Traumatic dislocation of the hip with separation of the capital epiphysis: 5 adolescent patients with 3-9 years of follow-up.
We reviewed 5 cases of type I epiphyseal fracture with dislocation of the femoral head from the acetabulum in adolescent patients. All children had an open reduction and screw fixation. In all cases, the femoral head developed avascular necrosis. The clinical result after a mean of 3-9 years' follow-up was good according to the Merle d'Aubigné-Postel scale. Despite necrosis, 2 heads developed spherically after treatment: one which had a primary physeal resection and fixation, the other after an autogenous bone graft in the screw track following removal of the screw.
Odent
Thierry
T
Department of Paediatric Orthopaedics, Necker-Enfants Malades Hospital, René Descartes University, France.
Glorion
Christophe
C
Pannier
Stéphanie
S
Bronfen
Corinne
C
Langlais
Jean
J
Pouliquen
Jean-Claude
JC
D000063:Accidents, Traffic; D000293:Adolescent; D002648:Child; D004838:Epiphyses / Q000000981:diagnostic imaging / Q000293:injuries; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging / Q000293:injuries*; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D011859:Radiography; D012189:Retrospective Studies