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Treatment of pediatric femoral neck fracture with decompression and fixation


avatar P Ghafari 1 , * , avatar M Fakhri 1 , avatar B Teimouri 1

1 Iran

How to Cite: Ghafari P, Fakhri M, Teimouri B. Treatment of pediatric femoral neck fracture with decompression and fixation. J Kermanshah Univ Med Sci. 2003;7(2):e81213.


Journal of Kermanshah University of Medical Sciences: 7 (2); e81213
Published Online: September 19, 2003
Article Type: Research Article
Received: April 12, 2003
Accepted: August 15, 2003


Background and Objective: Femoral neck fracture occurs rarely in children. Its lifetime prevalence in adult population of developed countries is 1%. There is no data from Iran. 
Avascular necrosis is the most important complication of femoral neck fracture.
 The most common methods of treatment are  open and closed reduction and fixation. Recently, occurrence of avascular necrosis has been decreased by   joint decompression and fixation.  
Material and methods: From1999 to 2002, ten children (7 girls, mean age, 7.2) were treated by joint decompression and fixation. The patients were followed for one year, using clinical examination, plain radiography and bone scan. Nine cases were operated upon within one week of fracture.
Results: Avascular necrosis was observed in only 1 case.
Discussion:  Joint decompression and fixation should be done more frequently.


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