AI Article Synopsis
- Acetabular fractures in children are rare but can lead to complications like secondary acetabular dysplasia if treated late; early intervention is crucial.
- A case report details three children who underwent a specific surgical procedure (physeal bridge resection) to promote acetabular growth, showing promising initial outcomes with growth observed in all but one case.
- Although one patient experienced a reformation of the bridge, overall results indicate that the surgical approach may help prevent long-term complications, with only slight increases in acetabular thickness and no signs of dysplasia noted.
Article Abstract
Background: Acetabular fractures are rare in children and can be complicated by premature fusion of the triradiate cartilage resulting in secondary acetabular dysplasia. Early recognition and treatment of a physeal bar in this location can be difficult. The purpose of this case report was to investigate whether early intervention could restore acetabular growth and prevent secondary acetabular dysplasia as measured on plain radiographs.
Case Description: We report a series of three patients (3, 4, and 5 years old) who underwent physeal bridge resection and methylmethacrylate or fat interposition through an extended Pfannenstiel approach. The mean followup was 6 years. After resection of the osseous bridge the physis initially remained open with evident acetabular growth in all three patients. In one patient, the bridge reformed 6 years after the procedure. All patients had a slight increase in the thickness of the acetabular wall relative to the contralateral side but no radiographic evidence of acetabular dysplasia.
Literature Review: To our knowledge, there are only two reports of physeal arrest resection of triradiate cartilage with one successful result.
Clinical Relevance: Posttraumatic, partial physeal arrest of the triradiate cartilage may be treated with resection of the bone bridge resection through an extended Pfannenstiel approach. The potential benefits of this treatment must be weighed against the risks.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3792267 | PMC |
| http://dx.doi.org/10.1007/s11999-013-3054-z | DOI Listing |
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