Pediatric proximal femur fractures

Abstract Pediatric proximal femur fractures are rare injuries resulting from high-energy trauma. The Delbet classification is used when describing these injuries, and associates fracture type to the development of avascular necrosis. Historically, casting was utilized in the treatment of these injur...

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Bibliographic Details
Published in:Journal of orthopaedics 2018-06, Vol.15 (2), p.529-535
Main Authors: Dial, Brian L, Lark, Robert K
Format: Article
Language:English
Subjects:
Children hip fracture
Delbet classification
Orthopedics
Pediatric femoral neck fracture
Pediatric hip fracture
Pediatric proximal femur fracture
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Summary:Abstract Pediatric proximal femur fractures are rare injuries resulting from high-energy trauma. The Delbet classification is used when describing these injuries, and associates fracture type to the development of avascular necrosis. Historically, casting was utilized in the treatment of these injuries, but high complication rates following this approach have changed the treatment modality to early and anatomic fixation. Complications associated with these injuries including avascular necrosis, non-union, coxa-vara, and premature physeal fusion. Achieving anatomic reduction and performing internal fixation within 24 h from time of injury has become the standard of care in the treatment of pediatric proximal femur fractures.
ISSN:0972-978X
0972-978X
DOI:10.1016/j.jor.2018.03.039