Treatment of a high-energy multifragmentary subtrochanteric fracture in a child using osteosynthesis with a reconstruction plate. Case report

Abstract

The aim of this study is to present the use of the osteosynthesis method using a moolded reconstruction plate to treat paediatric subtrochanteric fractures. The case concerns a 7 year-old paediatric patient with the diagnosis of a multifragmented tracer subtrochanteric fracture resulting from a high-energy trauma. Osteosynthesis was performed using a conventional 4.5 moulded plate using minimally invasive surgery. The fixation model used was the one proposed by Moustafa. Pre-operative planning, surgical treatment, and clinical and radiological follow-up were performed in the outpatient clinics every 2 weeks until clinical and radiological consolidation. In addition, it was recorded whether or not there was pain, pathological shortening, loss of reduction or appearance of complication. It has been possible to obtain complete medical and radiological attention after 6 weeks, minimal pain, there was no residual shortening of the limb, there was no loss of reduction and no complications occurred. The method may be the best alternative to treat this specific group of patients in whom the antecedent of high energy injury and the characteristic of the fracture tract may result in suboptimal results with other techniques.