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. 2020 May 6:22:207-212.
doi: 10.1016/j.jor.2020.04.023. eCollection 2020 Nov-Dec.

Does the timing of treatment affect complications of pediatric femoral neck fractures?

Kumar Amerendra Singh  1 , Vidyasagar Chandankere  2 , Hitesh Shah  1
Affiliations

Does the timing of treatment affect complications of pediatric femoral neck fractures?

Kumar Amerendra Singh et al. J Orthop. .

Abstract

Objectives: Pediatric femoral neck fractures were reviewed to compare complications with the time of presentation.

Methods: 34 pediatric femoral neck fractures were studied to detect union time, avascular necrosis, premature physis fusion, and the neck-shaft angle. All complications were comparable between both groups.

Results: The mean union time was more in late presented group. Four children developed AVN. The neck shaft angle and pre mature fusion of growth plate were same in both groups.

Conclusions: The frequency of the complications except union time in pediatric neck femur fracture is comparable in early and late presented groups.

Keywords: Avascular necrosis; Coxa-vara; Pediatric fracture neck femur; Premature physis fusion; Union.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Radiographs of 12-year-old child presented within 24 h after injury (a, b). Follow-up at 6 weeks (c, d), 14 weeks (e, f) and 2 years (g, h) show sound union of the fracture without complication.
Fig. 2
Fig. 2
Radiograph of 16-year-old child presented after 24 h following injury (a, b). Follow-up at 5 weeks (c, d), 14 weeks (e, f), 20 weeks (g, h) and 2 years 10 months (i, j) show sound union of the fracture without complication.
Fig. 3
Fig. 3
Radiographs of 16-year-old boy with factor XIII deficiency presented 5 days from injury (a, b). Follow-up at 6 weeks (c, d) show maintenance of reduced fracture. At 62 weeks (e, f) the fracture has united. The final follow-up (g, h) shows AVN of the anterior part of the femoral head.
Fig. 4
Fig. 4
Eleven-year-old child presented early with Delbet type II fracture (a). Post-operative radiograph shows valgus reduction (b). The fracture united in 12-weeks. Femoral head showed AVN, coxa-breva and premature physis fusion at 2-year (c).
See this image and copyright information in PMC

References

    1. Ratliff A.H. Fractures of the neck of the femur in children. Hip. 1981:188–218. - PubMed
    1. Boardman M.J., Herman M.J., Buck B., Pizzutillo P.D. Hip fractures in children. J Am Acad Orthop Surg. 2009;17:162–173. doi: 10.5435/00124635-200903000-00005. - DOI - PubMed
    1. Dendane M.A., Amrani A., El Alami Z.F. Displaced femoral neck fractures in children: are complications predictable? Orthop Traumatol Surg Res. 2010;96:161–165. doi: 10.1016/j.otsr.2009.11.007. - DOI - PubMed
    1. Yeranosian M., Horneff J.G., Baldwin K., Hosalkar H.S. Factors affecting the outcome of fractures of the femoral neck in children and adolescents: a systematic review. Bone Joint J 95-B. 2013:135–142. doi: 10.1302/0301-620X.95B1.30161. - DOI - PubMed
    1. Bombaci H., Centel T., Babay A., Türkmen I.M. [Evaluation of complications of femoral neck fractures in children operated on at least 24 hours after initial trauma] Acta Orthop Traumatol Turcica. 2006;40:6–14. - PubMed

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