Management of a Paediatric Femoral Neck Fracture with Infection and Early Loss of Fixation with Closed Reduction with Cancellous Screws and Fibular Grafting: A Rare Case Report and Review of Literature
Keywords:
failed paediatric femoral neck fracture fixation, infection, collapse, revision, non-vascularised fibular graft, union.
Abstract
Fractures of neck in paediatric population is a rare variety. It comprises less than 1% of all paediatric fractures. Fractures of neck occur in paediatric population as a result of high energy trauma or in a weakend bone due to pre-existing pathologic process in the proximal femur. Early Anatomical reduction and internal fixation in Delbet Type 2 fractures is recommended in literature to avoid complications in a growing child like avascular necrosis, coxavara, non-union and chondrlysis. Infection in a hip fracture in a child is a very rare complication accounting for only 1% of complication rate according to James McCarthy and Kenneth Noonan et al. Infecton can also lead to loss of reduction and subsequent collapse as in this case.
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2016-12-06
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