Ipsilateral femoral neck and shaft fracture in children
| Autor: | Hailin Xing, Quanzhou Wu, Chong Wang, Ji-Fei Ye, Huang Shuming, Shu-Hua Lan, Fang Ye |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty ipsilateral femoral neck fracture Bone Screws Coxa vara Bone Nails femoral shaft fracture Femoral Neck Fractures law.invention Intramedullary rod 03 medical and health sciences 0302 clinical medicine children law Bone plate Fracture fixation medicine Humans Clinical Case Report 030212 general & internal medicine Child Femoral neck Femur fracture Femur Neck business.industry General Medicine Hip spica cast Fracture Fixation Intramedullary Surgery medicine.anatomical_structure Child Preschool 030220 oncology & carcinogenesis medicine.symptom business Bone Plates Femoral Fractures Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| DOI: | 10.1097/md.0000000000023616 |
| Popis: | Rationale: Pediatric femoral shaft combined with ipsilateral femoral neck fractures are very rare but challenging injuries fraught with the development of avascular necrosis, coxa vara, and leg length discrepancy. Majority of the previous reports indicated the neck femur fracture was fixed with cannulated screws or/and pins, femoral shaft fracture was stabilized with a plate and screws. However, we used cannulated screws combined with elastic stable intramedullary nails to minimally invasive procedures treat this type of injury and achieved good follow-up results. Patient concerns: A 7-year-old boy (Case 1) was hospitalized due to a traffic accident resulting in swelling and deformity of the right thigh accompanied by limited mobility of hip and knee. A 5-year-old male child (Case 2) presented with pain and swelling in the bilateral lower limb after fall from approximately 12 feet. Diagnoses: Physical examination, X-ray film, and computed tomography were performed. Both patients were diagnosed with ipsilateral femoral neck and shaft fracture. Interventions: The fractures were reduced closed by image-intensifier imaging. Two partially threaded cancellous screws were used to fix femoral neck fracture, and elastic intramedullary nails were performed to stable the femoral shaft fracture. Postoperatively, the patients were immobilized in a one-and-a-half hip spica cast for six weeks. The internal fixations were removed after one year. Outcomes: Case one was follow-up at 14 months and the other one was followed up for 3 years. And at the last follow-up showed a normal and painless hip function. No clinical complications were found during follow-up visit, including head penetration, implant failure, fracture nonunion, avascular necrosis and hip varus deformity. Lessons: Clinician should carefully check and read relevant imaging data to avoid missed diagnosis. And the internal fixation method described in this paper may be more minimally invasive. |
| Databáze: | OpenAIRE |
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