Journal of Kermanshah University of Medical Sciences
Peer-reviewed Medical Quarterly
Treatment of pediatric femoral neck fracture with decompression and fixation
Authors
Abstract
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.
Highlights
Copyright
© 2003, Journal of Kermanshah University of Medical Sciences. This open-access article is available under the Creative Commons Attribution-NonCommercial 4.0 (CC BY-NC 4.0) International License (https://creativecommons.org/licenses/by-nc/4.0/), which allows for the copying and redistribution of the material only for noncommercial purposes, provided that the original work is properly cited.
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