Complete Traumatic Separation of Proximal Femoral Epiphysis in A 2 Year Old Child.
BACKGROUND
Hip fractures are very common in adults, but are rare in children, comprising less than 1% of all pediatric fractures. Separation of the proximal femoral epiphysis can occur in a child with a traumatic hip dislocation and an open epiphysis. Regardless of the mechanism of proximal femoral epiphyseal separation, the prognosis is poor secondary to the development of osteonecrosis.


METHODS
Here we are reporting a case of complete separation of the proximal epiphysis of the femur in a 2 year old female child. She was treated by open reduction and internal fixation by a single k-wire of proximal femoral epiphysis. Regular follow up showed fusion of proximal femoral epiphysis at about 3 months of post operative period. After 8 months of follow up she can stand and walk without support. Long term outcome is awaited.


CONCLUSIONS
Traumatic separation of the proximal femoral epiphysis is a rare but devastating injury because osteonecrosis occurs in most cases. In our study we found fusion of the proximal femoral epiphysis to the neck after 3 months of postoperative period. But to comment upon the final outcome a long follow up is awaited.
Department of orthopaedics, S. N. Medical College, Agra, India.
Chandra Prakash
CP
Pal
Department of orthopaedics, S. N. Medical College, Agra, India.
Deepak
D
Kumar
Department of Orthopaedics, U.P R.I.M.S. & R, Saifai, Etawah, India.
Pulkesh
P
Singh
Department of orthopaedics, S. N. Medical College, Agra, India.
Vishal
V
Gaurav
Epiphysis separation; Growth arrest; Osteonecrosis