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Pathological fracture in children with benign bone lesion of the proximal femur managed with LCP Paediatric Hip plate and calcium sulphate as bone substitute - a case series

Objectives:The method of treatment for pathological fractures of proximal femur in children must be able to provide a stable fixation at the same time respect the anatomical peculiarities of the region. This case series demonstrates the use of LCP paediatric hip plate with injectable calcium sulph...

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Main Authors: Sharifudin, Mohd Ariff, Goh, Kian Liang, Mohamed Amin, Mohamed Azril, Awang, Mohd Shukrimi, Abdul Razak, Ardilla Hanim, Taib, Mai Nurul Ashikin
Format: Conference or Workshop Item
Language:English
Published: 2016
Subjects:
RD701 Orthopedics
RJ101 Child Health. Child health services
Online Access:http://irep.iium.edu.my/50828/1/50828.pdf
http://irep.iium.edu.my/50828/
http://www.apmsts.com/apmsts2016
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spelling my.iium.irep.508282018-05-23T02:02:10Z http://irep.iium.edu.my/50828/ Pathological fracture in children with benign bone lesion of the proximal femur managed with LCP Paediatric Hip plate and calcium sulphate as bone substitute - a case series Sharifudin, Mohd Ariff Goh, Kian Liang Mohamed Amin, Mohamed Azril Awang, Mohd Shukrimi Abdul Razak, Ardilla Hanim Taib, Mai Nurul Ashikin RD701 Orthopedics RJ101 Child Health. Child health services Objectives:The method of treatment for pathological fractures of proximal femur in children must be able to provide a stable fixation at the same time respect the anatomical peculiarities of the region. This case series demonstrates the use of LCP paediatric hip plate with injectable calcium sulphate (CaSO4) as a treatment option. Materials and Method:Three children aged between 6 to 9 years old presented with pathological fracture Delbet-Colonna type IV following fall. Diagnosis of lesions (2 unicameral bone cyst, 1 fibrous dysplasia) were made pre-operatively by MRI and confirmed on HPE from sample taken intraoperatively. The fractures were fixed using LCP paediatric hip plate 120°. Injectable CaSO4 was inserted through cortical window to fill the bone defect. Results: Acceptable neck-shaft angle was restored and stable fixation achieved in all three cases. No screw inserted through the physis. At 6 weeks following surgery, abundant of callus observed on plain radiograph. Complete union was achieved at 12 weeks. CaSO4 completely resorbed and the original lesions reduced in size by 16 weeks. New bone formations filled in the defect and consolidated. One patient had shortening of 1cm while another had minimal external rotation of 30° on 90° hip flexion. Patients were allowed full weight bearing by then. No abnormal gait observed. Conclusion: Stable fixation with good operative outcomes achieved in treating pathological fractures in the cases. Necessity of obtaining bone graft in the patients was avoided, preventing donor site morbidity and shortened the operative time. Furthermore, conservative treatment with prolonged use of hip spica was not needed. 2016-04-21 Conference or Workshop Item REM application/pdf en http://irep.iium.edu.my/50828/1/50828.pdf Sharifudin, Mohd Ariff and Goh, Kian Liang and Mohamed Amin, Mohamed Azril and Awang, Mohd Shukrimi and Abdul Razak, Ardilla Hanim and Taib, Mai Nurul Ashikin (2016) Pathological fracture in children with benign bone lesion of the proximal femur managed with LCP Paediatric Hip plate and calcium sulphate as bone substitute - a case series. In: The 11th Meeting of The Asia Pacific Musculoskeletal Tumour Society 2016, 21st-23rd Apr. 2016, Singapore. (Unpublished) http://www.apmsts.com/apmsts2016
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 RD701 Orthopedics
RJ101 Child Health. Child health services
spellingShingle RD701 Orthopedics
RJ101 Child Health. Child health services
Sharifudin, Mohd Ariff
Goh, Kian Liang
Mohamed Amin, Mohamed Azril
Awang, Mohd Shukrimi
Abdul Razak, Ardilla Hanim
Taib, Mai Nurul Ashikin
Pathological fracture in children with benign bone lesion of the proximal femur managed with LCP Paediatric Hip plate and calcium sulphate as bone substitute - a case series
description Objectives:The method of treatment for pathological fractures of proximal femur in children must be able to provide a stable fixation at the same time respect the anatomical peculiarities of the region. This case series demonstrates the use of LCP paediatric hip plate with injectable calcium sulphate (CaSO4) as a treatment option. Materials and Method:Three children aged between 6 to 9 years old presented with pathological fracture Delbet-Colonna type IV following fall. Diagnosis of lesions (2 unicameral bone cyst, 1 fibrous dysplasia) were made pre-operatively by MRI and confirmed on HPE from sample taken intraoperatively. The fractures were fixed using LCP paediatric hip plate 120°. Injectable CaSO4 was inserted through cortical window to fill the bone defect. Results: Acceptable neck-shaft angle was restored and stable fixation achieved in all three cases. No screw inserted through the physis. At 6 weeks following surgery, abundant of callus observed on plain radiograph. Complete union was achieved at 12 weeks. CaSO4 completely resorbed and the original lesions reduced in size by 16 weeks. New bone formations filled in the defect and consolidated. One patient had shortening of 1cm while another had minimal external rotation of 30° on 90° hip flexion. Patients were allowed full weight bearing by then. No abnormal gait observed. Conclusion: Stable fixation with good operative outcomes achieved in treating pathological fractures in the cases. Necessity of obtaining bone graft in the patients was avoided, preventing donor site morbidity and shortened the operative time. Furthermore, conservative treatment with prolonged use of hip spica was not needed.
format Conference or Workshop Item
author Sharifudin, Mohd Ariff
Goh, Kian Liang
Mohamed Amin, Mohamed Azril
Awang, Mohd Shukrimi
Abdul Razak, Ardilla Hanim
Taib, Mai Nurul Ashikin
author_facet Sharifudin, Mohd Ariff
Goh, Kian Liang
Mohamed Amin, Mohamed Azril
Awang, Mohd Shukrimi
Abdul Razak, Ardilla Hanim
Taib, Mai Nurul Ashikin
author_sort Sharifudin, Mohd Ariff
title Pathological fracture in children with benign bone lesion of the proximal femur managed with LCP Paediatric Hip plate and calcium sulphate as bone substitute - a case series
title_short Pathological fracture in children with benign bone lesion of the proximal femur managed with LCP Paediatric Hip plate and calcium sulphate as bone substitute - a case series
title_full Pathological fracture in children with benign bone lesion of the proximal femur managed with LCP Paediatric Hip plate and calcium sulphate as bone substitute - a case series
title_fullStr Pathological fracture in children with benign bone lesion of the proximal femur managed with LCP Paediatric Hip plate and calcium sulphate as bone substitute - a case series
title_full_unstemmed Pathological fracture in children with benign bone lesion of the proximal femur managed with LCP Paediatric Hip plate and calcium sulphate as bone substitute - a case series
title_sort pathological fracture in children with benign bone lesion of the proximal femur managed with lcp paediatric hip plate and calcium sulphate as bone substitute - a case series
publishDate 2016
url http://irep.iium.edu.my/50828/1/50828.pdf
http://irep.iium.edu.my/50828/
http://www.apmsts.com/apmsts2016
_version_ 1643613823670681600
score 13.211869

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