Complications after Hip Fracture in Children / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 719-726, 2000.
Article
in Korean
| WPRIM
| ID: wpr-650704
ABSTRACT
PURPOSE:
To analyze complications and their effects on prognoses of children hip fractures. MATERIALS ANDMETHODS:
26 childhood hip fractures (6 type I, 7 type II, 10 type III, 3 type IV) were studied for 11 years (1986-1997) . We analyzed factors possibly related to complications and their effects on prognoses, especially avascular necrosis (AVN) of the femoral head.RESULTS:
Of 26 patients, there were 7 AVN (27%) , 2 nonunions (8%) , 3 coxa vara (12%) , 9 premature epiphyseal closures (35%) , and 2 infections (8%) . Of 7 patients with AVN, 3 patients had type I fracture and 4 patients had type II fracture. No AVN developed in type III and IV fractures. Of 2 patients who had type I fracture with dislocation, all patients had AVN (100%) . Four of 14 patients who had displacement of the fracture site and one in 10 patients who had non-displacement fracture developed AVN. In our study of the incidence of AVN according to surgical reduction time after injury, 3 (60%) of 5 patients who were treated by surgical reduction within 6 hours and 4 (19%) out of 21 patients who were treated by surgical reduction after 6 hours developed AVN.CONCLUSION:
In childhood hip fracture, surgical reduction time after trauma (10 years) were found to be an effective treatment of AVN. AVN concomitant with pyogenic infection had the worst prognosis.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Incidence
/
Containment of Biohazards
/
Joint Dislocations
/
Coxa Vara
/
Head
/
Hip
/
Hip Fractures
/
Necrosis
Type of study:
Incidence study
/
Prognostic study
Limits:
Child
/
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2000
Type:
Article
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