Abdelgawad Amr Atef, Kanlic Enes M
Department of Orthopedics, Texas Tech University Health Sciences Center, El Paso, Texas.
J Knee Surg. 2013 Dec;26 Suppl 1:S45-9. doi: 10.1055/s-0031-1299658. Epub 2012 May 3.
Distal femoral metaphyseal fractures are common injuries in children. Multiple treatment options have been described for this type of injury. For older children with distal metaphyseal fracture, there is still no optimal method of fixation. We propose that the commonly used proximal humeral plate can provide good method of fixation for this fracture in adolescents. Two children (12 and 14 years old) with distal metaphyseal femoral fracture were treated with proximal humeral plate. We describe the surgical technique and postoperative management. The two children healed with good alignment and full range of motion of the knee. No external immobilization (other than knee immobilizer for the first 2 weeks) was used. We concluded that proximal humeral plate can provide adequate fixation for teenagers with distal femoral metaphyseal fracture. It is readily available; provide multiple options for screw fixation in the distal part of the fracture and fits easily on the distal part of the femur proximal to the physis.
股骨远端干骺端骨折是儿童常见的损伤。针对这类损伤已有多种治疗方法被描述。对于年龄较大的患有远端干骺端骨折的儿童，仍没有最佳的固定方法。我们提出，常用的肱骨近端钢板可为青少年的这类骨折提供良好的固定方法。两名患有股骨远端干骺端骨折的儿童（分别为12岁和14岁）接受了肱骨近端钢板治疗。我们描述了手术技术及术后管理。这两名儿童骨折愈合良好，膝关节活动范围正常。未使用外部固定（除最初2周使用膝关节固定器外）。我们得出结论，肱骨近端钢板可为青少年股骨远端干骺端骨折提供充分的固定。它容易获得；在骨折远端提供多种螺钉固定选择，并且能轻松适配于靠近骨骺的股骨远端部分。
