$Percutaneous plating in paediatric tibial fractures$

Percutaneous plating in paediatric tibial fractures

Background: Although non-operative treatment is a mainstay of tibial fracture management in children, certain fractures require a surgical approach. However, choices concerning optimal methods and implants are difficult. The purpose of this study was to determine the effectiveness of percutaneous pl...

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Main Authors:	Mohd Yusof, Nazri, Oh, ChangWoo, Oh, JongKeon, Kim, Joonwoo Woo, Min, WooKie, Park, IlHyung, Kim, Hee June
Format:	Article
Language:	English
Published:	Elsevier BV 2009
Subjects:	RJ101 Child Health. Child health services
Online Access:	http://irep.iium.edu.my/12793/ http://irep.iium.edu.my/12793/ http://irep.iium.edu.my/12793/ http://irep.iium.edu.my/12793/1/Percutaneous-plating-in-paediatric-tibial-fractures_2009_Injury.pdf

id	iium-12793
recordtype	eprints
spelling	iium-127932015-01-27T01:03:41Z http://irep.iium.edu.my/12793/ Percutaneous plating in paediatric tibial fractures Mohd Yusof, Nazri Oh, ChangWoo Oh, JongKeon Kim, Joonwoo Woo Min, WooKie Park, IlHyung Kim, Hee June RJ101 Child Health. Child health services Background: Although non-operative treatment is a mainstay of tibial fracture management in children, certain fractures require a surgical approach. However, choices concerning optimal methods and implants are difficult. The purpose of this study was to determine the effectiveness of percutaneous plating of tibial fractures in children. Materials and methods: Sixteen tibial fractures treated using the percutaneous plating technique between 2000 and 2007 were reviewed. The mean age at operation was 10 years 9 months (range: 6-16 years). There were eight open and closed fractures each. Operative indications were acute fractures with associated injuries or fractures, open fractures and compartment syndrome. Nonunions or failures following other treatments were also indicated. Without exposing the fracture sites, the plates were fixed through a subcutaneous tunnel from remote incisions. Results: All fractures healed without a bone graft. The mean time required for union was 13 weeks (range: 8-24 weeks). No major complications such as malunion, implant failure or deep infection occurred. With the exception of one case with a 15-mm overgrowth, no discrepancy in leg length over 10 mm was encountered. Other minor complications included one case each of transient superficial infection and skin irritation caused by the plate. All patients achieved an excellent or satisfactory clinical outcome with no limping. Summary: Percutaneous plating technique is a safe alternative treatment for paediatric tibial fractures that are difficult to manage using other methods. © 2009 Elsevier Ltd. All rights reserved. Elsevier BV 2009-12 Article PeerReviewed application/pdf en http://irep.iium.edu.my/12793/1/Percutaneous-plating-in-paediatric-tibial-fractures_2009_Injury.pdf Mohd Yusof, Nazri and Oh, ChangWoo and Oh, JongKeon and Kim, Joonwoo Woo and Min, WooKie and Park, IlHyung and Kim, Hee June (2009) Percutaneous plating in paediatric tibial fractures. Injury, 40 (12). pp. 1286-1291. ISSN 0020-1383 http://www.sciencedirect.com/science/article/pii/S0020138309001648 10.1016/j.injury.2009.02.020
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RJ101 Child Health. Child health services
spellingShingle	RJ101 Child Health. Child health services Mohd Yusof, Nazri Oh, ChangWoo Oh, JongKeon Kim, Joonwoo Woo Min, WooKie Park, IlHyung Kim, Hee June Percutaneous plating in paediatric tibial fractures
description	Background: Although non-operative treatment is a mainstay of tibial fracture management in children, certain fractures require a surgical approach. However, choices concerning optimal methods and implants are difficult. The purpose of this study was to determine the effectiveness of percutaneous plating of tibial fractures in children. Materials and methods: Sixteen tibial fractures treated using the percutaneous plating technique between 2000 and 2007 were reviewed. The mean age at operation was 10 years 9 months (range: 6-16 years). There were eight open and closed fractures each. Operative indications were acute fractures with associated injuries or fractures, open fractures and compartment syndrome. Nonunions or failures following other treatments were also indicated. Without exposing the fracture sites, the plates were fixed through a subcutaneous tunnel from remote incisions. Results: All fractures healed without a bone graft. The mean time required for union was 13 weeks (range: 8-24 weeks). No major complications such as malunion, implant failure or deep infection occurred. With the exception of one case with a 15-mm overgrowth, no discrepancy in leg length over 10 mm was encountered. Other minor complications included one case each of transient superficial infection and skin irritation caused by the plate. All patients achieved an excellent or satisfactory clinical outcome with no limping. Summary: Percutaneous plating technique is a safe alternative treatment for paediatric tibial fractures that are difficult to manage using other methods. © 2009 Elsevier Ltd. All rights reserved.
format	Article
author	Mohd Yusof, Nazri Oh, ChangWoo Oh, JongKeon Kim, Joonwoo Woo Min, WooKie Park, IlHyung Kim, Hee June
author_facet	Mohd Yusof, Nazri Oh, ChangWoo Oh, JongKeon Kim, Joonwoo Woo Min, WooKie Park, IlHyung Kim, Hee June
author_sort	Mohd Yusof, Nazri
title	Percutaneous plating in paediatric tibial fractures
title_short	Percutaneous plating in paediatric tibial fractures
title_full	Percutaneous plating in paediatric tibial fractures
title_fullStr	Percutaneous plating in paediatric tibial fractures
title_full_unstemmed	Percutaneous plating in paediatric tibial fractures
title_sort	percutaneous plating in paediatric tibial fractures
publisher	Elsevier BV
publishDate	2009
url	http://irep.iium.edu.my/12793/ http://irep.iium.edu.my/12793/ http://irep.iium.edu.my/12793/ http://irep.iium.edu.my/12793/1/Percutaneous-plating-in-paediatric-tibial-fractures_2009_Injury.pdf
first_indexed	2023-09-18T20:21:55Z
last_indexed	2023-09-18T20:21:55Z
_version_	1777408164220633088

Percutaneous plating in paediatric tibial fractures

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