[Outcome of femoral neck fractures in children]

ABSTRACT

Femoral neck fractures in children, despite adults, are the result of high-energy trauma and, usually, accompanied with injuries of other parts of the body. The aim of this study was to evaluate the outcome and complications of femoral neck fracture surgeries. This descriptive study was done on 68 children with displaced femoral neck fracture in Mashhad Kamiab Hospital between 1993 and 2003. Demographic characteristics, clinical, laboratory, radiography, and surgery results were collected by a questionnaire and analyzed by descriptive statistics and frequency distribution tables. Of 68 patients, 72% had good radiographic results. Complications included AVN in 10 [14/7%], limb shortening in 9 [13/2%], premature epiphysial fusion in 5 [7/4%], coxa valga in 4 [5/9%], Coxa vara in 2[2/96%] slip in 1 [1/47%]. Nonunion was not seen. Anatomical and surgery reduction of the fractured femoral neck lowers the risk of complications. Because of the rarity of this fracture that constitutes 1% of the all pediatric fractures, Orthopedic surgeons treat only a few of such patients. The outcome of this fracture is strongly related to initial management