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. 2013:2013:703850.
doi: 10.1155/2013/703850. Epub 2013 Mar 14.

Pediatric transepiphyseal seperation and dislocation of the femoral head

Mehmet Elmadag  1 , Hasan H Ceylan, Ahmet Can Erdem, Kerem Bilsel, Gokcer Uzer, Mehmet Ali Acar
Affiliations

Pediatric transepiphyseal seperation and dislocation of the femoral head

Mehmet Elmadag et al. Case Rep Orthop. 2013.

Abstract

Pediatric hip fractures and dislocations are rare in practice and are related to high-energy trauma. The incidence of postoperative avascular necrosis is increasing, especially in the case of transepiphyseal fractures. Surgery is the most common form of treatment, and its timing is important for prognosis of the fracture. Patients and their families should be informed about the possibility of avascular necrosis and further complications related to the fracture.

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Figures

Figure 1
Figure 1
Patient admitted to our emergency service with right-sided proximal femoral fracture and dislocation.
Figure 2
Figure 2
Preoperative computerized tomography imaging of the fracture.
Figure 3
Figure 3
The chondral fragments sealed with fibrin glue before internal fixation.
Figure 4
Figure 4
Postoperative (a) AP and (b) lateral views of related hip joint.
Figure 5
Figure 5
(a) One-year follow-up magnetic resonance imaging study shows no signs of avascular necrosis; (b) the screw removed after one year.
See this image and copyright information in PMC

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