Premature Greater Trochanteric Epiphysiodesis Secondary to Intramedullary Femoral Rodding

Five skeletally immature patients developed premature closure of the greater trochanteric physis consequent to placement of an intramedullary rod for primary treatment of a femoral diaphyseal fracture. Each patient developed increased femoral neck valgus as compared with the contralateral hip. To da...

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Veröffentlicht in:Journal of pediatric orthopaedics 1993-07, Vol.13 (4), p.516-520
Hauptverfasser: Raney, Ellen M, Ogden, John A, Grogan, Dennis P
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container_title Journal of pediatric orthopaedics
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creator Raney, Ellen M
Ogden, John A
Grogan, Dennis P
description Five skeletally immature patients developed premature closure of the greater trochanteric physis consequent to placement of an intramedullary rod for primary treatment of a femoral diaphyseal fracture. Each patient developed increased femoral neck valgus as compared with the contralateral hip. To date, however, none of these patients has had any functional disability, although one has developed mild radiographic subluxation. In addition, anatomic specimens demonstrated the likely hood of traversing a portion of the greater trochanteric physis. Other methods of fracture treatment, either operative or nonoperative, should be considered in skeletally immature patients who have not entered the final phase of skeletal maturation characterized by subchondral “sclerosis” along the greater trochanteric physis.
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subjects Adolescent
Biological and medical sciences
Child
Epiphyses - diagnostic imaging
Epiphyses - pathology
Female
Femoral Fractures - diagnostic imaging
Femoral Fractures - pathology
Femoral Fractures - surgery
Femur Head - diagnostic imaging
Femur Head - pathology
Femur Neck - diagnostic imaging
Femur Neck - pathology
Fracture Fixation, Internal - methods
Fracture Healing - physiology
Fractures, Closed - diagnostic imaging
Fractures, Closed - pathology
Fractures, Closed - surgery
Humans
Leg Length Inequality - diagnostic imaging
Leg Length Inequality - pathology
Male
Medical sciences
Orthopedic surgery
Osteoarthritis, Hip - diagnostic imaging
Osteoarthritis, Hip - pathology
Osteogenesis - physiology
Postoperative Complications - diagnostic imaging
Postoperative Complications - pathology
Radiography
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
title Premature Greater Trochanteric Epiphysiodesis Secondary to Intramedullary Femoral Rodding
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