Journal List > J Korean Orthop Assoc > v.25(2) > 1114859

Lee, Chang, Kim, Song, and Shin: A Clinical Study of the Femoral Neck Fractures in Children

Abstract

We have experienced 12 patients with femoral neck fracture developed in childhood since September, 1983 and followed up for more than 1 year. According to Delbet and Colonna classification, there were 10 type II (transcervical), 1 type III (cervicotrochanteric) and 1 Type IV (intertrochanteric) fractures. Of the 12 cases, 9 were of traumatic and 3 were of pathologic fractures. Displaced fractures were treated mostly with closed reduction and internal fixation. And undisplaced fractures were treated conservatively. By Ratliff's scheme of assessment, 4 cases(33%) were of good, 7 cases(58%) of fair and 1 case (8%) of poor results. Coxa vara deformities developed in 6 cases(50%), of which 4 cases were those which were transferred from local clinics after variable length of delay. And avascular necrosis occurred in 2 cases(15%) whose treatments had been delayed for 5 days and 7 days, respectively.

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