Fractures of the femoral neck in children

Abstract

Summary Femoral neck fractures account for less than 1% of all children's fractures. They are much rarer than in adults. Delbet classified them from types 1 to 4. Treatment is aimed at reducing the fracture and maintaining the reduction long enough to allow union within 12–16 weeks. Stabilisation of the fracture is most commonly with cannulated screws. Complications include avascular necrosis, coxa vara, non-union, premature physeal arrest and occasionally infection.