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The Complications during Treatment of Femoral Neck Fracture in Children - Coxa Vara, SCFE and Avascular Necrosis
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Myung Rae Cho, Won Jae Song, Jeong Hwan Son, Jeong Ho Park
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J Korean Soc Fract 2002;15(1):1-6. Published online January 31, 2002
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DOI: https://doi.org/10.12671/jksf.2002.15.1.1
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 Abstract
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- Femur neck fractures in children are relatively rare by comparison with the incidence in adults and can occur by high-energy trauma. The common complications of femoral neck fracture are avascuar necrosis, coxa vara, premature physeal closure and nonunion. The femoral neck fracture by traffic accident in 7-years-old girl was reduced closely and fixed internally. After 1 year later, varus deformity, slipped capital femoral epiphysis and avascular necrosis occurred. Valgus osteotomy and epiphysiodesis were done. There are many series of complications after femoral neck fractures in children, but the case followed by varus deformity, slipped capital femoral epiphysis and avascular necrosis as complications is rare. We report the clinical and radiologic finding of this case with pertinent literature.
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Percutaneous Pinning & External Fixation In the Treatment of Proximal Humerus Fracture
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Jeong Ho Park, Sung Woon Choi, Young Chan Son, Young Gi Hong, Jeong Hwan Son, Jae Do Kim
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J Korean Soc Fract 1995;8(1):152-158. Published online January 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.1.152
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Abstract
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- The management of displaced fractures of the proximal humerus is still under debate and the need to evaluate alternative methods has been emphasised. We treated the displaced, unstable 2-part or 3-part fractures by percutaneous pinning or external fixation after closed reduction to reduce the complications of open reduction such as soft tissue contracture, articular stiffness, neurovascular injury and potential non-union.
In this paper, we analysed 8 cases of proximal humeral fractures treated by percutaneous pinning and external fixation from Sep. 1992 to Mar. 1994. The results were excellent ; 3 cases, satisfactory; 3 cases, and unstisfactory; 2 cases but no ftilures by the criteria for evaluation of Neer.
We concluded that percutaneous pinning or external fixation of displaced, unstable 2-part or 3-part fractures is one of the good methods of treatment.
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