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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2012, Number 3

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Ortho-tips 2012; 8 (3)

Fracturas de cadera en niños y adolescentes

Flores NHH

Language: Spanish
References: 27
Page: 179-186
PDF size: 115.20 Kb.


ABSTRACT

Hip fractures in children have low incidence. Their main importance lies in the high frequency of complications. The proximal femur is a relatively resistant structure during childhood, the vast majority of cases result from high energy trauma. Delbet classification is based on fracture line localization. Treatment options are wide variable and influenced by classification, age, displacement and fracture stability. In order to obtain better results it is recommended to achieve anatomical reduction and stable immobilization or fixation. Osteonecrosis is the principal complication because of the hip vascular anatomy during skeletal development. Other frequently seen complications are coxa vara, premature physeal closure and nonunion.


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