Evidence map›Paper›PMID 41786926›Full record

ArticleArchives of orthopaedic and trauma surgery2026

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

Mohamed I Abulsoud, Mohamed G Hussiny, Samir A Nematallah, Mohammed Al Nahhas, Ibrahim M Elsebaey, Emad Zayed, Mohamed F Elhalawany, Mostafa M Elgahel, Yahia A Hassanein, Elsayed Shaheen and 2 more

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Article in Archives of orthopaedic and trauma surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

12 authors.

Mohamed I AbulsoudDepartment of Orthopaedic Surgery, Faculty of Medicine., Al-Azhar University, Cairo, Egypt. mohamedabulsoud@azhar.edu.eg.
Mohamed G HussinyDepartment of Orthopaedic Surgery, Faculty of Medicine., Al-Azhar University, Cairo, Egypt.
Samir A NematallahDepartment of Orthopaedic Surgery, Faculty of Medicine., Al-Azhar University, Cairo, Egypt.
Mohammed Al NahhasDepartment of Orthopaedic Surgery, Faculty of Medicine., Al-Azhar University, Cairo, Egypt.
Ibrahim M ElsebaeyDepartment of Orthopaedic Surgery, Faculty of Medicine., Al-Azhar University, Cairo, Egypt.
Emad ZayedDepartment of Orthopaedic Surgery, Faculty of Medicine., Al-Azhar University, Cairo, Egypt.
Mohamed F ElhalawanyDepartment of Orthopaedic Surgery, Faculty of Medicine., Al-Azhar University, Cairo, Egypt.
Mostafa M ElgahelDepartment of Orthopaedic Surgery, Faculty of Medicine., Al-Azhar University, Cairo, Egypt.
Yahia A HassaneinDepartment of Orthopaedic Surgery, Faculty of Medicine., Al-Azhar University, Cairo, Egypt.
Elsayed ShaheenDepartment of Orthopaedic Surgery, Faculty of Medicine., Al-Azhar University, Cairo, Egypt.
Mohamed H AbdouDepartment of Orthopaedic Surgery, Faculty of Medicine., Al-Azhar University, Cairo, Egypt.
Mahmoud M HassanDivision of Orthopaedics, Department of Surgery, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to investigate the functional and radiographic outcomes after internal fixation of proximal femoral fractures in children using a 3.5 mm T-plate.

methodsFrom December 2015 to September 2022, all cases presenting with recent proximal femoral fractures were treated with internal fixation using a 3.5 mm T-plate. All patients were followed up for 24 months. Union time, neck shaft angle, neck length, quality of reduction, and functional outcomes were assessed.

resultsThe study included 37 patients; the mean age was 8.6+/- 1.6 (6–11) years. Delbet type IV was the most frequent fracture type (13 cases, 35.1%), followed by type V (10 cases, 27%), and type III (9 cases, 24.3%), with type II accounting for 5 cases. All fractures achieved union with a mean time of 8,7 weeks (range 6–12 weeks), As regards radiographic parameters, the mean neck shaft angle difference was 4.9 (SD 3.7) degrees (range 0–16 degrees) less than the contralateral side, the mean neck resorption ratio was 93.8 +/- 4 (range 85–100), The quality of reduction was anatomical in 24 cases (64.9%), acceptable in 10 cases (37%), and considered unacceptable in 3 cases (8.1%), The functional outcome was good in 24 cases (64.9%), fair in 11 patients (29.7%) and poor in two patients (5.4%).

conclusionThe use of a contoured 3.5 mm conventional T-plate in the fixation of recent pediatric femoral fractures (types II–V) yields good results regarding union rates, functional outcome, and maintaining the mechanics of the hip.

Indexed as

Bone PlatesFracture Fixation, InternalProximal Femoral FracturesChildFemaleHumansMaleRadiographyTreatment OutcomeDelbet classification.Fracture neck femurPaediatric femoral neck fracturesPediatric fracturesProximal femoral fractures in children

Identifiers

PMID41786926
PMCPMC12963123

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