treatment of femur shaft fracture. Early mobilization and weight bearing is essential for better clinical, radiologic outcomes. This article presents results including leg length discrepancy of the treatment of pediatric femur shaft fracture using minimally invasive submuscular plating. Material and Methods: The authors reviewed 12 patients who sustained a femoral shaft fracture treated with minimally invasive submuscular plating. Average age of patients was 11 years old. Patients were followed for minimal 3 years and made full weight bearing within 6 weeks of surgery. Results: All pateints achieved radiologic union with an average time of 8.5 weeks. Range of motion of the knee and hip were equivalent to the contralateral extremity. Leg length and alignment were equivalent to the contralateral extremity except 3 patients who had comminuted fracture at the last follow-up. These three cases showed an angular deformity of less than 5 degrees and shortening of less than 10mm. Conclusion: Submuscular plating on pediatric femoral shaft fractures is considered to be a treatment modality that can achieve satisfactory radiological and clinical results through initial solid fixation and reduce complications such as a leg length discrepancy on long-term follow-up.