Implant removal after submuscular plating for pediatric femur fractures

Journal of Pediatric Orthopedics
Olivia PateT Hresko

Abstract

Submuscular plating for pediatric femur fracture has become more commonplace for treatment of length unstable fractures. These plates act as an internal fixator and rely on minimally invasive insertion techniques and long plate lengths to achieve the goal of stable fixation and local biologic fracture preservation. Plate removal in children after submuscular plating has not been reported in the literature. We reviewed the records of 22 patients at our institution who were treated with a submuscular plate, which was eventually removed after fracture healing. A review of the radiographs and charts was performed to determine any unique problems or complications that may arise during the removal of these plates given their long lengths and minimally invasive insertion. In our series, 7 patients required a more extensive procedure to remove the plate than was required during plate insertion. These patients all required an open procedure at the leading edge of the plate to chisel overgrown bone away from the plate for removal. The timing of removal in our series was not related to difficulties during plate removal, rather it was the presence of bony overgrowth at the plates leading edge. This overgrowth was seen early on radiographic...Continue Reading

References

Oct 1, 1978·Acta Orthopaedica Scandinavica·L Strömberg, N Dalén
Dec 23, 2004·Journal of Pediatric Orthopedics·Hamlet A Peterson
Mar 30, 2005·Journal of Orthopaedic Trauma·Daniel J Hedequist, Ernest Sink
Feb 10, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Matthew L BusamWilliam T Obremskey
Mar 25, 2006·Journal of Pediatric Orthopedics·Ernest L SinkTimothy Hresko
Mar 25, 2006·Journal of Pediatric Orthopedics·Naum SimanovskyShlomo Porat
Jun 23, 2006·Journal of Pediatric Orthopedics·Randall T Loder, Judy R Feinberg
Dec 25, 2007·Journal of Pediatric Orthopedics·Daniel HedequistTimothy Hresko
Sep 25, 2008·Journal of Pediatric Orthopedics·Ellen M RaneyHenry G Chambers

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Citations

Feb 9, 2012·Current Reviews in Musculoskeletal Medicine·Benton E HeyworthYi-Meng Yen
Aug 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·P P Schmittenbecher
Apr 13, 2013·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Hyun-Joo LeeJoon-Young Kim
Dec 3, 2013·Journal of Children's Orthopaedics·Yasser M Assaghir
Jan 17, 2014·Journal of Children's Orthopaedics·Collin MayBenton E Heyworth
Jul 13, 2013·Journal of Orthopaedic Surgery and Research·Martin F HoffmannClifford B Jones
Sep 3, 2014·European Journal of Orthodontics·Simon VandergugtenCatherine Nyssen-Behets
Oct 1, 2019·Journal of Orthopaedic Trauma·Kyeong-Hyeon ParkKun-Bo Park
Sep 8, 2012·Journal of Pediatric Orthopedics·Tali BeckerElhanan Bar-On
Jun 19, 2012·Journal of Pediatric Orthopedics·Amit JainPaul D Sponseller
Mar 14, 2013·Journal of Pediatric Orthopedics·Jessica WoodcockAnthony A Stans
Aug 10, 2019·Case Reports in Orthopedics·Jonathan BryantDaniel Krenk
Jan 11, 2017·JBJS Essential Surgical Techniques·Adam Shaner, Paul Sponseller

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