DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20204601

Open femoral neck fracture of 14 years old boy treated by emergency internal fixation with additional osteomuscular pedicle graft: case report

Hendra C. Kumara, Ariya M. Nasution, Bayu S. Jiwandono, Anung B. Satriadi, Pamudji Utomo

Abstract


The incidence of femoral neck fractures in pediatric patients is rare, including <1% in all cases of fractures in children. The mechanism of injury is a high-energy injury that can cause a fracture in the femoral neck, open fracture cases are rare. Avascular necrosis is the most common complication. We report a fourteen year old boy who was in a road-traffic accident and had a Gustillo Anderson grade IIIA open femoral neck fracture. On the X-ray findings, we classified the type of fracture into Delbet type II. We decided to do the debridement and ORIF accompanied by an osteomuscular pedicle graft using a quadratus femoris muscle tendon fixed with 3 interfragmentary screws. Short-term evaluation shows a clinical union picture and is still well reduced without any signs of infection. Long-term evaluation of the bone healing process is needed and recognizes complications in the form of avascular necrosis of the femoral head.


Keywords


Open femoral neck fracture, Osteomuscular pedicle graft, OMPG

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References


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