31-182
La fijación externa monolateral en el tratamiento de las fracturas femorales del niño.
Monolateral external fixation for femoral-shaft fractures in children
J. DE PABLOS*, J. MARTÍNEZ MARISCAL** y C. BARRIOS*** * Servicio de Traumatología y Cirugía Ortopédica. Hospital de Navarra. Pamplona. ** Hospital Comarcal de Estella.Navarra. *** Unidad de Traumatología y Ortopedia. Departamento de Cirugía. Universidad de Valencia.
Recepción:
06/11/2008
Aceptación:
06/11/2008
Publicación:
06/11/2008
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Resumen (ES)
Twenty children with simple femoral-shaft fractures were treated by monolateral
external fixation with the Wagner device. There were 11 boys and 9 girls with a mean age of 8 years
(3-15). Twelve fractures were located at the midshaft, 6 at the proximal third, and 2 other at the
distal third of the femur. The mean hospital stay was 9 days (5-20). Mean external fixation time was
61 years. In 5 cases, additional methods of treatment were required. Pin tract infection occurred
in 3 cases (one needed premature removal of the device). Except for one case, full range of knee
motion was usually achieved after treatment. In patients followed for more than 18 months, a mean
femoral overgrowth of 0.8 cm (0.5-1.5) was detected. Neither angular deformities nor malrotations were
observed. In our experience, the main advantages of external fixation for femoral-shaft fractures in
children include less hospitalization time and an easier and more confortable nursing. External fixation
allows a better control of the bone fragments, providing an adequate stability. Pin tract infection
seems to be the most important drawback. A learning curve was observed in this series.
external fixation with the Wagner device. There were 11 boys and 9 girls with a mean age of 8 years
(3-15). Twelve fractures were located at the midshaft, 6 at the proximal third, and 2 other at the
distal third of the femur. The mean hospital stay was 9 days (5-20). Mean external fixation time was
61 years. In 5 cases, additional methods of treatment were required. Pin tract infection occurred
in 3 cases (one needed premature removal of the device). Except for one case, full range of knee
motion was usually achieved after treatment. In patients followed for more than 18 months, a mean
femoral overgrowth of 0.8 cm (0.5-1.5) was detected. Neither angular deformities nor malrotations were
observed. In our experience, the main advantages of external fixation for femoral-shaft fractures in
children include less hospitalization time and an easier and more confortable nursing. External fixation
allows a better control of the bone fragments, providing an adequate stability. Pin tract infection
seems to be the most important drawback. A learning curve was observed in this series.
Palabras clave (ES):
MonolateralTratamiento
Fémur
Pediátrica
Osteotaxis
Externo
Fijador
Fractura
Femoral
Externa
Niño
Fijación
Resumen (EN)
Twenty children with simple femoral-shaft fractures were treated by monolateral
external fixation with the Wagner device. There were 11 boys and 9 girls with a mean age of 8 years
(3-15). Twelve fractures were located at the midshaft, 6 at the proximal third, and 2 other at the
distal third of the femur. The mean hospital stay was 9 days (5-20). Mean external fixation time was
61 years. In 5 cases, additional methods of treatment were required. Pin tract infection occurred
in 3 cases (one needed premature removal of the device). Except for one case, full range of knee
motion was usually achieved after treatment. In patients followed for more than 18 months, a mean
femoral overgrowth of 0.8 cm (0.5-1.5) was detected. Neither angular deformities nor malrotations were
observed. In our experience, the main advantages of external fixation for femoral-shaft fractures in
children include less hospitalization time and an easier and more confortable nursing. External fixation
allows a better control of the bone fragments, providing an adequate stability. Pin tract infection
seems to be the most important drawback. A learning curve was observed in this series.
external fixation with the Wagner device. There were 11 boys and 9 girls with a mean age of 8 years
(3-15). Twelve fractures were located at the midshaft, 6 at the proximal third, and 2 other at the
distal third of the femur. The mean hospital stay was 9 days (5-20). Mean external fixation time was
61 years. In 5 cases, additional methods of treatment were required. Pin tract infection occurred
in 3 cases (one needed premature removal of the device). Except for one case, full range of knee
motion was usually achieved after treatment. In patients followed for more than 18 months, a mean
femoral overgrowth of 0.8 cm (0.5-1.5) was detected. Neither angular deformities nor malrotations were
observed. In our experience, the main advantages of external fixation for femoral-shaft fractures in
children include less hospitalization time and an easier and more confortable nursing. External fixation
allows a better control of the bone fragments, providing an adequate stability. Pin tract infection
seems to be the most important drawback. A learning curve was observed in this series.
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