Earlier Time to Reduction Did Not Reduce Rates of Femoral Head Osteonecrosis in Pediatric Hip Fractures
| Autor: | Patrick M. Riley, Melanie A. Morscher, M. David Gothard |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Arthroplasty Replacement Hip medicine.medical_treatment symbols.namesake Femur Head Necrosis medicine Humans Orthopedic Procedures Orthopedics and Sports Medicine Child Reduction (orthopedic surgery) Fisher's exact test Retrospective Studies Hip fracture Hip Fractures business.industry Incidence (epidemiology) Trauma center Retrospective cohort study General Medicine medicine.disease Arthroplasty Surgery symbols Female business Slipped capital femoral epiphysis |
| Zdroj: | Journal of Orthopaedic Trauma. 29:231-238 |
| ISSN: | 0890-5339 |
| Popis: | OBJECTIVES Hip fractures account for less than 1% of all pediatric fractures; however, femoral head osteonecrosis (ON) after this injury ranges from 0% to 92%. The aim of this investigation was to add our experience to the literature and identify factors that may increase or decrease the risk of ON in pediatric patients with hip fractures. DESIGN Institutional review board-approved retrospective review. SETTING Pediatric level II trauma center. PATIENTS/PARTICIPANTS Two hundred fifty-five pediatric hip fracture cases were reviewed from 1983 to 2009. Children were excluded if they had metabolic bone disease, subtrochanteric or pathologic fractures, slipped capital femoral epiphysis, or less than 1 year follow-up. This left 43 patients with 44 fractures in the study. INTERVENTION Standard fixation procedures. MAIN OUTCOME MEASUREMENTS Factors that could influence ON were analyzed and included age, Delbet classification, displacement, time to reduction, reduction quality and type, and whether a decompression was performed. Fisher exact tests were used with P |
| Databáze: | OpenAIRE |
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