Management of femoral neck fractures in children: Experience of a short series in a developing country
| Autor: | Jean Baptiste Yaokreh, Ossenou Ouattara, Bertin Dibi Kouame, T.H. Odéhouri-Koudou, Gaudens Atafy Dieth, Yapo Guy Serge Kouame, Samba Tembely |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Coxa vara Developing country conservative treatment Avascular necrosis Femoral Neck Fractures Fracture Fixation Internal 03 medical and health sciences 0302 clinical medicine children medicine Humans Internal fixation 030212 general & internal medicine Child Developing Countries Retrospective Studies Femoral neck 030222 orthopedics femoral neck fracture coxa vara business.industry Incidence Spica cast developing country Disease Management medicine.disease Surgery Conservative treatment Treatment Outcome medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Egypt Female Original Article medicine.symptom business |
| Zdroj: | African Journal of Paediatric Surgery: AJPS |
| ISSN: | 0189-6725 |
| Popis: | Background: Fractures of the femoral neck are rare injuries in children but can have many devastating complications. Their treatment is not standardized, but the objectives are early anatomic reduction to minimize the risk for complications. The aim of this study was to assess outcomes of a short series of femoral neck fractures managed in a resource-limited setting. Materials and Methods: The medical charts of 11 children who were managed in our institution for femoral neck fractures between January 2000 and December 2015 were assessed retrospectively. There were two cases (n = 2) of Delbet type I, 5 (n = 5) type II, and 4 (n = 4) type III fractures. Patients were treated either surgically by open reduction and internal fixation (n = 4) or conservatively by traction followed by spica cast (n = 7). Outcomes were assessed using Ratliff system. Results: Femoral neck fracture incidence was one case per year. Of the 11 patients, there were 7 boys and 4 girls, with a mean age 9.4 ± 3.28 years. At the mean follow-up of 3.64 ± 1.97 years (range, 2–8.8 years), outcome was fair to good in 8 (72.7%) and poor in 3 (27.3%) cases. Average union time was 13.5 ± 1.77 weeks. Complication rate was 72.7%. Avascular necrosis occurred in three cases (27.3%). Six patients (54.5%) developed coxa vara, with a mean neck-shaft angle of 102.16° ±12.07° (range, 90°–118°). Five patients (45.5%) had leg length discrepancy with a mean 18 mm (range, 7–35 mm). Discussion: Local conditions negatively influenced the management of femoral neck fractures. Conservative treatment led to many complications which increase the cost of management. |
| Databáze: | OpenAIRE |
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