Treatment analysis of paediatric femoral neck fractures: a prospective multicenter theraupetic study in Indian scenario

Panigrahi, Ranajit; Sahu, Biswajit; Mahapatra, Amita Kumari; Palo, Nishit; Priyadarshi, Ashok; Biswal, Manas Ranjan

doi:10.1007/s00264-015-2677-y

Cited by 35 publications

(22 citation statements)

References 26 publications

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“…Some authors have found decreased complication rates following open reduction when compared to closed reduction, and recommend open reduction for all pediatric hip fractures. 13 , 14 However, there remains no consensus in the literature as others have shown equivocal results with open and closed methods. 2 , 8 , 12 Open reduction of the hip fracture is required if an acceptable reduction cannot be achieved by closed means or if the fracture is associated with an underlying vascular injury.…”

Section: Reduction Techniquementioning

confidence: 99%

Pediatric proximal femur fractures

Dial

Lark

2018

Journal of Orthopaedics

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Pediatric proximal femur fractures are rare injuries resulting from high-energy trauma. The Delbet classification is used when describing these injuries, and associates fracture type to the development of avascular necrosis. Historically, casting was utilized in the treatment of these injuries, but high complication rates following this approach have changed the treatment modality to early and anatomic fixation. Complications associated with these injuries including avascular necrosis, non-union, coxa-vara, and premature physeal fusion. Achieving anatomic reduction and performing internal fixation within 24 h from time of injury has become the standard of care in the treatment of pediatric proximal femur fractures.

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Section: Reduction Techniquementioning

confidence: 99%

Pediatric proximal femur fractures

Dial

Lark

2018

Journal of Orthopaedics

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“…One 7 years old patient had 4 K-wires in her epiphysis and a total of 6 cannulated screws passed through the physis in 3 operated patients who had a mean age of 15 years old and none had noticeable premature physeal closure or AVN. In a recent prospective multi-center study in Indian population, 28 patients with femoral neck fractures were treated and the authors reported 14.2 % AVN rate with 82.1 % good results according to Ratliff's criteria [23]. In the same study, authors divided femoral neck into four zones and recommended smooth pins near to physis and cancellous screws in zones far to physis [23].…”

Section: Resultsmentioning

confidence: 99%

Clinical and Radiographic Outcomes of Pediatric Femoral Neck Fractures

et al. 2017

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Bu çalışmanın amacı, pediatrik femur boyun kırıklarının klinik ve radyolojik sonuçlarını değerlendirmek ve sonuçları literatürle karşılaştırmaktır. Yöntemler: 2005-2012 tarihleri arasında femur boyun kırıklıkları tanısıyla tedavi edilen hastaları retrospektif olarak taradık. Takiplerini aksatmayan ve minimum 1 yıllık takip süresi olan 14 hasta (6 kız çocuk, 8 erkek çocuk) kayıtlardan bulundu. Kırığın nedeni ve uygulanan tedavi tipi kayıtlardan araştırıldı. Kırık tipini belirlemede Delbet-Colonna sınıflaması kullanıldı. Son kontrolde, femur boyun-şaft açısı ve etkilenen kalçanın hareket açıklığı ölçüldü. Nihai sonuç Ratliff'in değerlendirme kriterlerine göre skorlandı. Avasküler nekrozlar (AVN) Ratliff'in AVN sınıflama sistemine göre sınıflandırıldı. Bulgular: Hastaların ortalama yaşı 9.9 olup ortalama takip 35 aydı. Delbet-Colonna sınıflamasına göre; hastalardan 1'i tip 1 (%7.1), 4'ü tip 2 (%28.6), 8'i tip 3 (%57.2) ve 1'i tip 4'dü (%7.1). 14 kırığın 8'i kaymış kırıktı (%57.2) ve 6'sı kaymamış kırıktı (%48.2). Ratliff değerlendirme kriterlerine göre, 14 hastanın 11'inin iyi (%78.6), 1'inin orta (%7.1) ve 2'sinin (%14.3) kötü sonucu vardı. Ratliff AVN sınıflamasına göre, 2 hastada tip 3 (%14.3) ve 1 hastada tip 1 (%7.1) AVN vardı. Sonuç: Sonuçlarımıza göre, pediatrik femur boyun kırıklarının tedavisinde anatomik redüksiyon (kapalı veya açık) ve stabil internal tespiti öneriyoruz.

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“…In patients with nondisplaced femoral neck fractures, hematoma will not increase to a size within the capsule that disrupts the blood supply to the femoral head, and in displaced femoral neck fractures, the tearing of the capsule reduces the capsule internal pressure. Panigrahi et al [20] suggested that decompression of the hip joint by capsulotomy releases the tamponade effect and should be performed in all cases of pediatric femoral neck fractures. However, Spence et al [21] reported that the capsular decompression procedure was not predictive of osteonecrosis after pediatric femur fractures.…”

Section: Discussionmentioning

confidence: 99%

Early prediction of outcomes in hip fractures

Baysal

Ecevız

Bulut

et al. 2016

Journal of Pediatric Orthopaedics B

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We retrospectively analyzed the surgical treatment of 28 pediatric hip fractures. The majority of cases were Delbet type 2 (57%) and type 3 (29%). The average age of the patients was 10.8 years (range: 2-16 years). The mean follow-up period was 91 months. Displaced fractures were found in 18 cases (64%). The major factor in the development of avascular necrosis was the degree of displacement at the time of initial presentation (P<0.05), irrespective of fracture type. Although the degree of initial displacement cannot be prevented, careful exposure of soft tissue during open reduction will reduce avascular necrosis.

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Treatment analysis of paediatric femoral neck fractures: a prospective multicenter theraupetic study in Indian scenario

Cited by 35 publications

References 26 publications

Pediatric proximal femur fractures

Pediatric proximal femur fractures

Clinical and Radiographic Outcomes of Pediatric Femoral Neck Fractures

Early prediction of outcomes in hip fractures

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