Hip fractures in children: a long-term follow-up study.
University of Iowa Hospital records from 1926 to 1988 were searched for cases of hip fractures in otherwise healthy children aged between 1 and 16 years. Twenty-six cases were identified. Nineteen patients were available for clinical and radiographic follow-up evaluation. The average follow-up was 16 years postinjury. There were four type I (transepiphyseal), nine type II (transcervical), three type III (cervicotrochanteric), and three type IV (intertrochanteric) femoral fractures. Avascular necrosis (AVN) of the femoral head complicated nine of the 19 fractures (47%). Seventy-eight percent of patients who developed AVN required additional surgical intervention to obtain acceptable hip function.
Davison
B L
BL
Department of Orthopaedics, University of Iowa Hospitals and Clinics, Iowa City 52242.
Weinstein
S L
SL
D000293:Adolescent; D001178:Arthroplasty; D002648:Child; D002675:Child, Preschool; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000502:physiology; D006622:Hip Prosthesis; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography; D016059:Range of Motion, Articular