Treatment of the femoral neck peudoarthrosis in childhood: Case report
Introduction. Femoral neck fractures in children and adolescents are rare. However, their complications are frequent - avascular necrosis, femoral neck pseudoarthrosis, premature physeal closure with consequent growth disturbance and coxa vara deformity. Case Outline. A 9.5yearold boy was injur...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2013-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2013/0370-81791304237V.pdf |
| _version_ | 1819077001347072000 |
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| author | Vukašinović Zoran Šešlija Igor Pavlović Mladen Živković Zorica |
| author_facet | Vukašinović Zoran Šešlija Igor Pavlović Mladen Živković Zorica |
| author_sort | Vukašinović Zoran |
| collection | DOAJ |
| description | Introduction. Femoral neck fractures in children and adolescents are rare. However, their complications are frequent - avascular necrosis, femoral neck pseudoarthrosis, premature physeal closure with consequent growth disturbance and coxa vara deformity. Case Outline. A 9.5yearold boy was injured in a car accident, and femoral neck fracture was diagnosed. Prior to admission at our hospital he was surgically treated several times. He was admitted at our hospital eight months following the accident. On the Xray transcervical pseudoarthrosis of the femoral neck was found, as well as coxa vara deformity and metaphyseal avascular necrosis. He was operated at our hospital; all previously placed ostefixation material was removed, valgus osteotomy of 30 degrees was done as well as additional local osteoplasty using the commercial osteoindactive agent (Osteovit®). Postoperatively, we applied skin traction, bed rest and physical therapy. At the final followup, the patient was recovered completely. He is now painless, the legs are of equal length, range of movements in the left hip is full, life activity is normal. The Xray shows that the femoral neck pseudoarthrosis is fully healed. Conclusion. This case is presented in order to encourage other colleagues to challenge the problematic situation such as this one. Also, we would like to remind them what one should think about and what should be taken into consideration in the primary treatment of femoral neck fractures in children. Valgus femoral osteotomy, as a part of the primary treatment of femoral neck fracture in children (identically as in the adults) can prevent the occurrence of femoral neck pseudoarthrosis. |
| first_indexed | 2024-12-21T18:50:15Z |
| format | Article |
| id | doaj.art-3b581720b4854b9cb61a442b05b3b05c |
| institution | Directory Open Access Journal |
| issn | 0370-8179 |
| language | English |
| last_indexed | 2024-12-21T18:50:15Z |
| publishDate | 2013-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-3b581720b4854b9cb61a442b05b3b05c2022-12-21T18:53:47ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792013-01-011413-423724110.2298/SARH1304237VTreatment of the femoral neck peudoarthrosis in childhood: Case reportVukašinović ZoranŠešlija IgorPavlović MladenŽivković ZoricaIntroduction. Femoral neck fractures in children and adolescents are rare. However, their complications are frequent - avascular necrosis, femoral neck pseudoarthrosis, premature physeal closure with consequent growth disturbance and coxa vara deformity. Case Outline. A 9.5yearold boy was injured in a car accident, and femoral neck fracture was diagnosed. Prior to admission at our hospital he was surgically treated several times. He was admitted at our hospital eight months following the accident. On the Xray transcervical pseudoarthrosis of the femoral neck was found, as well as coxa vara deformity and metaphyseal avascular necrosis. He was operated at our hospital; all previously placed ostefixation material was removed, valgus osteotomy of 30 degrees was done as well as additional local osteoplasty using the commercial osteoindactive agent (Osteovit®). Postoperatively, we applied skin traction, bed rest and physical therapy. At the final followup, the patient was recovered completely. He is now painless, the legs are of equal length, range of movements in the left hip is full, life activity is normal. The Xray shows that the femoral neck pseudoarthrosis is fully healed. Conclusion. This case is presented in order to encourage other colleagues to challenge the problematic situation such as this one. Also, we would like to remind them what one should think about and what should be taken into consideration in the primary treatment of femoral neck fractures in children. Valgus femoral osteotomy, as a part of the primary treatment of femoral neck fracture in children (identically as in the adults) can prevent the occurrence of femoral neck pseudoarthrosis.http://www.doiserbia.nb.rs/img/doi/0370-8179/2013/0370-81791304237V.pdffemoral neckfracturepseudoarthrosischildhood |
| spellingShingle | Vukašinović Zoran Šešlija Igor Pavlović Mladen Živković Zorica Treatment of the femoral neck peudoarthrosis in childhood: Case report Srpski Arhiv za Celokupno Lekarstvo femoral neck fracture pseudoarthrosis childhood |
| title | Treatment of the femoral neck peudoarthrosis in childhood: Case report |
| title_full | Treatment of the femoral neck peudoarthrosis in childhood: Case report |
| title_fullStr | Treatment of the femoral neck peudoarthrosis in childhood: Case report |
| title_full_unstemmed | Treatment of the femoral neck peudoarthrosis in childhood: Case report |
| title_short | Treatment of the femoral neck peudoarthrosis in childhood: Case report |
| title_sort | treatment of the femoral neck peudoarthrosis in childhood case report |
| topic | femoral neck fracture pseudoarthrosis childhood |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2013/0370-81791304237V.pdf |
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