Email this article Intertrochanteric hip fracture in a 6-year-old girl treated with pediatric sliding hip screw: case report
- Authors: Lopes A.L.1, Maio M.1, Mota P.T.1, Sapage R.1, Branco C.B.1, Branco R.J.1, Pintado C.E.1
-
Affiliations:
- Trás-os-Montes and Alto Douro Hospital Center
- Issue: Vol 6, No 1 (2018)
- Pages: 51-54
- Section: Exchange of experience
- URL: https://ogarev-online.ru/turner/article/view/7057
- DOI: https://doi.org/10.17816/PTORS6151-54
- ID: 7057
Cite item
Abstract
Hip fractures are very common in adults, but are rare entities in children, comprising less than 1% of all pediatric fractures. The authors present a clinical case of a 6-year-old girl with an intertrochanteric hip fracture — displaced Delbet’s type IV — treated with a pediatric sliding hip screw. The osteosynthesis material was removed 10 months later.
The Delbet type IV hip fractures corresponds to 12% of all pediatric hip fractures. This type of fractures in children older than 3 years old should be treated with internal fixation with a sliding hip screw or a proximal femur locking plate. Preferably the reduction of the fracture should be done within 24 hours. Despite the delay of the surgical procedure, the patient got an excellent recovery without any of the complications described in the literature with a follow-up of 26 months upon the implant-removal surgery.
Keywords
Full Text
##article.viewOnOriginalSite##About the authors
António L. Lopes
Trás-os-Montes and Alto Douro Hospital Center
Author for correspondence.
Email: antoniolemoslopes@hotmail.com
MD, Orthopaedic Resident, Department of Orthopaedics and Traumatology
Portugal, Vila RealMarta Maio
Trás-os-Montes and Alto Douro Hospital Center
Email: antoniolemoslopes@hotmail.com
MD, Orthopaedic Resident, Department of Orthopaedics and Traumatology
Portugal, Vila RealPedro T. Mota
Trás-os-Montes and Alto Douro Hospital Center
Email: antoniolemoslopes@hotmail.com
MD, Orthopaedic Resident, Department of Orthopaedics and Traumatology
Portugal, ChavesRita Sapage
Trás-os-Montes and Alto Douro Hospital Center
Email: antoniolemoslopes@hotmail.com
MD, Orthopaedic Resident, Department of Orthopaedics and Traumatology
Portugal, Vila RealCarlos B. Branco
Trás-os-Montes and Alto Douro Hospital Center
Email: antoniolemoslopes@hotmail.com
MD, Orthopaedic Resident, Department of Orthopaedics and Traumatology
Portugal, Vila RealRicardo J. Branco
Trás-os-Montes and Alto Douro Hospital Center
Email: antoniolemoslopes@hotmail.com
MD, Orthopaedic Consultant, Department of Orthopaedics and Traumatology
Portugal, Vila RealCarlos E. Pintado
Trás-os-Montes and Alto Douro Hospital Center
Email: antoniolemoslopes@hotmail.com
MD, Head of Department Orthopaedics and Traumatology
Portugal, ChavesReferences
- McCarthy J, Noonan K. Fractures and traumatic dislocations of the hip in children. In: Beaty JH, Kasser JR, editors. Rockwood and Wilkins’ Fractures in Children. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2010. P. 769-796.
- Dhar SA, Ali MF, Dar TA, et al. Delayed fixation of the transcervical fracture of the neck of the femur in the pediatric population: results and complications. J Child Orthop. 2009;3(6):473-477. doi: 10.1007/s11832-009-0209-2.
- Bimmel R, Bakker A, Bosma B, Michielsen J. Paediatric hip fractures: a systematic review of incidence, treatment options and complications. Acta Orthop Belg. 2010;76(1):7-13.
- Flynn JM, Wong KL, Yeh GL, et al. Displaced fractures of the hip in children. Journal Bone Joint Surg Br. 2002;84(1):108-112. doi: 10.1302/0301-620x.84b1.11972.
- Bombaci H, Centel T, Babay A, Türkmen IM. Evaluation of complications of femoral neck fractures in children operated on at least 24 hours after initial trauma. Acta Orthop Traumatol Turc. 2006;40(1):6-14.
- Panzica M, Pape H-C, Garapati R, et al. Long-term outcome of a child with a proximal femur fracture after high-energy trauma. Injury Extra. 2004;35(4):35-39. doi: 10.1016/j.injury.2004.02.006.
- Dhar D. Bilateral traumatic fracture of neck of femur in a child: a case report. Malays Orthop J. 2013;7(2):34-36. doi: 10.5704/MOJ.1307.001.
Supplementary files
