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Displaced fracture of the femoral neck in children OPEN VERSUS CLOSED REDUCTION

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Author(s)
K.-S. Song
Keimyung Author(s)
Song, Kwang Soon
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Journal of Bone and Joint Surgery. British Volume.
Issued Date
2010
Volume
92-B
Issue
8
Abstract
We have investigated whether early anatomical
open reduction and internal fixation (ORIF)
reduces the incidence of complications of fracture of the femoral neck in children, including
avascular necrosis, compared
with closed reduction and internal fixation (CRIF). We
retrospectively reviewed 27 such fractures (15 ty
pe-II and 12 type-III di
splaced fractures) in
children younger than 16 years of age seen
in our hospital between February 1989 and
March 2007. We divided the patients into three groups according to the quality of the
reduction (anatomical, acceptab
le, and unacceptable) and the
clinical results into two
groups (satisfactory and unsatisfactory). Of th
e 15 fractures treated by ORIF, 14 (93.3%) had
anatomical reduction and reduction was acceptable
in one. Of the 12 treated by CRIF, three
(25.0%) had anatomical reductio
n, eight had acceptable reduction (66.7%), and one (8.3%)
unacceptable reduction. Of th
e 15 fractures treated by ORIF, 14 (93.3%) had a good result
and one a fair result. Of the 12 treated by CRI
F, seven (58.3%) had a good result, two (16.7%)
a fair result and three (25.0%) a poor result. Th
ere were seven complicati
ons in five patients.
ORIF gives better reduction with fewer comp
lications, including avascular necrosis, than
does CRIF in fractures of the femoral neck in children
Keimyung Author(s)(Kor)
송광순
Publisher
School of Medicine
Citation
K.-S. Song. (2010). Displaced fracture of the femoral neck in children
OPEN VERSUS CLOSED REDUCTION. Journal of Bone and Joint Surgery. British Volume., 92-B(8), 1148–1151. doi: 10.1302/0301-620X.92B8.24482
Type
Article
ISSN
0301-620X
Source
https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.92B8.24482
DOI
10.1302/0301-620X.92B8.24482
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34494
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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