title: Femoral Neck Fractures in Children: A Follow-Up Study of 19 Cases.
abstract: We studied 20 fractures of the neck of femur in 19 patients under the age of 16 years that were treated in the period from 1998 to 2004. There were nine boys and ten girls with an average age of 11 years. There was one case of Delbet type I (transepiphyseal separation). Thirteen cases were of Delbet type II (transcervical) fractures, four cases were of type III (cervicotrochanteric), and two patients had old fractures (one Delbet type II and one type III). Fourteen fractures were displaced. In our study group, 11 patients were treated surgically by internal fixation while the remaining were treated conservatively by traction followed by hip spica cast application. Mean follow-up was 24 months (range 1-5 years). Avascular necrosis occurred in nine cases (45%). Other complications included coxa vara in two, nonunion in two, postoperative infection in one, and refracture in one. The amount of displacement of the fracture and the quality of reduction and fixation influenced the occurrence of complications such as avascular necrosis and nonunion.
authors.affiliation: Department of Orthopedics, Rasoul Hospital, Iran University of Medical Science, Niyayesh St., Sattarkhan Ave., Tehran, Islamic Republic of Iran. norouzi.masoud@yahoo.com.
authors.forename: Masoud
authors.initials: M
authors.lastname: Norouzi
authors.affiliation: Department of Orthopedics, Rasoul Hospital, Iran University of Medical Science, Tehran, Islamic Republic of Iran.
authors.forename: Mohamad N
authors.initials: MN
authors.lastname: Naderi
keywords: Children; Delbet; Femoral fractures
references.citation: Orthop Clin North Am. 1990 Apr;21(2):341-52
references.pmid: 2183134
references.citation: Injury. 2002 Nov;33(9):823-7
references.pmid: 12379394
references.citation: J Bone Joint Surg Am. 1977 Jun;59(4):431-43
references.pmid: 863935
references.citation: Injury. 2001 Jan;32(1):45-51
references.pmid: 11164402
references.citation: J Bone Joint Surg Am. 1953 Oct;35-A(4):867-87
references.pmid: 13108889
references.citation: J Pediatr Orthop. 1992 May-Jun;12 (3):355-8
references.pmid: 1573001
references.citation: J Bone Joint Surg Am. 1971 Sep;53(6):1165-79
references.pmid: 4937290
references.citation: J Bone Joint Surg Br. 1962 Aug;44-B:528-42
references.pmid: 14038616
references.citation: J Pediatr Orthop. 1983 Nov;3(5):592-600
references.pmid: 6655056
references.citation: Clin Orthop Relat Res. 1980 Jun;(149):177-84
references.pmid: 7408300
references.citation: Srp Arh Celok Lek. 2004 Oct;132 Suppl 1:72-6
references.pmid: 15615471
references.citation: Injury. 2005 Jan;36(1):123-30
references.pmid: 15589930
references.citation: Orthopedics. 1989 Mar;12 (3):361-7
references.pmid: 2710697