Overgrowth Following TibialShaft Fractures in Children / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 322-327, 2006.
Article
in Korean
| WPRIM
| ID: wpr-655308
ABSTRACT
PURPOSE:
To assess the comparative growth of the four long bones of the lower extremities after the tibial shaft fractures in children. MATERIALS ANDMETHODS:
Thirty-eight children (age, 8.2+/-2.6) with tibial shaft fractures treated with a closed reduction and a long leg cast were enrolled in this study. The mean follow-up was 54.4 months (range, 24-96). The medical records and Bell-Thompson images were retrospectively reviewed.RESULTS:
The clinical results were excellent in all cases. The fractured tibia showed overgrowth (4.4+/-3.3 mm) compared with the contralateral side. The ipsilateral femur showed mild over-growth (0.9 mm+/-3.7), and the final leg length discrepancy was 5.3 mm+/-5.4. Four ipsilateral femurs showed overgrowth >10 mm. Gender, the level of the fractures and associated fibular fractures did not affect the overgrowth of the fractured tibia (p>0.05). However, age might affect the amount of overgrowth (p=0.005).CONCLUSION:
Tibial shaft fractures in children treated with a long leg cast showed variable overgrowth. The final leg length discrepancy was influenced by the overgrowth of the ipsilateral femur as well as by overgrowth of the tibia.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Tibia
/
Medical Records
/
Retrospective Studies
/
Follow-Up Studies
/
Lower Extremity
/
Femur
/
Leg
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Child
/
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2006
Type:
Article
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