Avascular Necrosis due to Delbet Type I Femoral Neck Fracture in an Adolescent: A Case Report and Literature Review
Among all pediatric fractures, femoral neck fracture is an infrequent injury that occurs due to high-energy trauma. The high risk of complications, such as avascular necrosis (AVN), which is the most common and serious complication, coxa vara, nonunion, premature physeal closure and infections, turn...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2022-02-01
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| Series: | Case Reports in Orthopedic Research |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/522149 |
| _version_ | 1818534860765003776 |
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| author | Shahin Talebi Shirin Sheibani Pedram Hassani Abolfazl Ghadiri |
| author_facet | Shahin Talebi Shirin Sheibani Pedram Hassani Abolfazl Ghadiri |
| author_sort | Shahin Talebi |
| collection | DOAJ |
| description | Among all pediatric fractures, femoral neck fracture is an infrequent injury that occurs due to high-energy trauma. The high risk of complications, such as avascular necrosis (AVN), which is the most common and serious complication, coxa vara, nonunion, premature physeal closure and infections, turns this fracture into an orthopedic emergency and increases the need for early treatment and intervention. Among the classifications of femoral neck fractures, which are known as the Delbet classification, type 1 is the least common but with the highest risk of AVN. Therapeutic action for these patients is close or open reduction with internal fixation under general anesthesia, which according to the evidences, open reduction is a more successful method. Due to the high probability of complications and the urgent need for treatment of femoral neck fracture, early intervention and timely treatment should be performed. Here, we report a 14-year-old boy who was brought to the emergency department with a Delbet type 1B fracture of the left femoral neck with detached epiphyseal portion of the femoral head due to a car accident. After one failed attempt to closed reduction, open reduction and internal fixation with a posterolateral (Kocher) approach was performed under general anesthesia. The reduction was maintained with guide pins and fixed with cannulated screws. After 8 months of follow-up, AVN was noticed. |
| first_indexed | 2024-12-11T18:17:06Z |
| format | Article |
| id | doaj.art-4e08332d87344f7c8c91768bf4e30070 |
| institution | Directory Open Access Journal |
| issn | 2296-9373 |
| language | English |
| last_indexed | 2024-12-11T18:17:06Z |
| publishDate | 2022-02-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Orthopedic Research |
| spelling | doaj.art-4e08332d87344f7c8c91768bf4e300702022-12-22T00:55:23ZengKarger PublishersCase Reports in Orthopedic Research2296-93732022-02-0151243010.1159/000522149522149Avascular Necrosis due to Delbet Type I Femoral Neck Fracture in an Adolescent: A Case Report and Literature ReviewShahin Talebi0Shirin Sheibani1Pedram Hassani2Abolfazl Ghadiri3https://orcid.org/0000-0001-5409-3861Assistant Professor of Orthopedic Surgery, Orthopedic Research Center, Mazandaran University of Medical Science, Sari, IranStudent Research Committee, School of Medicine, Mazandaran University of Medical Science, Sari, IranStudent Research Committee, School of Medicine, Mazandaran University of Medical Science, Sari, IranResident of Orthopedic Surgery, Orthopedic Research Center, Mazandaran University of Medical Science, Sari, IranAmong all pediatric fractures, femoral neck fracture is an infrequent injury that occurs due to high-energy trauma. The high risk of complications, such as avascular necrosis (AVN), which is the most common and serious complication, coxa vara, nonunion, premature physeal closure and infections, turns this fracture into an orthopedic emergency and increases the need for early treatment and intervention. Among the classifications of femoral neck fractures, which are known as the Delbet classification, type 1 is the least common but with the highest risk of AVN. Therapeutic action for these patients is close or open reduction with internal fixation under general anesthesia, which according to the evidences, open reduction is a more successful method. Due to the high probability of complications and the urgent need for treatment of femoral neck fracture, early intervention and timely treatment should be performed. Here, we report a 14-year-old boy who was brought to the emergency department with a Delbet type 1B fracture of the left femoral neck with detached epiphyseal portion of the femoral head due to a car accident. After one failed attempt to closed reduction, open reduction and internal fixation with a posterolateral (Kocher) approach was performed under general anesthesia. The reduction was maintained with guide pins and fixed with cannulated screws. After 8 months of follow-up, AVN was noticed.https://www.karger.com/Article/FullText/522149femoral neck fracturepediatricsopen reductioninternal fracture fixation |
| spellingShingle | Shahin Talebi Shirin Sheibani Pedram Hassani Abolfazl Ghadiri Avascular Necrosis due to Delbet Type I Femoral Neck Fracture in an Adolescent: A Case Report and Literature Review Case Reports in Orthopedic Research femoral neck fracture pediatrics open reduction internal fracture fixation |
| title | Avascular Necrosis due to Delbet Type I Femoral Neck Fracture in an Adolescent: A Case Report and Literature Review |
| title_full | Avascular Necrosis due to Delbet Type I Femoral Neck Fracture in an Adolescent: A Case Report and Literature Review |
| title_fullStr | Avascular Necrosis due to Delbet Type I Femoral Neck Fracture in an Adolescent: A Case Report and Literature Review |
| title_full_unstemmed | Avascular Necrosis due to Delbet Type I Femoral Neck Fracture in an Adolescent: A Case Report and Literature Review |
| title_short | Avascular Necrosis due to Delbet Type I Femoral Neck Fracture in an Adolescent: A Case Report and Literature Review |
| title_sort | avascular necrosis due to delbet type i femoral neck fracture in an adolescent a case report and literature review |
| topic | femoral neck fracture pediatrics open reduction internal fracture fixation |
| url | https://www.karger.com/Article/FullText/522149 |
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