Abstract

GUZMAN-VARGAS, R; RINCON-CARDOZO, DF  and  CAMACHO-CASAS, JA. Subtrochanteric fracture in children treated with minimally invasive surgery: case report. Acta ortop. mex [online]. 2016, vol.30, n.2, pp.96-99. ISSN 2306-4102.

Subtrochanteric fractures in children are rare events that occur in only 4% of all femur fractures; most injuries occur as a result of high-energy trauma, being young male patients the most affected. The management of this type of injury is controversial; there are many forms of treatment, including the use of plaster spica 90-90, closed reduction and use of elastic or rigid intramedullary nails, open reduction and plate placement, and the use of external fixators. Most suggest that for children under 10 a nonoperative approach should be preferred and that older ones should be managed surgically, but it is between six and 12-year-olds that most of the controversy exists. In this article, we present the management of this entity with a proximal fracture plate using a minimally invasive technique.

Keywords : Fracture; femur; surgery; treatment; subtrochanteric.