Management of childhood femoral neck fractures.
Forty-three children with displaced transcervical femoral fractures were reviewed at a mean follow-up of 7.2 years and results were assessed using Ratliff's criteria. Of 22 patients treated by internal fixation alone, 10 had good, 6 had fair and 6 had poor results. The results in 21 children treated by internal fixation along with primary transverse intertrochanteric undisplaced osteotomy were: 14 good, 5 fair and 2 poor, but none improved to a statistically significant level (P = 0.139). However, the osteotomy improved the fracture union significantly and no delayed union or non-union was noted in this group (P = 0.05). There were no complications related to the osteotomy itself.
Sharma
J C
JC
Department of Orthopaedics, M. G. Hospital, Jodhpur, India.
Biyani
A
A
Kalla
R
R
Gupta
S P
SP
Arora
A
A
Bhaskar
S K
SK
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D010027:Osteotomy; D011183:Postoperative Complications; D011859:Radiography