Abstract
Femoral neck fractures in the pediatric population are uncommon injuries, making up less than 1% of all pediatric fractures. The mechanism of injury is typically high-energy trauma or a fall from height. As with all high-energy traumas, it is common to find cranial, visceral, or other serious injuries. The presence of concomitant trauma can make treatment of these injuries challenging. Early reduction and stable internal fixation are critical to minimize complications, which are common. The most dreaded and, unfortunately, most common complication is avascular necrosis of the femoral head.
The following case typifies a pediatric femoral neck fracture and illustrates surgical management of the injury. The patient sustained a Delbet type III basicervical femoral neck fracture after being involved in a high-energy automobile accident. This case demonstrates a method of surgical management and shows the follow up including addressing possible complications. We present the clinical decision-making and considerations in approaching treatment of this type injury.
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Suggested Reading
Riccio AI, Wilson PL, Wimberly RL. (2013) Lower extremity injuries. In: Herring JA (ed) Tachdjian’s pediatric Orthopaedics: from the Texas Scottish rite hospital for children, 5th edn. Saunders, Philidelphia, Pennsylvania, pp 1383–1398
Sink EL, Kim YJ (2014) Fractures and traumatic dislocations of the hip in children. In: Flynn JM (ed) Rockwood and Wilkin’s fractures in children, 8th edn. Lippincott Williams & Wilkins, Phillidelphia, Pennsylvania, pp 953–986
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Fisher, M., Riley, P., Bono, K. (2020). Femoral Neck Fractures in Children. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-29980-8_89
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DOI: https://doi.org/10.1007/978-3-319-29980-8_89
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Publisher Name: Springer, Cham
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Online ISBN: 978-3-319-29980-8
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