| dc.description.abstract | Introduction: Fractures of the femoral neck in children are rare. They are secondary to high kinetic
energy trauma and are associated with serious complications. The aim of this study was to report
epidemiological, diagnostic, therapeutic and evolutionary aspects of femoral cervical fractures in
children.
Patients and Methods: This is a retrospective and descriptive study that collected over a period of 5
years, 16 cases of children treated for a femoral neck fracture at the Orthopedic-Traumatology
Department of the Mathlaboul Fawzaïni Hospital in Touba from January 1st, 2015 to December 31, 2019.
Results: The relative annual frequency was 3.2 cases. The mean age of our patients was 10.9 years and
the most represented age group was 10 to 15 years. Our study included 13 boys and 3 girls with a sex
ratio of 4.33. Falls from an elevated location and MVAs were the main etiologies. Associated injuries
were found in 3 cases. According to Delbet's classification, type III femoral neck fracture was the most
frequent with a percentage of 81.2% (13 cases).
All our patients had undergone surgical treatment. The approach was closed in 13 cases and open in other
cases. The type of osteosynthesis used was screw fixation in 14 cases and a combination of screw and
Kirschner wire in 2 cases. According to Ratliff criteria, at the last review (24 months with extremes of 3
and 60 months), we had 13 good results and 3 average results. Three complications on three different
patients were found: epiphysiodesis, malunion, and femoral head necrosis.
Conclusion: Fractures of the femoral neck in children are rare, especially in children under 10 years of
age. Delbet type III is the most frequent injury. Surgical treatment remains the leading indication for the
management of these fractures in older children. Treatment results are satisfactory. | en_US |
