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. 2020 Oct 1;7(10):156.
doi: 10.3390/children7100156.

Perinatal Femoral Fracture: A Ten-Year Observational Case Series Study

Vito Pavone  1 , Andrea Vescio  1 , Marco Montemagno  1 , Claudia de Cristo  2 , Ludovico Lucenti  3 , Piero Pavone  4 , Gianluca Testa  1
Affiliations

Perinatal Femoral Fracture: A Ten-Year Observational Case Series Study

Vito Pavone et al. Children (Basel). .

Abstract

Background: perinatal femoral fractures (PFF) are relative rare birth-related fractures. Among treatment options, Bryant traction reported satisfactory outcomes in PFF of children under 3 years of age. The aim of this study is to assess the risk factors, diagnosis, management, and outcome in the 10-year multicentric experiences of all newborns treated for PFF in Catania city hospitals.

Methods: 15,628 children, hospitalized in four neonatal units, were retrospectively reviewed. The following data were collected: gender, birth weight, gestational age, presentation, mode delivery, and fracture type according to AO Pediatric Comprehensive Classification of Long Bone Fractures (PCCF). In each case, diagnosis was achieved after the clinical examination and X-Ray exam. Each patient underwent Bryant's skin traction of the affected limb, and was clinically followed for at least two years.

Results: eight newborns were included in the study (five males). The average birth weight was 2.656 kg with a gestational age of 37.5 weeks; 4 cases were preterm birth; 5 patients had a cephalic presentation. According to the AO PCCF classification, three fractures were ranked 32-D/4.1 and five were 32-D/5.1. The entire cohort had an excellent outcome.

Conclusions: prematurity, low birth weight, and caesarean section could be PFF risk factors. Bryant's skin traction is an effective option to achieve an excellent outcome.

Keywords: Bryant’s traction; birth-related fractures; delivery trauma; perinatal femoral fractures; skin traction.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Newborn, 4 days old with perinatal femoral fractures treated with Bryant’s skin traction.
Figure 2
Figure 2
Sample selection scheme.
See this image and copyright information in PMC

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