Acta Scientific Clinical Case Reports

Case StudyVolume 4 Issue 4

Femoral Neck Fractures in Children a Review of Five Patients Managed at an Orthopaedic Referral Centre in Nigeria

Alada AbduRazaq Adam1, Tella Azeez Olalekan2 and Isa Nurudeen3*

1Department of Orthopaedics, The National Hospital Abuja, Nigeria
2Department of Orthopaedics/Trauma, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
3Department of Clinical Services, National Orthopaedic Hospital Dala, Kano, Nigeria

*Corresponding Author: Tella Azeez Olalekan, Department of Orthopaedics/Trauma, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria.

Received: February 10, 2023; Published: March 03, 2023

Abstract

Background: Femoral neck fractures are rare conditions in children and their complications are associated with serious long-term morbidities. In this study, our aim was to evaluate the pattern of presentation, clinical outcome and complications associated with the management of these fractures.

Method: The study was a review of case series on five patients who presented with femoral neck fractures, or its complications managed at the National Orthopaedic Hospital, Dala-Kano, Nigeria between June 2008 and June 2013. The outcome of treatment was evaluated using the Ratliff criteria after a follow-up period of at least one year.

Results: The mean age of patients included was 10.8 ± 3.3 years (range, 6 to 15 years), while the male to female ratio was 4:1. The mean duration of follow-up was 2.6 ± 1.1 years (range, 1 to 4 years). There were 3 cases of Delbet type III and 2 cases of Delbet type II. The duration of injury prior to presentation range from 10 days to 9 months post-injury. Painful limp, malunion and coxa vara deformity were the common mode of presentation. According to Ratliff criteria, 3 patients had good outcome while 2 patients had fair outcome. Avascular necrosis occurred in one patient and there were 2 cases of residual coxa vara after treatment.

Conclusion: The clinical outcome was influenced by late presentation, and this probably contributed to the complications recorded.

 Keywords: Nigeria; Femoral Neck Fractures; Children

Bibliography

  1. Hughes LO and Beaty JH. “Current Concept Review: Fractures of the Head and Neck of femur in children”. Journal of Bone and Joint Surgery 76-A (1994): 283-292.
  2. Bimmel R., et al. “Paediatric hip fractures: A systematic review of incidence, treatment options and complications”. Acta Orthopaedica Belgica 76 (2010): 7-13.
  3. Feng-Chih K., et al. “Complications of hip fractures in children”. Chang Gung Medical Journal 34 (2011): 512-519.
  4. Eberl R., et al. “Post-traumatic coxa vara in children following screw fixation of the femoral neck”. Acta Orthopaedica4 (2010): 442-445.
  5. Bali K., et al. “Paediatric Femoral Neck Fractures: Our 10 years of experience”. Clinics in Orthopedic Surgery 3 (2011): 302-308.
  6. Davison BL and Weinstein SL. “Hip fractures in children: a long-term follow-up study”. Journal of Pediatric Orthopaedics 12 (1992): 355-358.
  7. Bombaci H., et al. “Evaluation of complications of femoral neck fractures in children operated on at least 24 hours after initial trauma”. Acta Orthopaedica et Traumatologica Turcica 1 (2006): 6-14.
  8. Trueta J. “The normal vascular anatomy of the human femoral head during growth”. Journal of Bone and Joint Surgery 39-B (1957): 358-394.
  9. Ratliff AHC. “Fractures of the neck of the femur in children”. Journal of Bone and Joint Surgery 44-B (1962): 528-542.
  10. Nwadinigwe CU., et al. “Fractures in children”. Nigerian Journal of Medicine. Jan-Mar 15.1 (2006): 81-84.
  11. Sferopoulos NK and Papavasilious VA. “'Natural' healing of hip fractures in childhood”. Injury 25 (1994): 493-496.
  12. Canale ST and Bourland WL. “Fracture of the neck and intertrochanteric region of the femur in children”. Journal of Bone and Joint Surgery4 (1977): 431-443.
  13. Bagatur AE and Zorer G. “Complications Associated with Surgically Treated Hip Fractures in Children”. Journal of Pediatric Orthopaedics B 11 (2002): 219-228.
  14. Morsy HA. “Complications of Fracture of the neck of the femur in children: A long-term follow-up study”. Injury 32 (2001): 45-51.
  15. Quick TJ and Eastwood DM. “Pediatric Fractures and Dislocations of the Hip and Pelvis”. Clinical Orthopaedics and Related Research 432 (2005): 87-96.
  16. Moon ES and Mehlman CT. “Risk factors for avascular necrosis after femoral neck fractures in children: 25 Cincinnati cases and meta-analysis of 360 cases”. Journal of Orthopaedic Trauma 20 (2006): 323-329.
  17. Mirdad T. “Fractures of the neck of femur in children: an experience at the Aseer Central Hospital, Abha, Saudi Arabia”. Injury 33 (2002): 823-827.
  18. Ng GPK and Cole WG. “Effect of early hip decompression on the frequency of avascular necrosis in children with fractures of the neck of femur”. Injury 6 (1996): 419-421.

Citation: Tella Azeez Olalekan., et al. “Femoral Neck Fractures in Children a Review of Five Patients Managed at an Orthopaedic Referral Centre in Nigeria". Acta Scientific Clinical Case Reports 4.4 (2023): 09-14.

Copyright: © 2022 Tella Azeez Olalekan., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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