1. Retrospective analysis of 35 pediatric femoral neck fractures.
- Author
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Yerli, Mustafa, Ocak, Olcayto, Yüce, Ali, Bayraktar, Tahsin Olgun, Kir, Mustafa Çağlar, İmren, Yunus, Dedeoğlu, Süleyman Semih, and Gürbüz, Hakan
- Subjects
OSTEONECROSIS ,RETROSPECTIVE studies ,DISEASE incidence ,COMPARATIVE studies ,DESCRIPTIVE statistics ,COXA vara ,FEMORAL neck fractures ,RARE diseases ,DISEASE complications ,CHILDREN - Abstract
Objective: Pediatric proximal femur fracture is extremely rare trauma comparing to other fractures. The proximal femur fracture is 1% of all pediatric fractures. The aim of current study is to compare the incidence of early complications and outcomes of pediatric proximal femur fractures regarding fracture types retrospectively. Design: Our study includes 35 cases which are criticized by Delbet classification system, modalities of treatment, duration of waiting for surgery, duration of follow-up and also complications. Our inclusion criteria are age below 16 years old, proximal femur fractures with no evidence of tumoral, romathologic and methabolic conditions. Age, sex and surgery type (open-closed) were noted, and the data were statistically assessed. Assessment of the final outcome was made at the last follow-up visit using the Ratliff's method. Results: The mean of age of patients in our study is 9.5 ± 5.06 years. The average follow-up was 25.6 ± 13.2 months. 15 patients (42.9%) are type 2 Delbet fracture, 5 patients (14.2%) are Delbet type 3 and 15 patients (42.9%) are Delbet type 4 fracture. Using the Ratliff's method, 25 patients (71.4%) had satisfactory outcomes. Ten patients (28.6%) had unsatisfactory outcomes. The complications as AVN, coxa vara and premature closure of physis, non-union and postoperative infections have been detected in this study. AVN was seen in four (11.4%) patients. In addition, coxa vara was seen in six (17.2%) patients. Conclusion: Pediatric femoral neck fractures are extremely rare fractures and can be treated with low complication rates in cases with early treatment and anatomic reduction. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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