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

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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.