Remodelling and overgrowth after conservative treatment for femoral and tibial shaft fractures in children.

Stefano Stilli, Marina Magnani, Manuele Lampasi, Diego Antonioli, Camilla Bettuzzi, Onofrio Donzelli

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)13-19
Number of pages7
JournalLa Chirurgia degli organi di movimento
Volume91
Issue number1
DOIs
Publication statusPublished - Jan 2008

ASJC Scopus subject areas

  • Medicine(all)

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