Sanabria ÁG, Quesada JE, Ramírez RT

Language: Spanish
References: 12
Page: 27-36
PDF size: 826.03 Kb.

ABSTRACT

In this retrospective study, we evaluated the characteristics of 33 hip fractures in 33 children, 17 male and 16 female, seen in our department between January 1998 and January 2009. In order to evaluate the correlation between the chosen procedure and complication risks, we further reviewed the late treatment results of the 33 fractures followed for a minimum of 12 months to 10 years. The ages at the time of injury ranged from 2 to 13 years (average 10.2 years). Overall 61, 5% radiologically good results were obtained. Complications were coxa vara 15, 15% (5), avascular necrosis 9, 09% (3), limb shortening 21, 21% (7), fatigue of osteosynthesis 15, 15% (5), previous pathologic condition 3, 03% (1), stiffness and loss of ranges of mobility 6, 06% (2), osteoartritic changes 6,06% (2), pain 3,03% (1). Our long term follow up revealed that the type of treatment influences the complication rate, and the characteristics of the fracture are important to determine the evolution of the treatment, and that the end result cannot be satisfactorily determined until after physeal closure.

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