Fracture of Pediatric Neck Femur
Conditions
Brief summary
the incidence of femoral neck fracture in children ranges between 0.3 and 0.5 of all childhood fractures per year. the incidence is maximum at the ranges of 11 and 12 years with a male preponderance ranging from 1.3 to 1.7:1. in contrast to osteoprotic proximal femur fractures in the eldery. although rarely seen in children fracture neck of femur has aconsiderable risk of complications such as avascular necrosisos femoral head, coxa vara, non union, delayed union, premature physeal arrest and infection. in infants and toddlrs below age of 2 years, closed reduction and fixation with smooth 1.8 or 2 mm K wires may be carried out, in children there are many methods of fixation, cannulated 4,4.5 screws, plates,dynamic hip screw.
Detailed description
the incidence of femoral neck fracture in children ranges between 0.3 and 0.5 of all childhood fractures per year. the incidence is maximum at the ranges of 11 and 12 years with a male preponderance ranging from 1.3 to 1.7:1. in contrast to osteoprotic proximal femur fractures in the eldery. although rarely seen in children fracture neck of femur has aconsiderable risk of complications such as avascular necrosisos femoral head, coxa vara, non union, delayed union, premature physeal arrest and infection. in infants and toddlrs below age of 2 years, closed reduction and fixation with smooth 1.8 or 2 mm K wires may be carried out, in children there are many methods of fixation, cannulated 4,4.5 screws, plates,dynamic hip screw.
Interventions
PROCEDUREfixation by plate and screws
reduction and fixation of pediatric fracture neck femur by plate and screws
Sponsors
Sohag University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
* children between 2 and 16 years having fracture of neck femur
Exclusion criteria
* patients more than 16 years, cases with open fractures, preexisting deformity, other pelvic or ipsilateral femoral injuries
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| avascular necrosis by degree of bone necrosis in head and neck femur | 6 months | osteonecrosis and death of bone tissue of head and neck femur |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| coxa vara degree by angle of shaft and head femur | 6 months | angle between the head and the shaft femur is reduced to less than 120 degrees |
Countries
Egypt
Contacts
Primary Contactmostafa h ahmed, resident
Backup Contactabdelrahman h khalefa, professor
Outcome results
None listed