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Ipsilateral femoral neck and shaft fracture in children: a report of two cases and a literature review

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Author(s)
송광순배기철조철현이경재손은석
Alternative Author(s)
Song, Kwang SoonBae, Ki CheorCho, Chul HyunLee, Kyung JaeSon, Eun Seok
Publication Year
2013
Keyword
Femoral neck fractureIpsilateral femoral shaft fractureChildren
Abstract
Concomitant ipsilateral fractures of the neck
and shaft of the femur in children are rare. The most recent
report in this context found a total of only nine reported
cases (\12 years of age) following a search of the indexed
English literature. These injuries occur in children due to
high-velocity trauma, and there is no generally accepted
method of treatment. We report three additional cases from
the literature and two cases of our own. In our cases, one
had a residual 10 varus deformity at the subtrochanteric
level in the femur, but this did not affect hip function.
Another patient exhibited a limp at final follow-up due to
leg length discrepancy, and peroneal nerve palsy at the
time of injury. We advocate operative stabilization of the
femoral shaft fracture first to reduce the risk of further
displacement and simplify the subsequent reduction of the
femoral neck. The series shows that these rare injuries have
a poor prognosis, with high rates of incidence of avascular
necrosis, coxa vara, and leg length discrepancy.
Department
Dept. of Orthopedic Surgery (정형외과학)
Publisher
School of Medicine
Citation
Journal of Orthopaedics and Traumatology, Vol.14(2) : 147-154, 2013
Type
Article
ISSN
1590-9921
DOI
10.1007/s10195-012-0188-9
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/33864
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