Pediatric hip fractures, Outcome of treatment options and complications in Al-Fallujah general hospital

Abstract

Background: Fractures of the hip in children are rare , although it have been associated with a very high rate of serious complications including avascular necrosis (up to 47%) and coxa vara (up to 32%). The Objective: Our objectives is to present a rare type of injuries presented to our hospital . and to discuss the type of treatment we did , and the outcome after 2 year fallow up , with discussion of other treatment options .
Material and  methods : Over a period of 2 years from January – 2008 to December- 2009 we have treated displaced fractures by early anatomical reduction, internal fixation and immobilization in a spica cast to try to reduce these complications. 
The Result : We have reviewed 6 patients who had a displaced non- pathological fracture of the hip when under 16 years of age. Their mean age at the time of the injury was eight years (4 to 11). They returned for examination and radiography at a mean follow-up of 2.1 year. Each patient had been treated by early (24 hours) closed or open  reduction  with  internal  fixation  and  all  of  them  had immobilization in a spica cast.