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By David Bennett Pediatric Orthopaedic Surgeon in the United States
https://www.readbyqxmd.com/read/19264709/hip-fractures-in-children
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Matthew J Boardman, Martin J Herman, Brian Buck, Peter D Pizzutillo
Hip fractures account for <1% of all pediatric fractures. Most are caused by high-energy mechanisms, but pathologic hip fractures also occur, usually from low-energy trauma. Complications occur at a high rate because the vascular and osseous anatomy of the child's proximal femur is vulnerable to injury. Surgical options vary based on the child's age, Delbet classification type, and degree of displacement. Anatomic reduction and surgical stabilization are indicated for most displaced hip fractures. Other options include smooth-wire or screw fixation, often supplemented by spica cast immobilization in younger children, or compression screw and side plate fixation...
March 2009: Journal of the American Academy of Orthopaedic Surgeons
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