Paediatric Subtrochanteric Femur Fracture Treated with PHILOS Plate: A Case Report

Abstract

Subtrochanteric femur fractures are the rarest form of hip fractures in children. Despite the different treatment options available, there is still no definite guideline regarding the ideal treatment for such injuries. We report a case of a complex subtrochanteric femur fracture in a 13 years-old girl following a fall from height. The fracture was fixed with adult Proximal Humeral Internal Locking System (PHILOS) plate (De Puy Synthes). Clinical and radiological union were achieved at 5 months post operation, and she was able to perform activities of daily living without any difficulties. We would like to propose the use of adult PHILOS plate as a viable implant choice for internal fixation of paediatric subtrochanteric femur fractures with satisfactory results.