Abstract

This article is an analysis of the current trend of injury pattern and management of post-traumatic separation of capital femoral epiphysis in children. Five cases of this injury classified by Delbet as type I femoral neck fracture are reported by the author. Their long-term outcome of surgical fixation was evaluated by Ratliff’s assessment score. Three cases associated with complete separation of epiphysis were noted to develop avascular necrosis; whereas better outcome was noticed in a case of mild displacement. A case of neglected femoral fracture with varus deformity was managed with corrective subtrochanteric osteotomy and showed good and fair outcome clinically and radiologically, respectively. The clinical outcome in the long run was found to be a step ahead of the radiological picture in this childhood femoral neck fracture. The author further describes the changes in the last 40 years (since Ratliff’s original description) in relation to the mode of injury, clinical feature, management and final outcome of this injury.

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