Background: Plate osteosynthesis is an acceptable method for paediatric femur fractures. Submuscular plating is increasingly becoming more popular over open plating. The purpose of the study was to evaluate long term results of submuscular plating in paediatric femur fractures.
Methods: This is a prospective study conducted between January 2008 to December 2017.
Results: Out of 37 patients 34 patients were followed up till skeletal maturity. Average follow up was of 442 weeks. 4 patients developed superficial infection, 1 patient had limb length discrepancy of more than 2 cm, 5 patients had varus/valgus union of less than 10 degrees, implant breakage occurred in 2 patients. The average blood loss per patient was 77 ml and average C arm fluoroscopy time was 55 minutes. The average length of plate used was 8.5 holes to 12 holes in 3rd year. Most of the complications reported occurred in patients operated in the first year of study.
Conclusion: Submuscular plating is a surgical method with learning curve and is a very effective method of fixation for paediatric femur fractures. It has definitive advantages over other surgical methods and is associated with minimal complications.