Abstract
Fractures of the femoral neck in children are much rarer than those in adults, and usually the results are not so good. We treated a transepiphyseal fracture of the proximal femur of a child.
The patient, a supposedly battered child, was 8 months old. She had many ecchymosis on her face and ears and her right hip was swollen. She cried when her right lower extremity was moved. Radiographs and arthrgraphy of right hip showed a displaced transepihyseal fracture of the capital femoral epiphysis. The patient underwent closed reduction and internal fixtion with three Kirschner wires, and a semidouble hip spica was applied. The cast was removed from the her 4 weeks after the operation, and the wires in 7 months. After 15 months she had almost full range of motion.
The incidence of the complications, such as avascular necrosis, coxa vara, premature epiphyseal closure and non-uninon was high in chidren. Avascular necrosis caused most of the poor results. For these reasons we must follow up on the patient but at present she is doing well.
