Clinical and Radiographic Outcomes of Pediatric Femoral Neck Fractures
Aim: The aim of this study was to evaluate the clinical and radiological results of pediatric femoral neck fractures and compare the results with the literature.Methods: We retrospectively reviewed patients with the diagnosis of femoral neck fracture who were treated between 2005 and 2012. 14 patien...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Alanya Alaaddin Keykubat University
2017-07-01
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| Series: | Acta Medica Alanya |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/en/pub/medalanya/issue/30435/320251?publisher=alku |
| _version_ | 1797917196205162496 |
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| author | Ahmet Issın İsmet Yalkın Çamurcu Mehmet Nuri Konya Vedat Şahin |
| author_facet | Ahmet Issın İsmet Yalkın Çamurcu Mehmet Nuri Konya Vedat Şahin |
| author_sort | Ahmet Issın |
| collection | DOAJ |
| description | Aim: The aim of this
study was to evaluate the clinical and radiological results of pediatric
femoral neck fractures and compare the results with the literature.Methods: We retrospectively
reviewed patients with the diagnosis of femoral neck fracture who were treated
between 2005 and 2012. 14 patients (6 girls, 8 boys) were found in compliance
with the follow-up and with a minimum follow-up of 1 year. Causes of the
fracture and types of the treatment were investigated from our medical records.
Delbet-Colonna classification was used to determine the type of the fractures.
At the last follow-up, femoral neck shaft angle (FNSA) and range of motion
(ROM) of the affected hip were measured. Outcome was scored according to
Ratliff’s assessment criteria. Avascular necrosis (AVN) was classified
according to Ratliff’s AVN classification system. Results: The mean age of
patients was 9.9 years and the mean follow-up was 35 months. According to
Delbet-Colonna classification; 1 patient was type I (7.1%), 4 were type II
(28.6%), 8 were type III (57.2%) and 1 was type IV (7.1%). Eight of 14
fractures were displaced (57.2%) and six were non-displaced (42.8%). Eleven of
14 patients had good (78.6 %), 1 had fair (7.1%) and 2 had poor (14.3%) results
according to Ratliff’s assessment criteria. According to Ratliff’s AVN
classification, 2 patients had Type-III (14.2 %) and 1 had Type-I AVN (7.1 %).
Conclusion: According to our
results, we recommend anatomical reduction (close or open) and stable internal
fixation for the treatment of pediatric femoral neck fractures. |
| first_indexed | 2024-04-10T13:09:31Z |
| format | Article |
| id | doaj.art-b462631ef57443bbb797152d0cb37b42 |
| institution | Directory Open Access Journal |
| issn | 2587-0319 |
| language | English |
| last_indexed | 2024-04-10T13:09:31Z |
| publishDate | 2017-07-01 |
| publisher | Alanya Alaaddin Keykubat University |
| record_format | Article |
| series | Acta Medica Alanya |
| spelling | doaj.art-b462631ef57443bbb797152d0cb37b422023-02-15T16:12:42ZengAlanya Alaaddin Keykubat UniversityActa Medica Alanya2587-03192017-07-0112838810.30565/medalanya.320251727Clinical and Radiographic Outcomes of Pediatric Femoral Neck FracturesAhmet Issın0İsmet Yalkın Çamurcu1Mehmet Nuri Konya2Vedat Şahin3ERZİNCAN ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALIERZİNCAN ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALIAfyon Kocatepe Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji AD, Afyonkarahisar, TürkiyeSAĞLIK BİLİMLERİ ÜNİVERSİTESİ, İSTANBUL BALTALİMANI METİN SABANCI KEMİK HASTALIKLARI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALIAim: The aim of this study was to evaluate the clinical and radiological results of pediatric femoral neck fractures and compare the results with the literature.Methods: We retrospectively reviewed patients with the diagnosis of femoral neck fracture who were treated between 2005 and 2012. 14 patients (6 girls, 8 boys) were found in compliance with the follow-up and with a minimum follow-up of 1 year. Causes of the fracture and types of the treatment were investigated from our medical records. Delbet-Colonna classification was used to determine the type of the fractures. At the last follow-up, femoral neck shaft angle (FNSA) and range of motion (ROM) of the affected hip were measured. Outcome was scored according to Ratliff’s assessment criteria. Avascular necrosis (AVN) was classified according to Ratliff’s AVN classification system. Results: The mean age of patients was 9.9 years and the mean follow-up was 35 months. According to Delbet-Colonna classification; 1 patient was type I (7.1%), 4 were type II (28.6%), 8 were type III (57.2%) and 1 was type IV (7.1%). Eight of 14 fractures were displaced (57.2%) and six were non-displaced (42.8%). Eleven of 14 patients had good (78.6 %), 1 had fair (7.1%) and 2 had poor (14.3%) results according to Ratliff’s assessment criteria. According to Ratliff’s AVN classification, 2 patients had Type-III (14.2 %) and 1 had Type-I AVN (7.1 %). Conclusion: According to our results, we recommend anatomical reduction (close or open) and stable internal fixation for the treatment of pediatric femoral neck fractures.https://dergipark.org.tr/en/pub/medalanya/issue/30435/320251?publisher=alkufemoral neck fracturepediatricsinjuriesavascular necrosisfemoral boyun kırıklarıpediatriyaralanmalaravasküler nekroz |
| spellingShingle | Ahmet Issın İsmet Yalkın Çamurcu Mehmet Nuri Konya Vedat Şahin Clinical and Radiographic Outcomes of Pediatric Femoral Neck Fractures Acta Medica Alanya femoral neck fracture pediatrics injuries avascular necrosis femoral boyun kırıkları pediatri yaralanmalar avasküler nekroz |
| title | Clinical and Radiographic Outcomes of Pediatric Femoral Neck Fractures |
| title_full | Clinical and Radiographic Outcomes of Pediatric Femoral Neck Fractures |
| title_fullStr | Clinical and Radiographic Outcomes of Pediatric Femoral Neck Fractures |
| title_full_unstemmed | Clinical and Radiographic Outcomes of Pediatric Femoral Neck Fractures |
| title_short | Clinical and Radiographic Outcomes of Pediatric Femoral Neck Fractures |
| title_sort | clinical and radiographic outcomes of pediatric femoral neck fractures |
| topic | femoral neck fracture pediatrics injuries avascular necrosis femoral boyun kırıkları pediatri yaralanmalar avasküler nekroz |
| url | https://dergipark.org.tr/en/pub/medalanya/issue/30435/320251?publisher=alku |
| work_keys_str_mv | AT ahmetissın clinicalandradiographicoutcomesofpediatricfemoralneckfractures AT ismetyalkıncamurcu clinicalandradiographicoutcomesofpediatricfemoralneckfractures AT mehmetnurikonya clinicalandradiographicoutcomesofpediatricfemoralneckfractures AT vedatsahin clinicalandradiographicoutcomesofpediatricfemoralneckfractures |