Case Report: Bilateral Femoral Neck Fractures in a Child and a Rare Complication of Slipped Capital Epiphysis After Internal Fixation

Abstract

This case highlights the need for close followup of adolescent patients with PTCS fixation for femoral neck fractures.

Traumatic simultaneous bilateral femoral neck fracture in a child: A case report

“…All previous cases described in the literature were due to high energy trauma as a result of a motor vehicle accident or fall from a height ( Table I). [2][3][4][5][6][7][8][9][10] In polytrauma cases, it is important to check the hips to avoid a delayed diagnosis. 6 The average age at time of trauma was seven years (range 4-11) and the male to female ratio was 1:1.2.…”

“…3,4,6,7 According to Dhār, 3 early surgery was necessary for a good outcome. Good results, however, were also observed with delayed surgery from two to 77 days with or without skin traction mainly by open reduction 5,6,9,10 (Table I). Our 17-day delay explains the non-anatomic reduction at the right hip.…”

“…[2][3][4][5]7,10 It secures the internal fixation for eight weeks on average (range 4-16) without any secondary hip stiffness. The weight bearing time is linked to radiographic signs of bone union.…”

“…Full weight bearing is allowed at around 12 weeks. [4][5][6] The mean time of bone consolidation was 24 weeks in the literature described (range 12-52) ( Table I).…”

“…1 Bilateral fractures are even rarer, with only ten cases reported in the literature. [2][3][4][5][6][7][8][9][10] Usually, a high energy trauma is involved, such as a fall from a height and motor vehicle accident. 1,4,6,8,11 We report the case of a 9-year-old schoolgirl who presented with traumatic bilateral fractures of the femoral neck after a fall from a height.…”