Functional and radiological outcome after delayed fixation of femoral neck fractures in pediatric patients.

Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology
Manish Kumar VarshneyShishir Rastogi

Abstract

Complications that develop after femoral neck fracture in children-especially osteonecrosis-have been retrospectively attributed to inadvertent delayed fixation and fracture type. Prospective evaluation of results after delayed fixation of femoral neck fractures in children beyond the first 24 h is not reported in the literature and requires evaluation to increase our understanding of the procedure and improve fixation methods. Also, the role of capsular decompression in initial management needs to be elucidated. Radiological and functional evaluation was done for delayed fixation (>24 h) of displaced fractures in the femoral neck in 21 children (21 hips) treated over 11 years. Mean patient age was 11.8 (median 12, range 5-15) years. Extraphyseal fixation was done using partially threaded cannulated cancellous screws after closed or open reduction. Patients were allowed full weight bearing after 12-18 weeks. Results were assessed on the basis of modified Ratliff criteria. Patients were followed for a mean of 81 (range 66-129) months. All fractures united at a mean duration of 12 (range 10.6-14) weeks. Three (14.3%) patients had osteonecrosis of the hip, which was significantly related to poor outcome (r = 0.495; P = 0.022). The...Continue Reading

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Citations

Jun 29, 2012·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·You-Shui GaoChang-Qing Zhang
Apr 25, 2015·Revista da Associação Médica Brasileira·M AkkariUNKNOWN Brazilian Society of Orthopedics and Traumatology
May 22, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Joseph T PattersonNirav K Pandya
Jun 28, 2016·The Open Orthopaedics Journal·Matthew J Brown, Michael R Ferrick
Sep 21, 2013·Journal of Pediatric Orthopedics. Part B·Tomoko TetsunagaTomonori Tetsunaga
Dec 20, 2015·Journal of Pediatric Orthopedics. Part B·Özgür BaysalHalil İbrahim Bekler
Apr 9, 2020·The Journal of Bone and Joint Surgery. American Volume·Sahil SanghaviPremal Naik
Mar 3, 2015·Journal of Pediatric Orthopedics·David SpenceBenjamin J Shore
Oct 5, 2011·The Journal of Bone and Joint Surgery. British Volume·C Q ZhangB F Zeng
May 20, 2020·Journal of Orthopaedics·Kumar Amerendra SinghHitesh Shah
Feb 12, 2021·Indian Journal of Orthopaedics·Deepika A Pinto, Alaric Aroojis
Apr 12, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Sean DuffyFergal Monsell

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