Subtrochanteric Fracture in Adolescents Treated with Adult Proximal Humerus Locking Plate
A Case Series and Review of Literature
Abstract
We report four cases of subtrochanteric fracture in school-aged pediatrics, treated with an adult proximal humerus locking plate. The clinical outcomes were excellent. The advantage of this plate is that many screws can be inserted at appropriate positions and angles without damaging the physis. This approach is considered useful for pediatric subtrochanteric fractures.
1. Jarvis J, Davidson D, Letts M. Management of subtrochanteric fractures in skeletally immature adolescents. J Trauma Acute Care Surg 2006;60(3):613–619; doi: 10.1097/01.ta.0000197606.63124.9e.
2. Loizou CL, McNamara I, Ahmed K, et al. Classification of subtrochanteric femoral fractures. Injury 2010;41(7):739–745; doi: 10.1016/j.injury.2010.02.018.
3. Ireland DC, Fisher RL. Subtrochanteric fractures of the femur in children. Clin Orthop Relat Res 1975;110:157–166; doi: 10.1097/00003086-197507000-00020.
4. Xu Y, Bian J, Shen K, et al. Titanium elastic nailing versus locking compression plating in school-aged pediatric subtrochanteric femur fractures. Medicine (Baltimore) 2018;97(29); doi: 10.1097/MD.0000000000011568.
5. Shah MD, Kapoor CS, Soni RJ, et al. Evaluation of outcome of proximal femur locking compression plate (PFLCP) in unstable proximal femur fractures. J Clin Orthop Trauma 2017;8(4):308–312; doi: 10.1016/j.jcot.2016.11.005.
6. Gogna P, Mohindra M, Verma S, et al. Adult proximal humerus locking plate for fixation of paediatric subtrochanteric fractures. Musculoskelet Surg 2014;98:189–194; doi: 10.1007/s12306-013-0310-z.
7. Corrales LA, Morshed S, Bhandari M, et al. Variability in the assessment of fracture-healing in orthopaedic trauma studies. J Bone Joint Surg Am 2008;90(9):1862; doi: 10.2106/JBJS.G.01580.
8. Flynn JM, Hresko T, Reynolds RA, et al. Titanium elastic nails for pediatric femur fractures: a multicenter study of early results with analysis of complications. J Pediatr Orthop 2001;21(1):4–8; doi: 10.1097/00004694-200101000-00003.
9. Beaty JH. Femoral-shaft fractures in children and adolescents. JAAOS-J Am Acad Orthop Surg 1995;3(4):207–217; doi: 10.5435/00124635-199507000-00003.
10. Pombo MW, Shilt JS. The definition and treatment of pediatric subtrochanteric femur fractures with titanium elastic nails. J Pediatr Orthop 2006;26(3):364–370; doi: 10.1097/01.bpo.0000203005.50906.41.
10. Baumgaertner MR, Curtin SL, Lindskog DM. Intramedullary versus extramedullary fixation for the treatment of intertrochanteric hip fractures. Clin Orthop Relat Res 1976-2007 1998;348:87–94; PMID: 9553538.
12. Zhang Y, Xue Y, Zhao M, et al. Titanium elastic nails vs locking plate in pediatric subtrochanteric femur fractures: A systematic review and meta-analysis. Front Pediatr 2023;11:1114265; doi: 10.3389/fped.2023.1114265.
13. Li Y, Heyworth BE, Glotzbecker M, et al. Comparison of titanium elastic nail and plate fixation of pediatric subtrochanteric femur fractures. J Pediatr Orthop 2013;33(3):232–238; doi: 10.1097/BPO.0b013e318288b496.
14. Hong P, Zhao X, Ze R, et al. Operative choice for subtrochanteric femoral fracture in school-aged children: Triple elastic stable intramedullary nail versus locking plate. Front Pediatr 2022;10; doi: 10.3389/fped.2022.894262.
15. Shaw CR, Badhesha J, Ayana G, et al. Use of a proximal humeral plate for a paediatric peri-prosthetic femoral fracture. J Surg Case Rep 2014;2014(7):rju069; doi: 10.1302/1358-992X.95BSUPP_30.GLAMOR2012-007.
16. Hanifah J. Adult PHILOS Humeral Plate For The Fixation Of Paediatric Proximal Femur Fracture. n.d.
17. Chew J, Phang Z, Ooi B. Paediatric subtrochanteric femur fracture treated with PHILOS plate: a case report. Hong Kong J Orthop Res 2018;1:01–03.
18. Chetia NP, Medhi H, Das M, et al. Outcome of adult proximal humerus locking plate in the treatment of paediatric subtrochanteric fractures. Int J Res Orthop 2020;6(1):63; doi: 10.18203/issn.2455-4510.IntJResOrthop20195796.
19. Çağlar C, Akçaalan S, Bozer M, et al. Adult Proximal Humeral Locking Plate Is a Good Alternative Option in the Treatment of Adolescent Subtrochanteric Femur Fractures: A Case Series and Literature Review. Hip Pelvis 2022;34(4):245; doi: 10.5371/hp.2022.34.4.245.
18. Newbury AJ, Aurigemma P, Kraus M, et al. The repair of an acute pathological subtrochanteric femur fracture using an adult 3.5-mm proximal humerus locking plate in an adolescent patient: a case report. JBJS Case Connect 2020;10(2):e0491; doi: 10.2106/jbjs.cc.19.00491.
19. Tsutsumi R, Mammoto T. Pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: A case report. SAGE Open Med Case Rep 2022; doi: 10:2050313X221093112.
20. Patrikov K, Georgiev H, Kehayov R. Pathological Fractures of the Proximal Femur in Children and Adolescents Treated with LCP Paediatric Hip Plate. Acta Chir Orthop Traumatol Cech 2022;89(1):68–74; PMID: 35247247.
23. Çağlar Ö, Özdemir E, Tokgözoğlu AM, et al. Use of proximal humerus plates for the fixation of the subtrochanteric femoral shortening osteotomy during total hip arthroplasty for Crowe type IV developmental dysplasia of the hip patients. Jt Dis Relat Surg 2020;31(2):306; doi: 10.5606/ehc.2020.73078.
24. Danişman M, Özdemir E, Dursun G, et al. An Alternative Fixation Option for Subtrochanteric Femur Fractures in Children: Adult Proximal Humerus Plate. J Pediatr Orthop 2022;42(8):e828–e832; doi: 10.1097/BPO.0000000000002207.
25. Kumar M, Chandrabau KK, Bhaskaran VK, et al. Unusual proximal femur fracture in children treated with PHILOS plate and review of literature. J Orthop Allied Sci 2017;5(1):6; doi: 10.4103/joas.joas_32_16.
26. Cortes LE, Triana M, Vallejo F, et al. Adult proximal humerus locking plate for the treatment of a pediatric subtrochanteric femoral nonunion: a case report. J Orthop Trauma 2011;25(7):e63–e67; doi: 10.1097/BOT.0b013e3181f8d9c3.
2. Loizou CL, McNamara I, Ahmed K, et al. Classification of subtrochanteric femoral fractures. Injury 2010;41(7):739–745; doi: 10.1016/j.injury.2010.02.018.
3. Ireland DC, Fisher RL. Subtrochanteric fractures of the femur in children. Clin Orthop Relat Res 1975;110:157–166; doi: 10.1097/00003086-197507000-00020.
4. Xu Y, Bian J, Shen K, et al. Titanium elastic nailing versus locking compression plating in school-aged pediatric subtrochanteric femur fractures. Medicine (Baltimore) 2018;97(29); doi: 10.1097/MD.0000000000011568.
5. Shah MD, Kapoor CS, Soni RJ, et al. Evaluation of outcome of proximal femur locking compression plate (PFLCP) in unstable proximal femur fractures. J Clin Orthop Trauma 2017;8(4):308–312; doi: 10.1016/j.jcot.2016.11.005.
6. Gogna P, Mohindra M, Verma S, et al. Adult proximal humerus locking plate for fixation of paediatric subtrochanteric fractures. Musculoskelet Surg 2014;98:189–194; doi: 10.1007/s12306-013-0310-z.
7. Corrales LA, Morshed S, Bhandari M, et al. Variability in the assessment of fracture-healing in orthopaedic trauma studies. J Bone Joint Surg Am 2008;90(9):1862; doi: 10.2106/JBJS.G.01580.
8. Flynn JM, Hresko T, Reynolds RA, et al. Titanium elastic nails for pediatric femur fractures: a multicenter study of early results with analysis of complications. J Pediatr Orthop 2001;21(1):4–8; doi: 10.1097/00004694-200101000-00003.
9. Beaty JH. Femoral-shaft fractures in children and adolescents. JAAOS-J Am Acad Orthop Surg 1995;3(4):207–217; doi: 10.5435/00124635-199507000-00003.
10. Pombo MW, Shilt JS. The definition and treatment of pediatric subtrochanteric femur fractures with titanium elastic nails. J Pediatr Orthop 2006;26(3):364–370; doi: 10.1097/01.bpo.0000203005.50906.41.
10. Baumgaertner MR, Curtin SL, Lindskog DM. Intramedullary versus extramedullary fixation for the treatment of intertrochanteric hip fractures. Clin Orthop Relat Res 1976-2007 1998;348:87–94; PMID: 9553538.
12. Zhang Y, Xue Y, Zhao M, et al. Titanium elastic nails vs locking plate in pediatric subtrochanteric femur fractures: A systematic review and meta-analysis. Front Pediatr 2023;11:1114265; doi: 10.3389/fped.2023.1114265.
13. Li Y, Heyworth BE, Glotzbecker M, et al. Comparison of titanium elastic nail and plate fixation of pediatric subtrochanteric femur fractures. J Pediatr Orthop 2013;33(3):232–238; doi: 10.1097/BPO.0b013e318288b496.
14. Hong P, Zhao X, Ze R, et al. Operative choice for subtrochanteric femoral fracture in school-aged children: Triple elastic stable intramedullary nail versus locking plate. Front Pediatr 2022;10; doi: 10.3389/fped.2022.894262.
15. Shaw CR, Badhesha J, Ayana G, et al. Use of a proximal humeral plate for a paediatric peri-prosthetic femoral fracture. J Surg Case Rep 2014;2014(7):rju069; doi: 10.1302/1358-992X.95BSUPP_30.GLAMOR2012-007.
16. Hanifah J. Adult PHILOS Humeral Plate For The Fixation Of Paediatric Proximal Femur Fracture. n.d.
17. Chew J, Phang Z, Ooi B. Paediatric subtrochanteric femur fracture treated with PHILOS plate: a case report. Hong Kong J Orthop Res 2018;1:01–03.
18. Chetia NP, Medhi H, Das M, et al. Outcome of adult proximal humerus locking plate in the treatment of paediatric subtrochanteric fractures. Int J Res Orthop 2020;6(1):63; doi: 10.18203/issn.2455-4510.IntJResOrthop20195796.
19. Çağlar C, Akçaalan S, Bozer M, et al. Adult Proximal Humeral Locking Plate Is a Good Alternative Option in the Treatment of Adolescent Subtrochanteric Femur Fractures: A Case Series and Literature Review. Hip Pelvis 2022;34(4):245; doi: 10.5371/hp.2022.34.4.245.
18. Newbury AJ, Aurigemma P, Kraus M, et al. The repair of an acute pathological subtrochanteric femur fracture using an adult 3.5-mm proximal humerus locking plate in an adolescent patient: a case report. JBJS Case Connect 2020;10(2):e0491; doi: 10.2106/jbjs.cc.19.00491.
19. Tsutsumi R, Mammoto T. Pediatric pathological subtrochanteric fracture treated with an adult proximal humerus polyaxial locking plate: A case report. SAGE Open Med Case Rep 2022; doi: 10:2050313X221093112.
20. Patrikov K, Georgiev H, Kehayov R. Pathological Fractures of the Proximal Femur in Children and Adolescents Treated with LCP Paediatric Hip Plate. Acta Chir Orthop Traumatol Cech 2022;89(1):68–74; PMID: 35247247.
23. Çağlar Ö, Özdemir E, Tokgözoğlu AM, et al. Use of proximal humerus plates for the fixation of the subtrochanteric femoral shortening osteotomy during total hip arthroplasty for Crowe type IV developmental dysplasia of the hip patients. Jt Dis Relat Surg 2020;31(2):306; doi: 10.5606/ehc.2020.73078.
24. Danişman M, Özdemir E, Dursun G, et al. An Alternative Fixation Option for Subtrochanteric Femur Fractures in Children: Adult Proximal Humerus Plate. J Pediatr Orthop 2022;42(8):e828–e832; doi: 10.1097/BPO.0000000000002207.
25. Kumar M, Chandrabau KK, Bhaskaran VK, et al. Unusual proximal femur fracture in children treated with PHILOS plate and review of literature. J Orthop Allied Sci 2017;5(1):6; doi: 10.4103/joas.joas_32_16.
26. Cortes LE, Triana M, Vallejo F, et al. Adult proximal humerus locking plate for the treatment of a pediatric subtrochanteric femoral nonunion: a case report. J Orthop Trauma 2011;25(7):e63–e67; doi: 10.1097/BOT.0b013e3181f8d9c3.
| Files | ||
| Issue | Vol 10 No 2 (2024) | |
| Section | Research Articles | |
| DOI | https://doi.org/10.18502/jost.v10i2.15517 | |
| Keywords | ||
| Femoral fractures Subtrochanteric fracture Adolescent trauma Fracture fixation Internal fixators | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
zandi reza, talebi shahin, mehrvar amir, nodehi saeed, Ehsani A. Subtrochanteric Fracture in Adolescents Treated with Adult Proximal Humerus Locking Plate. J Orthop Spine Trauma. 2024;10(2):87-90.
