PEDIATRIC FRACTURE NECK FEMUR FIXATION BY PLATE AND SCREWS

Abdelaal, Ahmed; Hussein, Mostafa; Hafez, Abdelrahman; Rashad, Ashraf

doi:10.21608/ejor.2023.346406

PEDIATRIC FRACTURE NECK FEMUR FIXATION BY PLATE AND SCREWS

Document Type : Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Authors

Orthopedic dept., Faculty of Medicine, Sohag Univ. Hospital, Sohag, Egypt

10.21608/ejor.2023.346406

Abstract

Background: Fracture neck femur Although rarely seen, there is a considerable risk of complications such as avascular necrosis (AVN) of the femoral head and neck, coxa vara, non-union, delayed union, premature physeal arrest and infection in pediatric neck femur fractures. The most common and serious complication of pediatric neck femur fractures is known to be AVN, which can lead to a further degenerative joint disease. It has been stated that several factors may contribute to the development of complications and affect the outcome. The incidence of femoral neck fractures in children is between 0.3 and 0.5% of all childhood fractures per year. The incidence is maximum at the ages of 11 and 12 years, with a male preponderance ranging from 1.3 to 1.7:1. In contrast to the osteoporotic proximal femur fractures in the elderly, the majority of cases in children occur due to high-energy trauma such as road traffic accidents and falls from heights. Objective: This study's objective is to improve outcome of pediatric fracture neck femur fractures using plate and screws. Patients and Methods: A prospective study was conducted on eight children who underwent plate and screws fixation of neck femur fractures, at orthopedic and traumatology department of Sohag university hospital. They were treated between April 2023 till October 2023 and follow-up for 6 months. Results: According to the Ratliff assessment criteria, 75% of the patients were good (6 patients), 12.5% of the patients were fair (1 patient) and 12.5% of the patients were poor (1 patient). Conclusion: Plate and screws technique in fixation of pediatric fracture neck femur isn’t recommended due to high rate of complications and poor outcomes.

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