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Norouzi M, Naderi MN. Femoral Neck Fractures in Children: A Follow-Up Study of 19 Cases. Eur J Trauma Emerg Surg. 2008;35(2):124-6doi: 10.1007/s00068-008-6159-4.
Norouzi, M., & Naderi, M. N. (2009). Femoral Neck Fractures in Children: A Follow-Up Study of 19 Cases. European journal of trauma and emergency surgery : official publication of the European Trauma Society, 35(2), 124-6. https://doi.org/10.1007/s00068-008-6159-4
Norouzi, Masoud, and Naderi, Mohamad N. "Femoral Neck Fractures in Children: A Follow-Up Study of 19 Cases." European journal of trauma and emergency surgery : official publication of the European Trauma Society vol. 35,2 (2009): 124-6. doi: https://doi.org/10.1007/s00068-008-6159-4
Norouzi M, Naderi MN. Femoral Neck Fractures in Children: A Follow-Up Study of 19 Cases. Eur J Trauma Emerg Surg. 2009 Apr;35(2):124-6. doi: 10.1007/s00068-008-6159-4. Epub 2008 Oct 09. PMID: 26814764.
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Eur J Trauma Emerg Surg. 2009 Apr;35(2):124-6. doi: 10.1007/s00068-008-6159-4. Epub 2008 Oct 09.

Femoral Neck Fractures in Children: A Follow-Up Study of 19 Cases.

European journal of trauma and emergency surgery : official publication of the European Trauma Society

Masoud Norouzi, Mohamad N Naderi

Affiliations

  1. Department of Orthopedics, Rasoul Hospital, Iran University of Medical Science, Niyayesh St., Sattarkhan Ave., Tehran, Islamic Republic of Iran. [email protected].
  2. Department of Orthopedics, Rasoul Hospital, Iran University of Medical Science, Tehran, Islamic Republic of Iran.

PMID: 26814764 DOI: 10.1007/s00068-008-6159-4

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.

Keywords: Children; Delbet; Femoral fractures

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