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Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report
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Zeitschriftentitel: | Srpski arhiv za celokupno lekarstvo |
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Personen und Körperschaften: | , , |
In: | Srpski arhiv za celokupno lekarstvo, 138, 2010, 5-6, S. 367-370 |
Format: | E-Article |
Sprache: | Englisch |
veröffentlicht: |
National Library of Serbia
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Schlagwörter: |
author_facet |
Jovanovic, Vesna Vukasinovic, Zoran Seslija, Igor Jovanovic, Vesna Vukasinovic, Zoran Seslija, Igor |
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author |
Jovanovic, Vesna Vukasinovic, Zoran Seslija, Igor |
spellingShingle |
Jovanovic, Vesna Vukasinovic, Zoran Seslija, Igor Srpski arhiv za celokupno lekarstvo Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report General Medicine |
author_sort |
jovanovic, vesna |
spelling |
Jovanovic, Vesna Vukasinovic, Zoran Seslija, Igor 0370-8179 2406-0895 National Library of Serbia General Medicine http://dx.doi.org/10.2298/sarh1006367j <jats:p>Introduction Injuries of the distal femur are rare in children; however, they are frequently associated with complications. They are almost always physeal, most frequently Salter-Harris type II epiphyseolysis. The treatment of such injuries is similar in all physeal injuries. It is intended to provide growth plate recovery by gentle reduction and stable fixation thus preventing secondary complications, and also to provide decompression of the segment to solve the compartment syndrome and recover the neurovascular structures. Case Outline A seven-year old boy presented with a right knee injury while sleigh riding. He was admitted three weeks following the injury with distal femoral epiphysiolysis associated with peroneal palsy. A day after admission to our Institute the reduction was performed using the Ilizarov device. Physical therapy was started immediately after surgery, as well as walking with weight bearing on the operated leg. Five months after surgery the patient was anatomically and functionally recovered. Conclusion The presented method is recommended in the treatment of such injuries because of several reasons; reposition is simple and complete, there is no need to open the fracture site, fixation is stable, the growth plate is preserved, there is no need for additional external immobilisation, and physical therapy involving walking with weight bearing on the operated leg may be started immediately after surgery. .</jats:p> Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report Srpski arhiv za celokupno lekarstvo |
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National Library of Serbia, 2010 |
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title |
Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report |
title_unstemmed |
Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report |
title_full |
Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report |
title_fullStr |
Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report |
title_full_unstemmed |
Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report |
title_short |
Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report |
title_sort |
complicated distal femoral epiphyseolysis treated by ilizarov method: case report |
topic |
General Medicine |
url |
http://dx.doi.org/10.2298/sarh1006367j |
publishDate |
2010 |
physical |
367-370 |
description |
<jats:p>Introduction Injuries of the distal femur are rare in children; however, they are frequently associated with complications. They are almost always physeal, most frequently Salter-Harris type II epiphyseolysis. The treatment of such injuries is similar in all physeal injuries. It is intended to provide growth plate recovery by gentle reduction and stable fixation thus preventing secondary complications, and also to provide decompression of the segment to solve the compartment syndrome and recover the neurovascular structures. Case Outline A seven-year old boy presented with a right knee injury while sleigh riding. He was admitted three weeks following the injury with distal femoral epiphysiolysis associated with peroneal palsy. A day after admission to our Institute the reduction was performed using the Ilizarov device. Physical therapy was started immediately after surgery, as well as walking with weight bearing on the operated leg. Five months after surgery the patient was anatomically and functionally recovered. Conclusion The presented method is recommended in the treatment of such injuries because of several reasons; reposition is simple and complete, there is no need to open the fracture site, fixation is stable, the growth plate is preserved, there is no need for additional external immobilisation, and physical therapy involving walking with weight bearing on the operated leg may be started immediately after surgery. .</jats:p> |
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author | Jovanovic, Vesna, Vukasinovic, Zoran, Seslija, Igor |
author_facet | Jovanovic, Vesna, Vukasinovic, Zoran, Seslija, Igor, Jovanovic, Vesna, Vukasinovic, Zoran, Seslija, Igor |
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description | <jats:p>Introduction Injuries of the distal femur are rare in children; however, they are frequently associated with complications. They are almost always physeal, most frequently Salter-Harris type II epiphyseolysis. The treatment of such injuries is similar in all physeal injuries. It is intended to provide growth plate recovery by gentle reduction and stable fixation thus preventing secondary complications, and also to provide decompression of the segment to solve the compartment syndrome and recover the neurovascular structures. Case Outline A seven-year old boy presented with a right knee injury while sleigh riding. He was admitted three weeks following the injury with distal femoral epiphysiolysis associated with peroneal palsy. A day after admission to our Institute the reduction was performed using the Ilizarov device. Physical therapy was started immediately after surgery, as well as walking with weight bearing on the operated leg. Five months after surgery the patient was anatomically and functionally recovered. Conclusion The presented method is recommended in the treatment of such injuries because of several reasons; reposition is simple and complete, there is no need to open the fracture site, fixation is stable, the growth plate is preserved, there is no need for additional external immobilisation, and physical therapy involving walking with weight bearing on the operated leg may be started immediately after surgery. .</jats:p> |
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spelling | Jovanovic, Vesna Vukasinovic, Zoran Seslija, Igor 0370-8179 2406-0895 National Library of Serbia General Medicine http://dx.doi.org/10.2298/sarh1006367j <jats:p>Introduction Injuries of the distal femur are rare in children; however, they are frequently associated with complications. They are almost always physeal, most frequently Salter-Harris type II epiphyseolysis. The treatment of such injuries is similar in all physeal injuries. It is intended to provide growth plate recovery by gentle reduction and stable fixation thus preventing secondary complications, and also to provide decompression of the segment to solve the compartment syndrome and recover the neurovascular structures. Case Outline A seven-year old boy presented with a right knee injury while sleigh riding. He was admitted three weeks following the injury with distal femoral epiphysiolysis associated with peroneal palsy. A day after admission to our Institute the reduction was performed using the Ilizarov device. Physical therapy was started immediately after surgery, as well as walking with weight bearing on the operated leg. Five months after surgery the patient was anatomically and functionally recovered. Conclusion The presented method is recommended in the treatment of such injuries because of several reasons; reposition is simple and complete, there is no need to open the fracture site, fixation is stable, the growth plate is preserved, there is no need for additional external immobilisation, and physical therapy involving walking with weight bearing on the operated leg may be started immediately after surgery. .</jats:p> Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report Srpski arhiv za celokupno lekarstvo |
spellingShingle | Jovanovic, Vesna, Vukasinovic, Zoran, Seslija, Igor, Srpski arhiv za celokupno lekarstvo, Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report, General Medicine |
title | Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report |
title_full | Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report |
title_fullStr | Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report |
title_full_unstemmed | Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report |
title_short | Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report |
title_sort | complicated distal femoral epiphyseolysis treated by ilizarov method: case report |
title_unstemmed | Complicated distal femoral epiphyseolysis treated by Ilizarov method: Case report |
topic | General Medicine |
url | http://dx.doi.org/10.2298/sarh1006367j |