Proximal femur fracture in children
DOI:
https://doi.org/10.37497/JMRReview.v1i1.16Keywords:
Femoral Fractures, Child, Femur Neck Fracture, Hip FracturesAbstract
Background: Fractures of the femoral neck in children are rare, corresponding to approximately 1% of fractures in childhood. Aim: To describe a series of ten patients with fractures of the proximal femur, treated between 2011 and 2022, relating the mechanism of trauma, the type of fracture, its form of treatment and the evolution of possible complications.
Methods: A retrospective study was carried out, with ages ranging from zero to sixteen years, pathological fractures not being included in the study, each fracture being classified by Delbet. Results: The total rate of complications reached 50%. The mean age was 8.9 years, both sides being equally affected. Type II fractures by Delbet were the most common, followed by type III and less frequent by types I and IV. The complications observed were avascular necrosis of the head, dysmetria, pseudarthrosis, premature closure of the physis and loss of reduction requiring a new approach.
Conclusion: The authors call attention to the rarity of fractures, however, with a high rate of complications.
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