Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/10021
Title: Paediatric Femoral Neck Fracture: Experience of Management of our Patients and a Review of the Literature
Authors: Ofori, Emmanuel Owusu
Dayie, Makafui SC-JK
Alhassan, Baba Alhaji Bin
Doku, Kingsley
Baidoo, Richard
Keywords: Paediatric femoral neck fracture
Closed reduction
Open reduction
Internal fixation
Ratliff
Delbet classification
Issue Date: 2019
Publisher: Orthopedic Research Online Journal
Abstract: Background: Femoral neck fractures are rare injuries in children, but their high incidence of long term complications make them an important clinical entity. The aim of this retrospective study was to analyze the clinical outcomes of paediatric femoral neck fractures that we managed over a 5-year period. Methods: The study included 4 children (2 boys and 2 girls) who sustained femoral neck fractures and completed a minimum follow-up of two years. All The children had operative management either by open reduction and internal fixation (ORIF), or closed reduction and internal fixation (CRIF). The outcomes were analyzed using Ratliff criteria and record of complications was kept for all patients. Results: The mean age of included patients was 11 years (range, 3 to 16 years). Based on Delbet’s classification, there were no types I (transepiphyseal) and IV (intertrochanteric), 3 type II and 1 type III. A satisfactory outcome was obtained in all 4 (100%) children even in a child who had cut out of the screws post-operative day 10. Conclusion: Despite a small series of internal fixation for paediatric hip fractures, we had encouraging outcomes with no avascular necrosis, no limb length discrepancy or non-union after a minimum followup of two years.
URI: http://hdl.handle.net/123456789/10021
ISSN: 2576-8875
Appears in Collections:School of Medical Sciences

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