Risk factors of refracture and morbidity during removal of titanium pediatric proximal femoral locking plates in children with cerebral palsy

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dc.authorid0000-0003-1259-6668
dc.contributor.authorİnan, Muharrem
dc.contributor.authorSarıkaya, İlker Abdullah
dc.contributor.authorŞeker, Ali
dc.contributor.authorGüven, Mehmet Fatih
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:30Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:30Z
dc.date.issued2016
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractBackground: Pediatric proximal femoral locking plates (PFLPs) are widely used when performing proximal femoral osteotomy in children with cerebral palsy (CP). The purpose of this study is to report the difficulties and risk factors of titanium PFLPs removal in CP. Methods: PFLP removal was performed in 58 hips of 33 patients (17 males, 16 females). The mean age at the time of surgery (plate removal) was 10.9 (range, 5.7 to 19.2) years. The patients were divided into 2 groups as group 1 and 2, if any difficulty was observed during surgery or not. Results: Difficulty was not detected in 42 (72.4%) hips (group 1). Difficulties were encountered in 16 (27.6%) hips (group 2). A total of 364 screws were used (259 in group 1, 105 in group 2). The mean plate screw density ratios were 0.88 in group 1 and 0.94 in group 2. The difference between group 1 and 2 was statistically significant. The mean duration between the insertion and removal of the PFLP was 14.9 months (11.9 mo in group 1, 22.7mo in group 2). The difference between group 1 and 2 was statistically significant. The screw heads were cut and the shafts were left in the bone in 4 hips (4 screws); 3 of these 4 screws were calcar screws. Therefore, calcar screw application can be accepted as a handicap for screw removal. Conclusions: As a conclusion, this study suggested that difficulty in titanium PFLP removal in CP is common and PFLP removal is not a harmless procedure. A longer time from internal fixation to removal, increased plate screw density ratio, and calcar screw application are risk factors for difficulties in titanium PFLP removal in CP.
dc.identifier.citationİnan, M., Sarıkaya, İ. A., Şeker, A. ve Güven, M. F. (2016). Risk factors of refracture and morbidity during removal of titanium pediatric proximal femoral locking plates in children with cerebral palsy. Journal of Pediatric Orthopaedics, 36(4), 387-391. https://dx.doi.org/10.1097/BPO.0000000000000455
dc.identifier.doi10.1097/BPO.0000000000000455
dc.identifier.endpage391
dc.identifier.issn0271-6798
dc.identifier.issue4
dc.identifier.scopusqualityQ1
dc.identifier.startpage387
dc.identifier.urihttps://hdl.handle.net/20.500.12511/816
dc.identifier.urihttps://dx.doi.org/10.1097/BPO.0000000000000455
dc.identifier.volume36
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams and Wilkins
dc.relation.ispartofJournal of Pediatric Orthopaedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCerebral Palsy
dc.subjectComplication
dc.subjectPediatric Hip Plate
dc.subjectPlate Removal
dc.subjectRisk Factors
dc.titleRisk factors of refracture and morbidity during removal of titanium pediatric proximal femoral locking plates in children with cerebral palsy
dc.typeArticle

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