Management of Postoperative Infection After Fixation of a Delbet Type III Pediatric Femoral Neck Fracture

Abstract

Case:A pediatric male patient sustained a postoperative infection of the femoral neck after open anatomic reduction and internal fixation (ORIF) of a Delbet type III femoral neck fracture. Treatment included surgical intervention with antibiotic Steinmann pins incorporated into an external fixator to provide stability to the femoral neck. At the 27-month follow-up, films showed complete healing with a 1.67-cm leg length discrepancy, treated with a 1-cm shoe lift.Conclusion:There is insufficient literature for the treatment of postoperative infection after ORIF in a pediatric patient. We present a successful treatment method for treating an infection while sustaining the stability of the femoral neck.