Fractures and Dislocations about the Hip and Pelvis

Swiontkowski, Marc F.; Li, Mengnai

doi:10.1016/b978-0-323-18773-2.00013-5

Cited by 7 publications

(13 citation statements)

References 266 publications

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“…Due to the high failure rate of lost reduction of conservative treatment, operative treatment with internal fixation is preferred [4]. Recently, some authors recommendation use cannulated screws for fixation of Type I-III fractures more than ten years old [4,2,10]. However, the treatment of femoral neck fractures in children age between 14 and 17 years with an open physis can be challenging.…”

Section: Discussionmentioning

confidence: 99%

“…Due to lack of biomechanics data to guide the fixation method and specific algorithms or guideline for hardware selection, the means of fixation are primarily dependent on the surgeon's preferences [10,4]. There is an increasing body of evidence that suggests that stable fixation should be given priority over preservation of the physis [2,10,15,16,1]. On the other hand, the smaller diameter of the pediatric femoral neck carried the risk of injury to the superior and inferior retinacular arteries with additional hardware [4].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Recently, some authors recommend use the 6.5-or 7.3-mm cannulated screws for fixation of Type I-III hip fractures more than ten years old [2,10]. However, most published series are reported from orthopedic societies or regional hospital systems or represent decades of a single institution's experience [10]. With only single-institution case series available in the literature, there is a lack of specific consensus for whether the implant should across the proximal femoral epiphysis for Delbet type II and III fracture [1,2,10], especially for patients age between 14 to 17 years.…”

Section: Introductionmentioning

confidence: 99%

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No Negative Influence On Complications of femoral neck fracture Children Age Between 14 And 17 Years Treatment with Cannulated Screws Transphyseal fixation

Liu

Zhao

2020

Preprint

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Background Hip fractures represent less than 1% of pediatric fractures. The physeal of femoral head closure at 14 to 17 years of age, and it provides capacity for spontaneous fracture remodeling. The primary purpose of the current retrospective study was to determine the influence of transphyseal fixation of cancellous screws on the outcomes in this age group. Methods: From April 2007 to August 2016, all patients age between 14 to 17 years with Delbet type II and Type III hip fracture treatment with cancellous screws fixation were included. According to whether the cancellous screws thread across the proximal femur epiphysis, we divided the patients into the no cross epiphysis (NCE) group and cross epiphysis (CE) group. The outcome was analysis regarding osteonecrosis of femoral head, nonunion, delay union, premature physeal closure (PPC), coxa vara and overgrowth of femoral neck. Results: Of the 28 patients were included in the study, most patients were male (92.9%).19 were classified as Delbet type II, 9 were type III. The CE and the NCE group both included 14 patients. The average follow-up time is 37.8 months (range 26-68 months). The rate of superficial infection, deep infection, AVN, non-union, delay union, coxa vara, PCE, overgrowth was not significantly different between the two groups. Conclusion: This study demonstrated that the transphyseal fixation of cannulated screws has no negative influence on the outcomes, especially on femoral head osteonecrosis. Achievement of accurate reduction and rigid fixation for this unique injury is more important than preservation of the proximal femoral epiphysis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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No Negative Influence On Complications of femoral neck fracture Children Age Between 14 And 17 Years Treatment with Cannulated Screws Transphyseal fixation

Liu

Zhao

2020

Preprint

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“…Delayed reposition is associated with complications, including neurovascular injury (10%) or avascular necrosis (6%-40%). [1][2][3] Other potential sequelae consist of post-traumatic osteoarthritis, recurring dislocation, or thromboembolism. 4 After literature review, hip dislocations rarely presented later than 6 weeks in developed countries.…”

Section: Introductionmentioning

confidence: 99%

The curious case of a 75‐year‐long dislocated hip causing abdominal pain

Kukuruza

Totten

et al. 2020

JACEP Open

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We present a case of abdominal pain due to chronic hip dislocation of 75 years duration. Hip dislocations are not uncommon, but long‐term, unreduced dislocations are vanishingly rare in the developed world. This 80‐year‐old female, who emigrated to the United States as an adult, presented to the emergency department for acute abdominal pain. Workup showed no intra‐abdominal cause for her pain. History revealed she had suffered a traumatic hip dislocation at 5 years of age that was unable to receive adequate treatment because of limited health care access. After several years, she regained functional ability because of anatomic and compensatory musculoskeletal changes in the pelvis. The adaptations likely caused excessive muscular strain resulting in muscle spasm at the location of her abdominal pain. To our knowledge, this is the only reported case of a hip that remained dislocated for 75 years.

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Hip Dislocation

Bono¹

2018

Pediatric Orthopedic Trauma Case Atlas

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Fractures and Dislocations about the Hip and Pelvis

Cited by 7 publications

References 266 publications

No Negative Influence On Complications of femoral neck fracture Children Age Between 14 And 17 Years Treatment with Cannulated Screws Transphyseal fixation

No Negative Influence On Complications of femoral neck fracture Children Age Between 14 And 17 Years Treatment with Cannulated Screws Transphyseal fixation

The curious case of a 75‐year‐long dislocated hip causing abdominal pain

Hip Dislocation

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