Fractures of the hip in children.
Fractures of the hip are uncommon in children, and their importance is related not to the frequency of the injury but to the frequency of complications. Many of these complications can be minimized or avoided by anatomic reduction and internal fixation. Open reduction frequently is necessary to obtain a stable, anatomic reduction. Regardless of the age of the child, stable fixation of the fracture must be given priority over preservation of the proximal femoral physis. The development of osteonecrosis, however, is most likely related to the severity of the initial injury and is largely unaffected by treatment of the fracture.
Beaty
James H
JH
Department of Orthopaedic Surgery, Campbell Clinics, University of Tennessee, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA. jbeaty@campbellclinic.com
D001863:Bone Screws; D002370:Casts, Surgical; D002648:Child; D019299:Decompression, Surgical; D005271:Femur Head Necrosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005593:Fracture Fixation, Internal; D006620:Hip Fractures / Q000145:classification / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D011859:Radiography; D016896:Treatment Outcome