TY - JOUR
T1 - Remodelling and overgrowth after conservative treatment for femoral and tibial shaft fractures in children.
AU - Stilli, Stefano
AU - Magnani, Marina
AU - Lampasi, Manuele
AU - Antonioli, Diego
AU - Bettuzzi, Camilla
AU - Donzelli, Onofrio
PY - 2008/1
Y1 - 2008/1
N2 - One thousand nine hundred and eighty-four children who had received conservative treatment for shaft (diaphyseal and metadiaphyseal) fractures of lower limbs (1162 femoral, 822 tibial fractures) at an average age of 8.5 years (range 0-14 years) were reviewed by clinical and radiographic investigations at an average follow-up of 6.6 years (1-15 years). Particularly, two main features were evaluated: remodelling of (angular and rotational) deformities and post-traumatic overgrowth. Mechanisms underlying these processes are discussed, based on a review of the literature, and parameters conditioning their evolution are analysed. Finally, criteria for an acceptable reduction (and limits for residual deformities that may be tolerated) at the time of conservative treatment are proposed.
AB - One thousand nine hundred and eighty-four children who had received conservative treatment for shaft (diaphyseal and metadiaphyseal) fractures of lower limbs (1162 femoral, 822 tibial fractures) at an average age of 8.5 years (range 0-14 years) were reviewed by clinical and radiographic investigations at an average follow-up of 6.6 years (1-15 years). Particularly, two main features were evaluated: remodelling of (angular and rotational) deformities and post-traumatic overgrowth. Mechanisms underlying these processes are discussed, based on a review of the literature, and parameters conditioning their evolution are analysed. Finally, criteria for an acceptable reduction (and limits for residual deformities that may be tolerated) at the time of conservative treatment are proposed.
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U2 - 10.1007/s12306-007-0003-6
DO - 10.1007/s12306-007-0003-6
M3 - Article
C2 - 18320368
AN - SCOPUS:41749115316
VL - 91
SP - 13
EP - 19
JO - Chirurgia degli Organi di Movimento
JF - Chirurgia degli Organi di Movimento
SN - 0009-4749
IS - 1
ER -