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[Fractures involving the distal femoral epiphysis. Long-term outcome after completion of growth in primary surgical management].
- Source :
-
Der Unfallchirurg [Unfallchirurg] 2001 Jul; Vol. 104 (7), pp. 611-6. - Publication Year :
- 2001
-
Abstract
- During a period of 12 years (1983-1994) we operated 13 patients with fractures involving the distal epiphyseal cartilage of the femur. All patients could be followed up in clinical and radiological examination following the completion of growth. By examination no patients had any complaints. The clinical examination revealed no limitation in range of motion of the hip or knee joint compared to the other side in any of the patients. 5 patients out of 13 (38%) were found to have a correct axial alignment with no axis deviation, shortening or lengthening of the leg. The other 8 patients (62%) presented the following one- or multidimensional deformities (compared to the contralateral, uninjured femur): 2 patients had varus deformities, 5 patients had valgus deformities, the axial malalignment in the frontal plane was always less than 10 degrees in all cases. 5 patients were found to have a shortened femur (between 8 and 19 mm), while an elongation of the primarily injured femur (10 and 15 mm) was established in 2 patients. On the basis of this study, we recommend that clinical and, if necessary, radiological and/or sonographic examinations are performed following the completion of growth in all patients with injuries involving the epiphyseal plate of the distal femur.
- Subjects :
- Adolescent
Adult
Bone Malalignment diagnostic imaging
Child
Female
Femoral Fractures diagnostic imaging
Follow-Up Studies
Growth Plate diagnostic imaging
Growth Plate surgery
Humans
Knee Injuries diagnostic imaging
Leg Length Inequality diagnostic imaging
Male
Radiography
Treatment Outcome
Femoral Fractures surgery
Fracture Fixation, Internal
Knee Injuries surgery
Postoperative Complications diagnostic imaging
Salter-Harris Fractures
Subjects
Details
- Language :
- German
- ISSN :
- 0177-5537
- Volume :
- 104
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Der Unfallchirurg
- Publication Type :
- Academic Journal
- Accession number :
- 11490953
- Full Text :
- https://doi.org/10.1007/s001130170091