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Functional and radiological outcome after forearm plating in children and adolescent fracture / Paul Cremer in Acta Orthopaedica Belgica, Vol.87/1 (Mars 2021)
[article]
Titre : Functional and radiological outcome after forearm plating in children and adolescent fracture Type de document : texte imprimé Auteurs : Paul Cremer ; Audrey Angelliaume ; Abdelfetah Lalioui ; Gabriel Cellarier ; Luke Harper ; Yan Lefevre Année de publication : 2021 Article en page(s) : p. 143-149 Note générale : https://doi.org/10.52628/87.1.18 Langues : Anglais (eng) Mots-clés : forearm overgrowth plate children and adolescent Résumé : The literature on forearm overgrowth after plating in traumatic conditions is relatively poor though this technique can be useful when intra-medullary nailing is not sufficient in pediatric cases. The goal of this study was to assess a potential overgrowth after plating and identify impact on function.
We conducted a retrospective study of all pediatric patients who underwent open surgery of the radius and/or ulna diaphysis with internal fixation by plating, in our institution, between October 2013 and July 2019. At last follow-up, functional and radiological outcomes were compared between the operated and uninjured forearm. Range of motion (ROM) of the wrist and elbow, clinical scores, radial and ulnar length were measured. A positive bone length discrepancy of more than 2mm was considered as an overgrowth. Were also studied the radio-ulnar index, radial inclination and radiocarpal angle.
Thirteen patients were included. The mean age was 12.1 years old (±3.0 years), they were plated on the radius (10 cases) or on the ulna (3 cases). Mean follow- up was 4.4 years (± 1.8). In two cases, the plated bone (radius) was significantly longer than the uninjured one. There was no significant difference regarding radio-ulnar index, radial inclination and radiocarpal angle. The only statistically significant difference between the operated and uninjured forearm was the pronation/supination range, which was greater in the uninjured forearm (mean 160 ±48° versus 175 ±49°, p=0.01).
This study confirms the good functional and radiological outcomes after plating even in a skeletally immature forearm.Permalink : ./index.php?lvl=notice_display&id=96598
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 143-149[article] Functional and radiological outcome after forearm plating in children and adolescent fracture [texte imprimé] / Paul Cremer ; Audrey Angelliaume ; Abdelfetah Lalioui ; Gabriel Cellarier ; Luke Harper ; Yan Lefevre . - 2021 . - p. 143-149.
https://doi.org/10.52628/87.1.18
Langues : Anglais (eng)
in Acta Orthopaedica Belgica > Vol.87/1 (Mars 2021) . - p. 143-149
Mots-clés : forearm overgrowth plate children and adolescent Résumé : The literature on forearm overgrowth after plating in traumatic conditions is relatively poor though this technique can be useful when intra-medullary nailing is not sufficient in pediatric cases. The goal of this study was to assess a potential overgrowth after plating and identify impact on function.
We conducted a retrospective study of all pediatric patients who underwent open surgery of the radius and/or ulna diaphysis with internal fixation by plating, in our institution, between October 2013 and July 2019. At last follow-up, functional and radiological outcomes were compared between the operated and uninjured forearm. Range of motion (ROM) of the wrist and elbow, clinical scores, radial and ulnar length were measured. A positive bone length discrepancy of more than 2mm was considered as an overgrowth. Were also studied the radio-ulnar index, radial inclination and radiocarpal angle.
Thirteen patients were included. The mean age was 12.1 years old (±3.0 years), they were plated on the radius (10 cases) or on the ulna (3 cases). Mean follow- up was 4.4 years (± 1.8). In two cases, the plated bone (radius) was significantly longer than the uninjured one. There was no significant difference regarding radio-ulnar index, radial inclination and radiocarpal angle. The only statistically significant difference between the operated and uninjured forearm was the pronation/supination range, which was greater in the uninjured forearm (mean 160 ±48° versus 175 ±49°, p=0.01).
This study confirms the good functional and radiological outcomes after plating even in a skeletally immature forearm.Permalink : ./index.php?lvl=notice_display&id=96598 Exemplaires (1)
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