Fixation of pediatric subtrochanteric fracture by T-plate

Background and aim Subtrochanteric femoral fractures are a rare occurrence in children, accounting for only 4–10% of pediatric femur fractures. We aimed to indicate the results of subtrochanteric femoral fracture fixation by small T-plate in pediatrics. Patients and methods This prospective case series study was performed on 20 patients aged from 4 to 15 years old, both sexes, with clinical criteria of traumatic fracture, subtrochanteric fracture in polytraumatic patient, closed fracture or open fracture G1 and G2 only, and surgery was performed 1–7 days after injury at Orthopedic & Trauma Surgery Department, Al-Azhar University Hospital, Assiut. Results The mean follows up period was 62.25±7.42 weeks, regarding radiographic union, 35% healed in varus, 45% healed in valgus, and 20% healed with posterior angulation, one (5%) patient had an infection, one (5%) patient had limited range of motion of knee. The mean blood loss was 63.19±20.56 ml, 70% of patients had excellent results, and 30% of patients were satisfactory. There was little statistical significance between the affected side and the unaffected side as regards hip flexion, extension, abduction, external rotation, internal rotation, adduction, knee flexion, and knee extension ( P <0.05). Conclusion Fixation of subtrochanteric femur fractures in children by T-plate is a safe and efficient treatment method with few complications, satisfactory outcomes, and few risks in children more than 8 years.