Outcomes of internal fixation for pediatric proximal femoral fractures using a 3.5 mm T-plate - Summary - MDSpire

Outcomes of internal fixation for pediatric proximal femoral fractures using a 3.5 mm T-plate

  • By

  • Abulsoud, Mohamed I.

  • Hussiny, Mohamed G.

  • Nematallah, Samir A.

  • Al Nahhas, Mohammed

  • Elsebaey, Ibrahim M.

  • Zayed, Emad

  • Elhalawany, Mohamed F.

  • Elgahel, Mostafa M.

  • Hassanein, Yahia A .

  • Shaheen, Elsayed

  • Abdou, Mohamed H.

  • Hassan, Mahmoud M.

  • March 6, 2026

  • 0 min

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Objective:

To investigate the functional and radiographic outcomes after internal fixation of proximal femoral fractures in children using a 3.5 mm T-plate, highlighting its significance in pediatric orthopedic care.

Key Findings:
  • Proximal femoral fractures are rare in children, with a higher incidence in males.
  • Type II fractures are the most common, followed by types III and IV.
  • AVN is a significant complication, occurring in about 29% of cases, which necessitates careful monitoring and management.
Interpretation:

The use of a 3.5 mm T-plate for internal fixation in pediatric proximal femoral fractures appears to be effective, with manageable complication rates, underscoring the need for vigilant complication management.

Limitations:
  • Small sample size of 37 patients.
  • Short follow-up duration may not capture long-term outcomes, suggesting the need for further studies to evaluate long-term efficacy.
Conclusion:

The 3.5 mm T-plate is a viable option for managing pediatric proximal femoral fractures, with satisfactory functional and radiographic outcomes, emphasizing its relevance in clinical practice.

Original Source(s)

Outcomes of internal fixation for pediatric proximal femoral fractures using a 3.5 mm T-plate

  • by Abulsoud, Mohamed I., Hussiny, Mohamed G., Nematallah, Samir A., Al Nahhas, Mohammed, Elsebaey, Ibrahim M., Zayed, Emad, Elhalawany, Mohamed F., Elgahel, Mostafa M., Hassanein, Yahia A ., Shaheen, Elsayed, Abdou, Mohamed H., Hassan, Mahmoud M.

  • March 6, 2026

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