title: Early prediction of outcomes in hip fractures: initial fracture displacement.
abstract: We retrospectively analyzed the surgical treatment of 28 pediatric hip fractures. The majority of cases were Delbet type 2 (57%) and type 3 (29%). The average age of the patients was 10.8 years (range: 2-16 years). The mean follow-up period was 91 months. Displaced fractures were found in 18 cases (64%). The major factor in the development of avascular necrosis was the degree of displacement at the time of initial presentation (P<0.05), irrespective of fracture type. Although the degree of initial displacement cannot be prevented, careful exposure of soft tissue during open reduction will reduce avascular necrosis.
authors.affiliation: Department of Orthopaedic and Traumatology, Lütfi Kirdar Kartal Training and Research Hospital, Istanbul, Turkey.
authors.forename: Özgür
authors.initials: Ö
authors.lastname: Baysal
authors.forename: Engin
authors.initials: E
authors.lastname: Eceviz
authors.forename: Güven
authors.initials: G
authors.lastname: Bulut
authors.forename: Halil İbrahim
authors.initials: Hİ
authors.lastname: Bekler
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000000981:diagnostic imaging* / Q000601:surgery*; D006620:Hip Fractures / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D016896:Treatment Outcome