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$Femoral neck fracture surgery$

$femoral neck fracture surgery$

Cannulated screw fixation is appropriate for older children and adolescents.Smooth pin fixation may be acceptable for small, young children when supplemented with a spica cast.Closed reduction or open reduction is performed to achieve anatomic alignment.Appropriate for older children or with displaced fractures.

$femoral neck fracture surgery$

Considered for nondisplaced or minimally displaced fractures up to age 4 years.Closed reduction and spica cast immobilization.Treatment is determined by the Delbet classification, displacement, and the age and size of the patient. Capsulotomy has been recommended to evacuate the intracapsular hematoma and potentially decrease the risk of AVN. Treatment ranges from closed reduction and spica casting to open reduction and internal fixation. CT or MRI may play a role in concurrent femoral neck fracture-dislocations to better define the pattern of injury.(Lee 2010) When attempting a cross-table lateral radiograph, care should be taken to move the uninjured limb so as not to significantly displace the fracture on the injured side. Plain radiographs are the primary imaging modality to diagnose and classify a pediatric femoral neck fracture. They may have a shortened and externally rotated extremity, and the fracture may be associated with other polytrauma injuries (head injuries, abdominal injuries, etc).

$femoral neck fracture surgery$

These patients are unable to bear weight on the injured extremity.

Complications associated with these fractures are osteonecrosis, nonunion, and premature physeal closureįractures of the femoral neck and includes fractures that involve the proximal femoral epiphysis, femoral neck, and intertrochanteric region of the femur.ĭelbet classified femoral neck fractures into four types that provides guidance for treatment and prognosis (Figure 1):įemoral neck fractures account for <1% of all fractures in pediatric patients and <1% of all hip fractures (Canale 1977, Boardman 2009, Ratliff 1962).

Treatment is urgent and tailored to the fracture type and patient age.

The Delbet classification is widely used, includes 4 types, and is prognostic for the potential for avascular necrosis.

Rare injuries associated with high energy and polytrauma.

Study Guide Femoral Neck Fractures Key Points:

$Femoral neck fracture surgery$