Cover Image

Percutaneous plating in paediatric tibial fractures

Background: Although non-operative treatment is a mainstay of tibial fracture management in children, certain fractures require a surgical approach. However, choices concerning optimal methods and implants are difficult. The purpose of this study was to determine the effectiveness of percutaneous pl...

Full description

Saved in:
Bibliographic Details
Main Authors: Mohd Yusof, Nazri, Oh, ChangWoo, Oh, JongKeon, Kim, Joonwoo Woo, Min, WooKie, Park, IlHyung, Kim, Hee June
Format: Article
Language:English
Published: Elsevier BV 2009
Subjects:
RJ101 Child Health. Child health services
Online Access:http://irep.iium.edu.my/12793/1/Percutaneous-plating-in-paediatric-tibial-fractures_2009_Injury.pdf
http://irep.iium.edu.my/12793/
http://www.sciencedirect.com/science/article/pii/S0020138309001648
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.iium.irep.12793
record_format dspace
spelling my.iium.irep.127932015-01-27T01:03:41Z http://irep.iium.edu.my/12793/ Percutaneous plating in paediatric tibial fractures Mohd Yusof, Nazri Oh, ChangWoo Oh, JongKeon Kim, Joonwoo Woo Min, WooKie Park, IlHyung Kim, Hee June RJ101 Child Health. Child health services Background: Although non-operative treatment is a mainstay of tibial fracture management in children, certain fractures require a surgical approach. However, choices concerning optimal methods and implants are difficult. The purpose of this study was to determine the effectiveness of percutaneous plating of tibial fractures in children. Materials and methods: Sixteen tibial fractures treated using the percutaneous plating technique between 2000 and 2007 were reviewed. The mean age at operation was 10 years 9 months (range: 6-16 years). There were eight open and closed fractures each. Operative indications were acute fractures with associated injuries or fractures, open fractures and compartment syndrome. Nonunions or failures following other treatments were also indicated. Without exposing the fracture sites, the plates were fixed through a subcutaneous tunnel from remote incisions. Results: All fractures healed without a bone graft. The mean time required for union was 13 weeks (range: 8-24 weeks). No major complications such as malunion, implant failure or deep infection occurred. With the exception of one case with a 15-mm overgrowth, no discrepancy in leg length over 10 mm was encountered. Other minor complications included one case each of transient superficial infection and skin irritation caused by the plate. All patients achieved an excellent or satisfactory clinical outcome with no limping. Summary: Percutaneous plating technique is a safe alternative treatment for paediatric tibial fractures that are difficult to manage using other methods. © 2009 Elsevier Ltd. All rights reserved. Elsevier BV 2009-12 Article REM application/pdf en http://irep.iium.edu.my/12793/1/Percutaneous-plating-in-paediatric-tibial-fractures_2009_Injury.pdf Mohd Yusof, Nazri and Oh, ChangWoo and Oh, JongKeon and Kim, Joonwoo Woo and Min, WooKie and Park, IlHyung and Kim, Hee June (2009) Percutaneous plating in paediatric tibial fractures. Injury, 40 (12). pp. 1286-1291. ISSN 0020-1383 http://www.sciencedirect.com/science/article/pii/S0020138309001648 10.1016/j.injury.2009.02.020
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic RJ101 Child Health. Child health services
spellingShingle RJ101 Child Health. Child health services
Mohd Yusof, Nazri
Oh, ChangWoo
Oh, JongKeon
Kim, Joonwoo Woo
Min, WooKie
Park, IlHyung
Kim, Hee June
Percutaneous plating in paediatric tibial fractures
description Background: Although non-operative treatment is a mainstay of tibial fracture management in children, certain fractures require a surgical approach. However, choices concerning optimal methods and implants are difficult. The purpose of this study was to determine the effectiveness of percutaneous plating of tibial fractures in children. Materials and methods: Sixteen tibial fractures treated using the percutaneous plating technique between 2000 and 2007 were reviewed. The mean age at operation was 10 years 9 months (range: 6-16 years). There were eight open and closed fractures each. Operative indications were acute fractures with associated injuries or fractures, open fractures and compartment syndrome. Nonunions or failures following other treatments were also indicated. Without exposing the fracture sites, the plates were fixed through a subcutaneous tunnel from remote incisions. Results: All fractures healed without a bone graft. The mean time required for union was 13 weeks (range: 8-24 weeks). No major complications such as malunion, implant failure or deep infection occurred. With the exception of one case with a 15-mm overgrowth, no discrepancy in leg length over 10 mm was encountered. Other minor complications included one case each of transient superficial infection and skin irritation caused by the plate. All patients achieved an excellent or satisfactory clinical outcome with no limping. Summary: Percutaneous plating technique is a safe alternative treatment for paediatric tibial fractures that are difficult to manage using other methods. © 2009 Elsevier Ltd. All rights reserved.
format Article
author Mohd Yusof, Nazri
Oh, ChangWoo
Oh, JongKeon
Kim, Joonwoo Woo
Min, WooKie
Park, IlHyung
Kim, Hee June
author_facet Mohd Yusof, Nazri
Oh, ChangWoo
Oh, JongKeon
Kim, Joonwoo Woo
Min, WooKie
Park, IlHyung
Kim, Hee June
author_sort Mohd Yusof, Nazri
title Percutaneous plating in paediatric tibial fractures
title_short Percutaneous plating in paediatric tibial fractures
title_full Percutaneous plating in paediatric tibial fractures
title_fullStr Percutaneous plating in paediatric tibial fractures
title_full_unstemmed Percutaneous plating in paediatric tibial fractures
title_sort percutaneous plating in paediatric tibial fractures
publisher Elsevier BV
publishDate 2009
url http://irep.iium.edu.my/12793/1/Percutaneous-plating-in-paediatric-tibial-fractures_2009_Injury.pdf
http://irep.iium.edu.my/12793/
http://www.sciencedirect.com/science/article/pii/S0020138309001648
_version_ 1643606660471586816
score 13.211869

Similar Items