Proximal humeral interlocking system plate for pediatric subtrochanteric femur fracture: a case report

Authors

  • Pratik Mankar Department of Orthopaedics, Bharati Hospital and Research Centre, Pune, Maharashtra, India
  • Gopal Pundkare Department of Orthopaedics, Bharati Hospital and Research Centre, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20232625

Keywords:

Pediatric subtrochanteric fracture, PHILOS plate

Abstract

Hip fractures are rare in the pediatric age group and they contribute about 1% of all fractures in children. Subtrochanteric femur fractures are the rarest form of hip fractures in children. The treatment for children between the ages 6-12 years is controversial. The treatment options for pediatric subtrochanteric femur fracture include traction followed by hip spica cast, immediate spica casting, cast bracing, internal fixation and external fixation. We report a case of a subtrochanteric femur fracture in a 7-year-old girl following a fall of heavy object over her leg. The fracture was fixed with an adult 3.5 mm proximal humeral interlocking system (PHILOS) plate. The purpose of this report is to provide an alternative mode of management for paediatric subtrochanteric femur fracture.

References

Kasser JR, Beaty JH. Femoral shaft fractures. In: Rockwood and Wilkins, Fractures in Children, 6th edition. Wolters Kluwer Health. 2005.

Segal LS. Custom 95 degree condylar blade plate for paediatric subtrochanteric femur fractures. Orthopedics. 2000;23:103-7.

DeLee JC, Clanton TO, Rockwood CA Jr. Closed treatment of subtrochanteric fractures of the femur in a modified cast brace. J Bone Joint Surg. 1981;63-A:773-9.

Ireland DC, Fisher RL. Subtrochanteric fractures of the femur in children. Clin Orthop. 1975;110:157-66.

Cortes LE, Triana M, Vallejo F, Slongo TF, Streubel PN. Adult proximal humerus locking plate for the treatment of a pediatric subtrochanteric femoral nonunion: a case report. J Orthop Trauma. 2011;25:e63-7.

Gregory P, Pevny T, Teague D. Early complications with external fixation of pediatric femoral shaft fractures. J Orthop Trauma. 1996;10:191.

Jarvis J, Davidson D, Letts M. Management of subtrochanteric fractures in skeletally immature adolescents. J Trauma. 2006;60(3):613-9.

Tolo VT. Treatment of fractures of the long bones and pelvis in children who have sustained multiples injuries. J Bone Joint Surg. 2000;82-A:272-80.

Jusoh M. Adult PHILOS Humeral Plate for the Fixation of Paediatric Proximal Femur Fracture. Conference Paper. 2017.

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Published

2023-08-28