J Korean Fract Soc.  2004 Jul;17(3):283-286. 10.12671/jkfs.2004.17.3.283.

Treatment of Fractures of the Hip in Children

Affiliations
  • 1Department of Orthopaedic Surgery, Gil Medical Center, Gachon Medical College, Inchon, Korea. Mk3252493@hanmail.net

Abstract

PURPOSE: To evaluate the result of early anatomical reduction and internal fixation of hip fracture in children.
MATERIALS AND METHODS
From January 1996 to July 2002, 21 cases (mean, 9 years) of hip fracture were available for follow-up more than 1 year. We performed early anatomical reduction and internal fixation within 24 hours as possible. Fractures were classified according to the 4 types described by Delbet. The results were analyzed according to the functional results by Ratliff and the incidence of complication.
RESULTS
There were no type I, 7 type II, 10 type III and 4 type IV fractures. Avascular necrosis of femoral head in 2 cases (type II, III). Functional result was 18 Good, 1 Fair and 2 Poor.
CONCLUSION
Fractures of the hip in children have been associated with a very high rate of serious complications, but our treatment by early anatomical reduction and interal fixation reduced rates of complication and had good functional result.

Keyword

Children; Femur; Hip fracture; Avascular necrosis

MeSH Terms

Child*
Femur
Follow-Up Studies
Head
Hip*
Humans
Incidence
Necrosis
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