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Short Term Outcome of Pediatric Fracture of Neck Femur Fixation by Plate and Screws

Not Applicable
Recruiting
Conditions
Fracture of Pediatric Neck Femur
Registration Number
NCT05878496
Lead Sponsor
Sohag University
Brief Summary

the incidence of femoral neck fracture in children ranges between 0.3 and 0.5 of all childhood fractures per year. the incidence is maximum at the ranges of 11 and 12 years with a male preponderance ranging from 1.3 to 1.7:1. in contrast to osteoprotic proximal femur fractures in the eldery. although rarely seen in children fracture neck of femur has aconsiderable risk of complications such as avascular necrosisos femoral head, coxa vara, non union, delayed union, premature physeal arrest and infection. in infants and toddlrs below age of 2 years, closed reduction and fixation with smooth 1.8 or 2 mm K wires may be carried out, in children there are many methods of fixation, cannulated 4,4.5 screws, plates,dynamic hip screw.

Detailed Description

the incidence of femoral neck fracture in children ranges between 0.3 and 0.5 of all childhood fractures per year. the incidence is maximum at the ranges of 11 and 12 years with a male preponderance ranging from 1.3 to 1.7:1. in contrast to osteoprotic proximal femur fractures in the eldery. although rarely seen in children fracture neck of femur has aconsiderable risk of complications such as avascular necrosisos femoral head, coxa vara, non union, delayed union, premature physeal arrest and infection. in infants and toddlrs below age of 2 years, closed reduction and fixation with smooth 1.8 or 2 mm K wires may be carried out, in children there are many methods of fixation, cannulated 4,4.5 screws, plates,dynamic hip screw.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
20
Inclusion Criteria
  • children between 2 and 16 years having fracture of neck femur
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Exclusion Criteria
  • patients more than 16 years, cases with open fractures, preexisting deformity, other pelvic or ipsilateral femoral injuries
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
avascular necrosis by degree of bone necrosis in head and neck femur6 months

osteonecrosis and death of bone tissue of head and neck femur

Secondary Outcome Measures
NameTimeMethod
coxa vara degree by angle of shaft and head femur6 months

angle between the head and the shaft femur is reduced to less than 120 degrees

Trial Locations

Locations (1)

Sohag University Hospital

🇪🇬

Sohag, Egypt

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