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Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 1 Patients demographics

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

Case

CaseAuthor

Age

(years)/

sex

Side

Mode of

injury

Femoral neck fx

Shaft

fracture

Associated injuries

Management

Union

(months)

Coxa

vara

Avascular necrosis

Follow-up

(months)

Result

1

Present series (case 1)

8/F

Left

Road crash

Cervicotrochanteric (Delbet type III; AO type II)

Sub trochanteric

 

1 screw & 3 Kirshner wires for the neck fracture, 5-hole plate and 3 screws for the shaft fracture

4

No

No

52

Good Ratliff score. Clinically good with a 10° varus deformity at the subtrochanteric level in the femur

2

Present series (case 2)

8/M

Right

Road crash

Intertrochanteric (Delbet type IV; AO type II)

Distal third

Lateral condyle fracture of the right humerus, distal radius fracture of left wrist fx, subdural hemorrhage of brain, ipsilateral sciatic nerve palsy (peroneal division)

2 screws for the neck fracture, 6-hole plate and screws for the shaft fracture

3

Yes

No

25

Good Ratliff score. Clinically good except for only a slightly short neck and a 1.5 cm leg length discrepancy

3

Akahane

2/F

Right

Road crash

Transepiphyseal (Delbet type Ib; AO epiphyseal type 1)

Distal third

 

Open reduction and internal fixation with 2 smooth Kirshner wires for neck fracture, hip spica cast. A-frame orthosis for the capital epiphysis

1.5

Yes

Yes (mild)

24

Clinically good, with some coxa vara and premature physeal closure of the medial segent at the 2-year follow-up

4

Cannon

2/F

Left

Fall from height

Transepiphyseal (Delbet type Ia; AO epiphyseal type I)

Midshaft

 

Closed reduction and hip spica cast for the neck fracture, and 4-hole plate screws for the shaft fracture

2

No

No

12

Excellent, except for some coxa vara

5

Schwarz

10/M

Right

 

Cervicotrochanteric (Delbet type III; AO type II)

Distal epiphyseal

 

1 screw and 2 pins for the neck fracture on day 23, conservative for the distal physeal fracture

No comment

Yes

Yes (severe)

188

Aspherical head, coxa vara, short femoral neck, reversed articulotrochantric distance. Valgus and recurvatum deformity of the distal femur