Fractures of the Distal Femoral Epiphyseal Plate
A retrospective analysis of 30 consecutive fractures of the distal femoral epiphyseal plate showed the best results occurred when fractures were anatomically reduced and fixed with pins. No fractures with internal fixation displaced, whereas 43% of fractures reduced without fixation displaced during...
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| Veröffentlicht in: | Journal of pediatric orthopaedics 1995-07, Vol.15 (4), p.474-478 |
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| container_end_page | 478 |
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| container_issue | 4 |
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| container_title | Journal of pediatric orthopaedics |
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| creator | Thomson, Jeffrey D Stricker, Stephen J Williams, Mark M |
| description | A retrospective analysis of 30 consecutive fractures of the distal femoral epiphyseal plate showed the best results occurred when fractures were anatomically reduced and fixed with pins. No fractures with internal fixation displaced, whereas 43% of fractures reduced without fixation displaced during cast treatment. Complications were more frequent in displaced than non-displaced fractures. We were unable to demonstrate that gentle reduction under general anesthesia offered protection against subsequent physeal arrest when compared with closed reduction in the emergency room; however, reductions in the operating room were more likely to be anatomic. |
| doi_str_mv | 10.1097/01241398-199507000-00013 |
| format | Article |
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No fractures with internal fixation displaced, whereas 43% of fractures reduced without fixation displaced during cast treatment. Complications were more frequent in displaced than non-displaced fractures. We were unable to demonstrate that gentle reduction under general anesthesia offered protection against subsequent physeal arrest when compared with closed reduction in the emergency room; however, reductions in the operating room were more likely to be anatomic.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/01241398-199507000-00013</identifier><identifier>PMID: 7560038</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Adolescent ; Biological and medical sciences ; Casts, Surgical - adverse effects ; Child ; Child, Preschool ; Epiphyses - injuries ; Female ; Femoral Fractures - diagnostic imaging ; Femoral Fractures - therapy ; Fracture Fixation, Internal - adverse effects ; Fracture Fixation, Internal - methods ; Fracture Healing - physiology ; Humans ; Infant ; Injuries of the limb. Injuries of the spine ; Joint Deformities, Acquired - etiology ; Joint Dislocations - diagnostic imaging ; Joint Dislocations - therapy ; Knee Injuries - diagnostic imaging ; Knee Injuries - therapy ; Male ; Manipulation, Orthopedic ; Medical sciences ; Radiography ; Range of Motion, Articular ; Retrospective Studies ; Traumas. 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No fractures with internal fixation displaced, whereas 43% of fractures reduced without fixation displaced during cast treatment. Complications were more frequent in displaced than non-displaced fractures. We were unable to demonstrate that gentle reduction under general anesthesia offered protection against subsequent physeal arrest when compared with closed reduction in the emergency room; however, reductions in the operating room were more likely to be anatomic.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Casts, Surgical - adverse effects</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Epiphyses - injuries</subject><subject>Female</subject><subject>Femoral Fractures - diagnostic imaging</subject><subject>Femoral Fractures - therapy</subject><subject>Fracture Fixation, Internal - adverse effects</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fracture Healing - physiology</subject><subject>Humans</subject><subject>Infant</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Joint Deformities, Acquired - etiology</subject><subject>Joint Dislocations - diagnostic imaging</subject><subject>Joint Dislocations - therapy</subject><subject>Knee Injuries - diagnostic imaging</subject><subject>Knee Injuries - therapy</subject><subject>Male</subject><subject>Manipulation, Orthopedic</subject><subject>Medical sciences</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><subject>Retrospective Studies</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFKxDAQhoMouq4-gtCDeKtOOm2THEVdFRb0oOeQJhO22rVr0iL79kZ33ZuH8AfmmwzzhbGMwyUHJa6AFyVHJXOuVAUCAPJ0OO6xCa9Q5UUlYJ9NoBA8r4WSR-w4xrdECCzxkB2KqgZAOWEwC8YOY6CY9T4bFpTdtnEwXTajZR9S3q3a1WIdKV2fOzPQCTvwpot0us0pe53dvdw85POn-8eb63luUZaYEzbGGQeqRi8wpXIlSm-kNYVPG6BwBOALbpxtKumUbciVyihw3nGSOGUXm3dXof8cKQ562UZLXWc-qB-jFqJOSyYJUyY3oA19jIG8XoV2acJac9A_svSfLL2TpX9lpdaz7YyxWZLbNW7tpPr5tm6iNZ0P5sO2cYdhJSqEOmHlBvvqu4FCfO_GLwp6kZwNC_3fV-E3FSWAcw</recordid><startdate>199507</startdate><enddate>199507</enddate><creator>Thomson, Jeffrey D</creator><creator>Stricker, Stephen J</creator><creator>Williams, Mark M</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199507</creationdate><title>Fractures of the Distal Femoral Epiphyseal Plate</title><author>Thomson, Jeffrey D ; Stricker, Stephen J ; Williams, Mark M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3843-e3badad0963f73d099d438fa8ca2f09737de00f21adcb58d9cbed49a90dfd1e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Casts, Surgical - adverse effects</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Epiphyses - injuries</topic><topic>Female</topic><topic>Femoral Fractures - diagnostic imaging</topic><topic>Femoral Fractures - therapy</topic><topic>Fracture Fixation, Internal - adverse effects</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fracture Healing - physiology</topic><topic>Humans</topic><topic>Infant</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Joint Deformities, Acquired - etiology</topic><topic>Joint Dislocations - diagnostic imaging</topic><topic>Joint Dislocations - therapy</topic><topic>Knee Injuries - diagnostic imaging</topic><topic>Knee Injuries - therapy</topic><topic>Male</topic><topic>Manipulation, Orthopedic</topic><topic>Medical sciences</topic><topic>Radiography</topic><topic>Range of Motion, Articular</topic><topic>Retrospective Studies</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thomson, Jeffrey D</creatorcontrib><creatorcontrib>Stricker, Stephen J</creatorcontrib><creatorcontrib>Williams, Mark M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thomson, Jeffrey D</au><au>Stricker, Stephen J</au><au>Williams, Mark M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fractures of the Distal Femoral Epiphyseal Plate</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>1995-07</date><risdate>1995</risdate><volume>15</volume><issue>4</issue><spage>474</spage><epage>478</epage><pages>474-478</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>A retrospective analysis of 30 consecutive fractures of the distal femoral epiphyseal plate showed the best results occurred when fractures were anatomically reduced and fixed with pins. No fractures with internal fixation displaced, whereas 43% of fractures reduced without fixation displaced during cast treatment. Complications were more frequent in displaced than non-displaced fractures. We were unable to demonstrate that gentle reduction under general anesthesia offered protection against subsequent physeal arrest when compared with closed reduction in the emergency room; however, reductions in the operating room were more likely to be anatomic.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>7560038</pmid><doi>10.1097/01241398-199507000-00013</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0271-6798 |
| ispartof | Journal of pediatric orthopaedics, 1995-07, Vol.15 (4), p.474-478 |
| issn | 0271-6798 1539-2570 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Biological and medical sciences Casts, Surgical - adverse effects Child Child, Preschool Epiphyses - injuries Female Femoral Fractures - diagnostic imaging Femoral Fractures - therapy Fracture Fixation, Internal - adverse effects Fracture Fixation, Internal - methods Fracture Healing - physiology Humans Infant Injuries of the limb. Injuries of the spine Joint Deformities, Acquired - etiology Joint Dislocations - diagnostic imaging Joint Dislocations - therapy Knee Injuries - diagnostic imaging Knee Injuries - therapy Male Manipulation, Orthopedic Medical sciences Radiography Range of Motion, Articular Retrospective Studies Traumas. Diseases due to physical agents Treatment Outcome |
| title | Fractures of the Distal Femoral Epiphyseal Plate |
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