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346406

PEDIATRIC FRACTURE NECK FEMUR FIXATION BY PLATE AND SCREWS

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Last updated: 28 Dec 2024

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Abstract

Background: Fracture neck femur Although rarely seen, there is a considerable risk of complications such as avascular necrosis (AVN) of the femoral head and neck, coxa vara, non-union, delayed union, premature physeal arrest and infection in pediatric neck femur fractures. The most common and serious complication of pediatric neck femur fractures is known to be AVN, which can lead to a further degenerative joint disease. It has been stated that several factors may contribute to the development of complications and affect the outcome. The incidence of femoral neck fractures in children is between 0.3 and 0.5% of all childhood fractures per year. The incidence is maximum at the ages of 11 and 12 years, with a male preponderance ranging from 1.3 to 1.7:1. In contrast to the osteoporotic proximal femur fractures in the elderly, the majority of cases in children occur due to high-energy trauma such as road traffic accidents and falls from heights. Objective: This study's objective is to improve outcome of pediatric fracture neck femur fractures using plate and screws. Patients and Methods: A prospective study was conducted on eight children who underwent plate and screws fixation of neck femur fractures, at orthopedic and traumatology department of Sohag university hospital. They were treated between April 2023 till October 2023 and follow-up for 6 months. Results: According to the Ratliff assessment criteria, 75% of the patients were good (6 patients), 12.5% of the patients were fair (1 patient) and 12.5% of the patients were poor (1 patient). Conclusion: Plate and screws technique in fixation of pediatric fracture neck femur isn't recommended due to high rate of complications and poor outcomes.

DOI

10.21608/ejor.2023.346406

Keywords

Fracture fixation, Plate, Screws, Neck femur

Authors

First Name

Ahmed

Last Name

Abdelaal

MiddleName

-

Affiliation

Orthopedic dept., Faculty of Medicine, Sohag Univ. Hospital, Sohag, Egypt

Email

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City

-

Orcid

-

First Name

Mostafa

Last Name

Hussein

MiddleName

-

Affiliation

Orthopedic dept., Faculty of Medicine, Sohag Univ. Hospital, Sohag, Egypt

Email

-

City

-

Orcid

-

First Name

Abdelrahman

Last Name

Hafez

MiddleName

-

Affiliation

Orthopedic dept., Faculty of Medicine, Sohag Univ. Hospital, Sohag, Egypt

Email

-

City

-

Orcid

-

First Name

Ashraf

Last Name

Rashad

MiddleName

-

Affiliation

Orthopedic dept., Faculty of Medicine, Sohag Univ. Hospital, Sohag, Egypt

Email

-

City

-

Orcid

-

Volume

4

Article Issue

2

Related Issue

46716

Issue Date

2023-12-01

Receive Date

2024-09-22

Publish Date

2023-12-01

Page Start

85

Page End

94

Print ISSN

2682-4744

Online ISSN

2314-6710

Article File

EJOR_Volume 4_Issue 2_Pages 85-94.pdf

PDF . 590.7kB

Link

https://ejor.journals.ekb.eg/article_346406.html

Detail API

https://ejor.journals.ekb.eg/service?article_code=346406

Order

7

Type

Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Type Code

1,828

Publication Type

Journal

Publication Title

Egyptian Journal of Orthopedic Research

Publication Link

https://ejor.journals.ekb.eg/

MainTitle

PEDIATRIC FRACTURE NECK FEMUR FIXATION BY PLATE AND SCREWS

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Article

Created At

28 Dec 2024