J Korean Fract Soc.  1996 Jan;9(1):129-136.

Treatment of the Ipsilateral fracture of Femur and Tibia in Children

• Park JS
• Kim YS
• Kwon H
• Song JM
• Rah SK
• Choi CU

Abstract

Sixteen cases of fracture of the femur and tibia on the same leg in children below 16 year age were treated in Soonchunyang Univ. Hospital during the period 1988-1993. We studied all of these patients, classified by LettsNew classification of pediatric floating knee, retrospectively with analysis of treatment and results. The results were as follows; 1. Among the 16 cases,14 cases were male(88%), and 10 cases(63%) were at their first decade and 6 cases(37%) were at second decades. 2. The main cause of injury was traffic accident;15 cases(94%). 3. The most common concomitant injury was fracture in other site;5 cases(31%). 4. Among the 9 cases of conservative treatment, limping and leg length inequality were occurred in 6 cases(61%), and malunion in 5 cases(56fo). 5. Among the 7 cases of operative treatment, limping was occurred in 1 cases(14%), leg length inequality was in 2 cases(29%), and malunion in 3 cases(43%). 6. Among the 10 cases at first decade, limping was occurred in the 6 cases(75%) out of 8 cases of conservative treatment, but it was not occurred in 2 cases of operative treatment. According to the results, we suggest that at least one fracture should be rigidly fixed in all cases.

Keyword

Femur and Tibia; Ipsilateral fracture; Floating knee; Children

MeSH Terms

Child*
Classification
Femur*
Humans
Knee
Leg
Leg Length Inequality
Retrospective Studies
Tibia*