Related Experiment Video
Updated: Jun 20, 2026
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
[Screw osteosynthesis of proximal femur fractures in children]
1Kinderchirurgische Klinik, Universität München, München, Germany. Hans-Georg.Dietz@med.uni-muenchen.de
Objective:
Optimal reposition and stable fixation of M/1 and M/2 fractures are necessary. Careful operation and urgent surgery prevent complications.
Indications:
M/1 and M/2 fractures of the proximal femur in children > 4 years.
Contraindications:
E/1 fractures are fixed with Kirschner wires. M/3 fractures are fixed with elastic stable intramedullary nailing. Fractures up to the age of 4 are fixed with Kirschner wires.
Surgical Technique:
Surgical approach via a lateral incision. Anatomic fixation of the fracture with two to three cannulated screws.
Postoperative Management:
No weight bearing during the first 4-6 weeks. Physiotherapy is optional. Magnetic resonance imaging at least 1 year after the fracture or immediately in case of problems to control the vascular situation of the femoral head.
Results:
Due to the rarity of these fractures, only few results from large series have been published. M/1 fractures show a higher complication rate than M/2 fractures. The risk of avascular necrosis has to be estimated at up to 40%.
