Functional Outcome of Femoral Neck Fracture in Children with Internal Fixation.
Functional Outcome of Femoral Neck Fracture in Children with
Internal Fixation
A Case Series
Mira Indrayanti* Wien Aryana**
*Department of Orthopaedi-Traumatology Resident
University of Udayana/Sanglah General Hospital Denpasar
**Department of Orthopaedi - Paediatri Orthopaedic Division Staff
Introduction : Femoral neck fractures are exceedingly rare in children and accounts for fewer than 1% of
all pediatric fractures. Despite their rarity, these fractures are associated with high rates of coxa vvara,
delayed union, and nonunion, especially in patients treated withhout internal fixation. The aim of this
study was to analyze the functional outcomes of femoral neck fracture in children that we managed in
Sanglah General Hospital.
Methods:The study included 2 children who sustained femoral neck fracture and completed a minimum 6
months follow-up.The children were treated by open reduction and internal fixation using screw and screw
and graft. The outcomes were analyzed using RatliffHarris criteria.
Results :Avascular necrosis was the most common complication in femoral fracture in children. It was
seen in one patient, who had an unsatisfactory outcome. Other complication included coxa vara, nonunion, and arthritic.
Conclusion : Based on the literature, we believe that internal fixation of femoral neck fracture in children
is preferred whenever feasible because conservative treatment carries a high risk of failure of reduction.
Aggressive operative treatment aimed an anatomical reduction should be the goal and be no hesitation in
choosing operation over conservative.
Keywords: Femoral neck fracture in children, Avascular necrosis, Ratliff criteri, open reduction and
internal fixation
Case dr bram delayed
AVN tdk bs di predict
Functional outcome pake Harris
Internal Fixation
A Case Series
Mira Indrayanti* Wien Aryana**
*Department of Orthopaedi-Traumatology Resident
University of Udayana/Sanglah General Hospital Denpasar
**Department of Orthopaedi - Paediatri Orthopaedic Division Staff
Introduction : Femoral neck fractures are exceedingly rare in children and accounts for fewer than 1% of
all pediatric fractures. Despite their rarity, these fractures are associated with high rates of coxa vvara,
delayed union, and nonunion, especially in patients treated withhout internal fixation. The aim of this
study was to analyze the functional outcomes of femoral neck fracture in children that we managed in
Sanglah General Hospital.
Methods:The study included 2 children who sustained femoral neck fracture and completed a minimum 6
months follow-up.The children were treated by open reduction and internal fixation using screw and screw
and graft. The outcomes were analyzed using RatliffHarris criteria.
Results :Avascular necrosis was the most common complication in femoral fracture in children. It was
seen in one patient, who had an unsatisfactory outcome. Other complication included coxa vara, nonunion, and arthritic.
Conclusion : Based on the literature, we believe that internal fixation of femoral neck fracture in children
is preferred whenever feasible because conservative treatment carries a high risk of failure of reduction.
Aggressive operative treatment aimed an anatomical reduction should be the goal and be no hesitation in
choosing operation over conservative.
Keywords: Femoral neck fracture in children, Avascular necrosis, Ratliff criteri, open reduction and
internal fixation
Case dr bram delayed
AVN tdk bs di predict
Functional outcome pake Harris