Spontaneous Correction of the Angular Deformity after Femoral Shaft Fractures in Children: Preliminery Report
10.4055/jkoa.1995.30.5.1382
- Author:
Yung Khee CHUNG
;
Jung Han YOO
;
Baek Yong SONG
;
Yong Wook PARK
;
Gyu Cheol ROH
- Publication Type:Original Article
- Keywords:
Children;
Femur Shaft Fracture;
Remodelling
- MeSH:
Child;
Congenital Abnormalities;
Follow-Up Studies;
Humans;
Joints
- From:The Journal of the Korean Orthopaedic Association
1995;30(5):1382-1388
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We reviewed 14 children with unilateral fractures of femoral shaft who had an angular deformity after union of 10° to 25°. At an average follow-up of 32 months(15 to 65), we measured remodelling of the proximal physis, the distal physis and the femoral shaft. The average correction was 83% of the initial deformity and there was no relation between the remodelling rate and degrees of malunion. Of the correction of angulation, only 27% had occurred at the fracture site and 73% at physis. The ability of physis to remodel better than that of fracture site. In children under 13 years of age, malunion as much as 25° in flexion deformity will remodel enough to get normal alignment of the joint surfaces.
