Keywords
Child
Femur Neck Fracture
Hip Fractures
How to Cite
Abstract
Background: Fractures of the femoral neck in children are rare, corresponding to approximately 1% of fractures in childhood. Aim: To describe a series of ten patients with fractures of the proximal femur, treated between 2011 and 2022, relating the mechanism of trauma, the type of fracture, its form of treatment and the evolution of possible complications.
Methods: A retrospective study was carried out, with ages ranging from zero to sixteen years, pathological fractures not being included in the study, each fracture being classified by Delbet. Results: The total rate of complications reached 50%. The mean age was 8.9 years, both sides being equally affected. Type II fractures by Delbet were the most common, followed by type III and less frequent by types I and IV. The complications observed were avascular necrosis of the head, dysmetria, pseudarthrosis, premature closure of the physis and loss of reduction requiring a new approach.
Conclusion: The authors call attention to the rarity of fractures, however, with a high rate of complications.
References
Lima C.L.F.A; Carneiro T.C; Oliveira G; Terra DL, Malheiros D.S. Fratura do colo do fêmur em crianças. Rev Bras Ortop. 1998;33(11):899-905.
Freitas M.B, Mothes F.C, Alimena L.J.M e, Dirani M, Lompa P, Machado Neto L. Fratura do colo de fêmur em crianças. Rev bras ortop. Published online 2006:151-156.
Colonna, P.C.: Fracture of the neck of the femur in children. Ann Surg 6: 793, 1929.
Pauwels, F.: Der Schenkenholsbruck, ein mechanisches problem. Grundlagen des heilungsvorganges. Prognose und kausale therapie. Stuttgart, Beilageheft zur zeitschrift fur orthopaedische Chirurgie, Ferdinand Enke, 1935.
Lopes T.A.F; Souza L.M.A; Saraiva H.L.S; Silva L.P; Feitosa R.T.R; Moura S.B.G; Monte F.A. Fratura de colo de fêmur proximal em crianças: um relato de caso. Brazilian Journal of Development, Curitiba, v.7, n.4, p. 43237-43247 apr 2021.
Ratliff AH. Fractures of the neck of the femur in children. J Bone Joint Surg Br. 1962; 44-B:528-42.
Quinlan, W.R., Brady, P.G. & Regan, B.S.: Fractures of the neck of the femur in childhood. Injury 11: 242, 1980.
Pforringer, W. & Rosemeyer, B.: Fractures of the hip in children and adolescents. Orthop Scand 51: 91, 1980.
Miller, W.E.: Fractures of the hip in children from birth to adolescence. Clin Orthop 92: 155, 1973.
Mc Dougall, A.: Fractures of the neck of the femur in childhood. J Bone Joint Surg [Br] 43: 16, 1961.
Allende, Z. & Lezama, L.G.: Fractures of the neck of the femur in children. J Bone Joint Surg [Am] 33: 387, 1951.
Blickenstaff, L.D. & Morris, J.M.: Fatigue fracture of the femoral neck. J Bone Joint Surg [Am] 48: 1031, 1966.
Ernst, J.: Stress fractures of the neck of the femur. J Trauma 4: 71, 1964.
Ingram, A.J. & Bachynski, B.: Fracture of the hip in children: treatment and results. J Bone Joint Surg [Am] 35: 867, 1953.
Ratliff AH. Fractures of the neck of the femur in children. J Bone Joint Surg Br. 1962;44-B:528-42.
Canale ST, Bourland WL. Fracture of the neck and intertrochanteric region of the femur in children. J Bone Joint Surg Am. 1977;59(4):431- 43.
Swiontkowski MF, Winquist RA. Displaced hip fractures in children and adolescents. J Trauma. 1986;26(4):384-8.
Forlin, E.: Complications associated with fractures of the neck of the femur in children. J Pediatr Orthop 12: 503, 1992.
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