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Pediatric Proximal Femur Fractures

Overview
Journal J Orthop
Specialty Orthopedics
Date 2018 Apr 24
PMID 29681707
Citations 10
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Abstract

Pediatric proximal femur fractures are rare injuries resulting from high-energy trauma. The Delbet classification is used when describing these injuries, and associates fracture type to the development of avascular necrosis. Historically, casting was utilized in the treatment of these injuries, but high complication rates following this approach have changed the treatment modality to early and anatomic fixation. Complications associated with these injuries including avascular necrosis, non-union, coxa-vara, and premature physeal fusion. Achieving anatomic reduction and performing internal fixation within 24 h from time of injury has become the standard of care in the treatment of pediatric proximal femur fractures.

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References
1.
Eberl R, Singer G, Ferlic P, Weinberg A, Hoellwarth M . Post-traumatic coxa vara in children following screw fixation of the femoral neck. Acta Orthop. 2010; 81(4):442-5. PMC: 2917566. DOI: 10.3109/17453674.2010.501744. View

2.
Panigrahi R, Sahu B, Kumari Mahapatra A, Palo N, Priyadarshi A, Biswal M . Treatment analysis of paediatric femoral neck fractures: a prospective multicenter theraupetic study in Indian scenario. Int Orthop. 2015; 39(6):1121-7. DOI: 10.1007/s00264-015-2677-y. View

3.
Iwata T, Nozawa S, Dohjima T, Yamamoto T, Ishimaru D, Tsugita M . The value of T1-weighted coronal MRI scans in diagnosing occult fracture of the hip. J Bone Joint Surg Br. 2012; 94(7):969-73. DOI: 10.1302/0301-620X.94B7.28693. View

4.
Forster N, Ramseier L, Exner G . Undisplaced femoral neck fractures in children have a high risk of secondary displacement. J Pediatr Orthop B. 2006; 15(2):131-3. DOI: 10.1097/01.bpb.0000188249.17148.eb. View

5.
TRUETA J . The normal vascular anatomy of the human femoral head during growth. J Bone Joint Surg Br. 1957; 39-B(2):358-94. DOI: 10.1302/0301-620X.39B2.358. View