title: Traumatic dislocation of the hip with separation of the capital epiphysis: 5 adolescent patients with 3-9 years of follow-up.
abstract: 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.
authors.affiliation: Department of Paediatric Orthopaedics, Necker-Enfants Malades Hospital, René Descartes University, France.
authors.forename: Thierry
authors.initials: T
authors.lastname: Odent
authors.forename: Christophe
authors.initials: C
authors.lastname: Glorion
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Pannier
authors.forename: Corinne
authors.initials: C
authors.lastname: Bronfen
authors.forename: Jean
authors.initials: J
authors.lastname: Langlais
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Pouliquen
mesh_terms: 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