[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Journal Information::
Indexing Sources::
Editorial Board::
Executive Members::
Articles Archive::
Instruction to Authors::
Contact Us::
Site Facilities::
Search in website

Advanced Search
Receive site information
Enter your Email in the following box to receive the site news and information.
:: Volume 22, Issue 1 (3-2020) ::
J Gorgan Univ Med Sci 2020, 22(1): 101-105 Back to browse issues page
Transosseous nonabsorbable sutures in 8 years old girl with femoral neck comminuted fracture
Saeed Kokly * 1, Farzad Amouzadeh Omrani2
1- Fellowship in Shoulder, Elbow and Sport Injuries, Assistant Professor, Bones - Joints and Connective Tissue Research Center, Department of Orthopedic Surgery, Golestan University of Medical Sciences, Gorgan, Iran , skokly@gmail.com
2- Assistant Professor of Orthopaedic Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract:   (6557 Views)
Pediatric femoral neck fracture is rare and account for less than 1% of all fractures in childhood. The proximal femur in children is extremely strong, and high-energy forces in 80-90%, following the axial force associated with hip rotation or direct blow are necessary to cause fracture. In this report, the method of femoral neck fracture fixation in eight-year-old girl after car accident is reported. During the operation, we noted a severe femoral neck fracture that was irreparable with the available tools (pin, screw, plate and DHS), which inevitably had to be used by Transosseous method with fiber wire #2, used in proximal humeral fracture fixation. Then, we obtained a fairly satisfactory result with a distal femoral pin inserting it into two-sided spica cast. Although, this kind of fracture is rare, but with a qualified clinical examination, early diagnosis, proper treatment, familiarity with surgical techniques and fixation reduces the complications and this method can be effective in obtaining the desired result.
Keywords: Femoral Neck Fracture, Fixation, Transosseous, Avascular Necrosis, Child
Article ID: Vol22-15
Full-Text [PDF 257 kb]   (11664 Downloads)    
Type of Study: Case Report | Subject: Orthopaedics
1. Beaty JH. Fractures of the hip in children. Orthop Clin North Am. 2006 Apr; 37(2): 223-32. doi: 10.1016/j.ocl.2005.11.003
2. Bali K, Sudesh P, Patel S, Kumar V, Saini U, Dhillon MS. Pediatric femoral neck fractures: our 10 years of experience. Clin Orthop Surg. 2011 Dec; 3(4): 302-8. doi: 10.4055/cios.2011.3.4.302
3. Charles M, Court-Brown FE, Heckman JD, McQueen MM, Ricci WM, Tornetta P, et al. Rockwood and Green's fractures in adults. 8th ed. Philadelphia: Wolters Kluwer Health. 2015; pp: 953-54.
4. Devas MB. STRESS FRACTURES IN CHILDREN. J Bone Joint Surg Br. 1963 Aug; 45: 528-41.
5. Quinlan WR, Brady PG, Regan BF. Fracture of the neck of the femur in childhood. Injury. 1980 Feb; 11(3): 242-47.
6. Currey JD, Butler G. The mechanical properties of bone tissue in children. J Bone Joint Surg Am. 1975 Sep; 57(6): 810-14.
7. Moon ES, Mehlman CT. Risk factors for avascular necrosis after femoral neck fractures in children: 25 Cincinnati cases and meta-analysis of 360 cases. J Orthop Trauma. 2006 May; 20(5): 323-29.
8. Shrader MW, Jacofsky DJ, Stans AA, Shaughnessy WJ, Haidukewych GJ. Femoral neck fractures in pediatric patients: 30 years experience at a level 1 trauma center. Clin Orthop Relat Res. 2007 Jan; 454: 169-73. doi: 10.1097/01.blo.0000238794.82466.3d
9. Forster NA, Ramseier LE, Exner GU. Undisplaced femoral neck fractures in children have a high risk of secondary displacement. J Pediatr Orthop B. 2006 Mar; 15(2): 131-33. doi: 10.1097/01.bpb.0000188249.17148.eb
10. Joseph B, Mulpuri K. Delayed separation of the capital femoral epiphysis after an ipsilateral transcervical fracture of the femoral neck. J Orthop Trauma. 2000 Aug; 14(6): 446-48.
11. Hughes LO, Beaty JH. Fractures of the head and neck of the femur in children. J Bone Joint Surg Am. 1994 Feb; 76(2): 283-92. doi: 10.2106/00004623-199402000-00019
12. Canale ST, Bourland WL. Fracture of the neck and intertrochanteric region of the femur in children. J Bone Joint Surg Am. 1977 Jun; 59(4): 431-43.
13. Ratliff AH. Fractures of the neck of the femur in children. Orthop Clin North Am. 1974 Oct; 5(4): 903-24.
14. Meaney JE, Carty H. Femoral stress fractures in children. Skeletal Radiol. 1992; 21(3): 173-76.
15. Pring ME, Rang MR, Wenger DR. Pelvis and hip. In: Rang MR, Pring M, Wenger DR, editors. Rang's children's fractures. 3rd ed. Philadelphia: Lippincott Williams & Wilkins. 2005; pp: 165-79.
16. Ratliff AH. Fractures of the neck of the femur in children. J Bone Joint Surg Br. 1962 Aug; 44-B: 528-42.
17. Song KS. Displaced fracture of the femoral neck in children: open versus closed reduction. J Bone Joint Surg Br. 2010 Aug; 92(8): 1148-51. doi: 10.1302/0301-620X.92B8.24482
18. Song KS, Kim YS, Sohn SW, Ogden JA. Arthrotomy and open reduction of the displaced fracture of the femoral neck in children. J Pediatr Orthop B. 2001 Jul; 10(3): 205-10.
Send email to the article author

XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Kokly S, Amouzadeh Omrani F. Transosseous nonabsorbable sutures in 8 years old girl with femoral neck comminuted fracture. J Gorgan Univ Med Sci 2020; 22 (1) :101-105
URL: http://goums.ac.ir/journal/article-1-3497-en.html

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 22, Issue 1 (3-2020) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
Persian site map - English site map - Created in 0.04 seconds with 36 queries by YEKTAWEB 4652