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Femoral Neck Fractures in Children: A Review
Paediatric femoral neck fractures are uncommon injuries and are usually caused by high-energy trauma. Low-energy trauma can result in pathologic neck fractures and stress fractures of the neck, due to repetitive activity. Surgical options can vary based on age, Delbet classification and displacement...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Medknow Publications & Media Pvt Ltd
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142798/ https://www.ncbi.nlm.nih.gov/pubmed/30237607 http://dx.doi.org/10.4103/ortho.IJOrtho_404_17 |
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author | Palocaren, Thomas |
author_facet | Palocaren, Thomas |
author_sort | Palocaren, Thomas |
collection | PubMed |
description | Paediatric femoral neck fractures are uncommon injuries and are usually caused by high-energy trauma. Low-energy trauma can result in pathologic neck fractures and stress fractures of the neck, due to repetitive activity. Surgical options can vary based on age, Delbet classification and displacement of the fracture. Treatment for displaced fractures is by closed or open reduction and smooth/cancellous screw fixation. Compression screw and side plate fixation is indicated for basal fractures. Fixation should be supplemented by spica cast immobilization in younger children. The high rate of complications occurs due to the vascular anatomy of the hip and proximal femur. Avascular necrosis, coxa vara, premature physeal closure, and nonunion are the most common and these often result in poor outcome. |
format | Online Article Text |
id | pubmed-6142798 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-61427982018-09-20 Femoral Neck Fractures in Children: A Review Palocaren, Thomas Indian J Orthop Symposium - Pediatric Trauma Paediatric femoral neck fractures are uncommon injuries and are usually caused by high-energy trauma. Low-energy trauma can result in pathologic neck fractures and stress fractures of the neck, due to repetitive activity. Surgical options can vary based on age, Delbet classification and displacement of the fracture. Treatment for displaced fractures is by closed or open reduction and smooth/cancellous screw fixation. Compression screw and side plate fixation is indicated for basal fractures. Fixation should be supplemented by spica cast immobilization in younger children. The high rate of complications occurs due to the vascular anatomy of the hip and proximal femur. Avascular necrosis, coxa vara, premature physeal closure, and nonunion are the most common and these often result in poor outcome. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6142798/ /pubmed/30237607 http://dx.doi.org/10.4103/ortho.IJOrtho_404_17 Text en Copyright: © 2018 Indian Journal of Orthopaedics http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Symposium - Pediatric Trauma Palocaren, Thomas Femoral Neck Fractures in Children: A Review |
title | Femoral Neck Fractures in Children: A Review |
title_full | Femoral Neck Fractures in Children: A Review |
title_fullStr | Femoral Neck Fractures in Children: A Review |
title_full_unstemmed | Femoral Neck Fractures in Children: A Review |
title_short | Femoral Neck Fractures in Children: A Review |
title_sort | femoral neck fractures in children: a review |
topic | Symposium - Pediatric Trauma |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142798/ https://www.ncbi.nlm.nih.gov/pubmed/30237607 http://dx.doi.org/10.4103/ortho.IJOrtho_404_17 |
work_keys_str_mv | AT palocarenthomas femoralneckfracturesinchildrenareview |