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Wheeless' Textbook of Orthopaedics
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Displaced hip fractures in children and adolescents [published erratum


appears in J Trauma 1986 Dec;26(12):1160] Swiontkowski MF. Winquist RA. Journal of Trauma. 26(4):384-8, 1986 Apr. The results of ten acute, displaced proximal femoral fractures in patients 14 years and under are reported. These high-risk fractures were managed with urgent open reduction and pin or screw fixation with supplemental spica casting. The exception to this protocol was in two Delbet's type IV (intertrochanteric) fractures which were managed by closed reduction and spica casting. There was a case of partial avascular necrosis of the femoral head in a type I transepiphyseal fracture. At a minimum followup of 2 years the patients were asymptomatic with no significant limitation of hip motion.



Original Text by Clifford R. Wheeless, III, MD.