Skip to main content

Advertisement

SpringerLink
Log in

Retrospective analysis of 35 pediatric femoral neck fractures

  • Original Article
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Objective

Pediatric proximal femur fracture is extremely rare trauma comparing to other fractures. The proximal femur fracture is 1% of all pediatric fractures. The aim of current study is to compare the incidence of early complications and outcomes of pediatric proximal femur fractures regarding fracture types retrospectively.

Design

Our study includes 35 cases which are criticized by Delbet classification system, modalities of treatment, duration of waiting for surgery, duration of follow-up and also complications. Our inclusion criteria are age below 16 years old, proximal femur fractures with no evidence of tumoral, romathologic and methabolic conditions. Age, sex and surgery type (open-closed) were noted, and the data were statistically assessed. Assessment of the final outcome was made at the last follow-up visit using the Ratliff’s method.

Results

The mean of age of patients in our study is 9.5 ± 5.06 years. The average follow-up was 25.6 ± 13.2 months. 15 patients (42.9%) are type 2 Delbet fracture, 5 patients (14.2%) are Delbet type 3 and 15 patients (42.9%) are Delbet type 4 fracture. Using the Ratliff’s method, 25 patients (71.4%) had satisfactory outcomes. Ten patients (28.6%) had unsatisfactory outcomes. The complications as AVN, coxa vara and premature closure of physis, non-union and postoperative infections have been detected in this study. AVN was seen in four (11.4%) patients. In addition, coxa vara was seen in six (17.2%) patients.

Conclusion

Pediatric femoral neck fractures are extremely rare fractures and can be treated with low complication rates in cases with early treatment and anatomic reduction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Patterson JT, Tangtiphaiboontana J, Pandya NK (2018) Management of pediatric femoral neck fracture. J Am Acad Orthop Surg 26:411–419

    Article  Google Scholar 

  2. Sankar WS, Mehlman CT (2019) The community orthopaedic surgeon taking trauma call:pediatric femoral neck fracture pearls and pitfalls. J Orthop Trauma 33:22–26

    Article  Google Scholar 

  3. Pavone V, Testa G (2019) Surgical treatment with cannulated screws for pediatric femoral neck fractures: a case series. Injury 50:40–44

    Article  Google Scholar 

  4. Bali K, Sudesh P, Patel S, Kumar V, Saini U, Dhillon MS (2011) Pediatric femoral neck fractures: our 10 years of experience. Clin Orthop Surg 3:302–308

    Article  Google Scholar 

  5. Colonna PC (1929) Fracture of the neck of the femur in children. Am J Surg 6:793–797

    Article  Google Scholar 

  6. Ratliff AH (1962) Fractures of the neck of the femur in children. J Bone Joint Surg Br 44:528–542

    Article  Google Scholar 

  7. Togrul E, Bayram H, Gulsen M, Kalaci A, Ozbarlas S (2005) Fractures of the femoral neck in children: long-term follow-up in 62 hip fractures. Injury 36:123–130

    Article  Google Scholar 

  8. Inan U, Köse N, Ömeroglu H (2009) Pediatric femur neck fractures: a retrospective analysis of 39 hips. J Child Orthop 3:259–264

    Article  Google Scholar 

  9. Morsy HA (2001) Complications of fracture of the neck of the femur in children. A long-term follow-up study. Injury 32:45–51

    Article  CAS  Google Scholar 

  10. Canale ST, Bourland WL (1977) Fracture of the neck and intertrochanteric region of the femur in children. J Bone Joint Surg Am 59:431–443

    Article  CAS  Google Scholar 

  11. Ratliff AH (1974) Fractures of the neck of the femur in children. Orthop Clin North Am 5:903–924

    Article  CAS  Google Scholar 

  12. Mirdad T (2002) Fractures of the neck of femur in children: an experience at the Aseer Central Hospital, Abha, Saudi Arabia. Injury 33:823–827

    Article  Google Scholar 

  13. Bagatur AE, Zorer G (2002) Complications associated with surgically treated hip fractures in children. J Pediatr Orthop B 11:219–228

    PubMed  Google Scholar 

  14. Moon ES, Mehlman CT (2006) Risk factors for avascular necrosis after femoral neck fractures in children: 25 Cincinnati cases and meta-analysis of 360 cases. J Orthop Trauma 20:323–329

    Article  Google Scholar 

  15. Bombaci H, Centel T, Babay A, Türkmen IM (2006) Evaluation of complications of femoral neck fractures in children operated on at least 24 hours after initial trauma. Acta Orthop Traumatol Turc 40:6–14

    PubMed  Google Scholar 

  16. Tetsunaga T, Akazawa H, Tetsunaga T (2014) Intra-articular loose body caused by avascular necrosis of the femoral head in children. J Pediatr Orthop B 23:44–48

    Article  Google Scholar 

  17. Leung PC, Lam SF (1986) Long-term follow-up of children with femoral neck fractures. J Bone Joint Surg Br 68:537–540

    Article  CAS  Google Scholar 

  18. Flynn JM, Wong KL, Yeh GL, Meyer JS, Davidson RS (2002) Displaced fractures of the hip in children. Management by early operation and immobilisation in a hip spica cast. J Bone Joint Surg Br 84:108–112

    Article  CAS  Google Scholar 

Download references

Funding

None declared.

Author information

Authors and Affiliations

  1. Department of Orthopedic and Traumatology, Prof. Dr. Cemil Taşcıoğlu City Hospital, Istanbul, Turkey

    Mustafa Yerli, Olcayto Ocak, Ali Yüce, Tahsin Olgun Bayraktar, Mustafa Çağlar Kir, Yunus İmren, Süleyman Semih Dedeoğlu & Hakan Gürbüz

Authors
  1. Mustafa Yerli
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Olcayto Ocak
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ali Yüce
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tahsin Olgun Bayraktar
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mustafa Çağlar Kir
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Yunus İmren
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Süleyman Semih Dedeoğlu
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Hakan Gürbüz
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

M.Y. designed the protocol, reviewed the literature, analyzed the data, and critically reviewed and wrote the manuscript. O.O. and A.Y. analyzed the data, reviewed the literature, and critically reviewed and wrote the manuscript. T.O.B. and Y.İ. designed the protocol, collected and analyzed the data, and reviewed the literature. M.Ç.K. and S.S.D. collected and analyzed the data. H.G. collected and analyzed the data. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Mustafa Yerli.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yerli, M., Ocak, O., Yüce, A. et al. Retrospective analysis of 35 pediatric femoral neck fractures. Eur J Orthop Surg Traumatol 32, 1385–1390 (2022). https://doi.org/10.1007/s00590-021-03126-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-021-03126-6

Keywords

Search

Navigation