Management of a Paediatric Femoral Neck Fracture with Infection and Early Loss of Fixation with Closed Reduction with Cancellous Screws and Fibular Grafting: A Rare Case Report and Review of Literature

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Dr. Mihir Desai
Dr. Mihir Desai
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Dr. Shivanand Bandekar
Dr. Shivanand Bandekar
α Goa University Goa University

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Management of a Paediatric Femoral Neck Fracture with Infection and Early Loss of Fixation with Closed Reduction with Cancellous Screws and Fibular Grafting: A Rare Case Report and Review of Literature

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Management of a Paediatric Femoral Neck Fracture with Infection and Early Loss of Fixation with Closed Reduction with Cancellous Screws and Fibular Grafting: A Rare Case Report and Review of Literature Banner

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Abstract

Fractures of neck in paediatric population is a rare variety. It comprises less than 1% of all paediatric fractures. Fractures of neck occur in paediatric population as a result of high energy trauma or in a weakend bone due to pre-existing pathologic process in the proximal femur. Early Anatomical reduction and internal fixation in Delbet Type 2 fractures is recommended in literature to avoid complications in a growing child like avascular necrosis, coxavara, non-union and chondrlysis. Infection in a hip fracture in a child is a very rare complication accounting for only 1% of complication rate according to James McCarthy and Kenneth Noonan et al. Infecton can also lead to loss of reduction and subsequent collapse as in this case.

References

16 Cites in Article
  1. Manish Varshney,Ashok Kumar,Shah Khan,Shishir Rastogi (2009). Functional and radiological outcome after delayed fixation of femoral neck fractures in pediatric patients.
  2. Bali (2011). Unknown Title.
  3. A Azim,M Amr,El -Adawy (2014). Surgical Management of Femoral Neck Non Union in Children with Valgus Intertrochanteric Osteotomy.
  4. D Werkman (1980). The transepiphyseal fracture of the femoral neck.
  5. M Dendane,A Amrani,Z El Alami,T El Medhi,H Gourinda (2010). Displaced femoral neck fractures in children: Are complications predictable?.
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  7. Chong,Chacha,Lee Fractures of the neck of the femur in childhood and adolescence: Injury: the British.
  8. A Roshan,S Ram (2008). The Neglected Femoral Neck Fracture in Young Adults: Review of a Challenging Problem.
  9. Hossein Elgafy,Nabil Ebraheim,Harold Bach (2011). Revision Internal Fixation and Nonvascular Fibular Graft for Femoral Neck Nonunion.
  10. D Bae,P Waters Free Vascularized fibular grafting: Principles, Techniques, and applications in pediatric Orthopaedics.
  11. M Azam,Iraqi,A Sherwani,M Sabir,Abbas,Asif (2009). Free fibular strut graft in neglected femoral neck fractures in adult.
  12. Ramesh Sen,Sujit Tripathy,Tarun Goyal,Sameer Aggarwal,Naveen Tahasildar,Daljit Singh,Amit Singh (2012). Osteosynthesis of femoral-neck nonunion with angle blade plate and autogenous fibular graft.
  13. O Nagi,M Dhillon,V Goni (1998). Open reduction, internal fixation and fibular autografting for neglected fracture of the femoral neck.
  14. S Singh,D Kumar,S Kumar Long Term Results of Fresh Femoral Neck Fractures Treated by Cancellous Screw and Fibular Autograft.
  15. S Kamareddy,Jayaprakash Reddy,L,Vecha Chalmaji,Nikash John,R Karthik,Vani Ahuja (2014). Neglected Fracture Neck of Femur Operated with Non Vascularised Fibular Graft.
  16. Wilkins Rockwood (2010). Fractures in children.

Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Dr. Mihir Desai. 2017. \u201cManagement of a Paediatric Femoral Neck Fracture with Infection and Early Loss of Fixation with Closed Reduction with Cancellous Screws and Fibular Grafting: A Rare Case Report and Review of Literature\u201d. Global Journal of Medical Research - H: Orthopedic & Musculoskeletal System GJMR-H Volume 16 (GJMR Volume 16 Issue H2): .

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Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

Keywords
Classification
GJMR-H Classification: NLMC Code: WE 175
Version of record

v1.2

Issue date

February 7, 2017

Language
en
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Published Article

Fractures of neck in paediatric population is a rare variety. It comprises less than 1% of all paediatric fractures. Fractures of neck occur in paediatric population as a result of high energy trauma or in a weakend bone due to pre-existing pathologic process in the proximal femur. Early Anatomical reduction and internal fixation in Delbet Type 2 fractures is recommended in literature to avoid complications in a growing child like avascular necrosis, coxavara, non-union and chondrlysis. Infection in a hip fracture in a child is a very rare complication accounting for only 1% of complication rate according to James McCarthy and Kenneth Noonan et al. Infecton can also lead to loss of reduction and subsequent collapse as in this case.

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Management of a Paediatric Femoral Neck Fracture with Infection and Early Loss of Fixation with Closed Reduction with Cancellous Screws and Fibular Grafting: A Rare Case Report and Review of Literature

Dr. Mihir Desai
Dr. Mihir Desai Goa University
Dr. Shivanand Bandekar
Dr. Shivanand Bandekar

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