Treatment of Metaphyseal Pathologic Fractures of Long Bone Using Locking Compression Plate in Children.
10.4055/jkoa.2008.43.5.539
- Author:
Sung Taek JUNG
1
;
Kwang Cheul JEONG
;
Hyun Jong KIM
;
Jin Ho LEE
Author Information
1. Department of Orthopaedic Surgery, Chonnam National University Hospital, Gwangju, Korea. stjung@chonnam.ac.kr
- Publication Type:Original Article
- Keywords:
Metaphysis;
Pathologic fracture;
Locking compression plate
- MeSH:
Aneurysm;
Bone Cysts;
Bone Transplantation;
Child;
Chondroma;
Curettage;
Femur;
Fibroma;
Fractures, Spontaneous;
Humans;
Leg;
Population Characteristics
- From:The Journal of the Korean Orthopaedic Association
2008;43(5):539-543
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the results of operative treatment for metaphyseal pathologic fracture of long bone in children using Locking Compression Plate (LCP). MATERIALS AND METHODS: Six children were enrolled in this study. The locations of fracture were proximal femur in five children and distal femur in one child. Pathologic diagnosis was aneurysmal bone cyst, in three children and simple bone cyst, enchondroma, and nonossifying fibroma, in other three children. All six children were underwent curettage of bone lesion and bone grafting, then the fractures were internally fixed using LCP. RESULTS: All fractures were united at six to ten weeks after operation. Healing of bone lesions except one case was observed. There were no mechanical complications, no loss of reduction and malunion. Also, we couldn't find any complication associated with physeal injury, such as leg length discrepancy of lower extremities. CONCLUSION: Internal fixation of metaphyseal pathologic fracture of long bone using LCP in children is technically easy and offers secure fixation despite anatomic and biologic characteristics of this type of fracture due to biologic and biomechanical advantages of LCP.
