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Outcome after transphyseal hip fractures. 4 children followed 34-48 years
1Department of Orthopedics, Oatra Hospital, Göteborg, Sweden.
Acta Orthopaedica Scandinavica
|June 1, 1997
Insights
This study followed four patients with transphyseal hip fractures treated non-surgically. Excellent long-term outcomes were observed, with only one patient experiencing a minor complication.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Traumatology
Background:
- Transphyseal hip fractures are rare injuries in pediatric patients.
- Non-operative management is sometimes considered for these fractures.
Purpose of the Study:
- To report the long-term outcomes of surgically untreated transphyseal hip fractures.
- To evaluate the efficacy and potential complications of non-operative management for this specific injury.
Main Methods:
- Retrospective case series of four patients with transphyseal hip fractures.
- All patients were managed non-surgically.
- Long-term follow-up data (34-48 years post-injury) was collected and analyzed.
Main Results:
- Good to excellent functional outcomes were reported for all four patients.
- The mean follow-up duration was over 30 years.
- One patient developed a 3 cm leg length discrepancy due to premature closure of the capital femoral physis.
Conclusions:
- Non-operative treatment of transphyseal hip fractures can lead to favorable long-term outcomes.
- Premature physeal closure is a potential complication that may result in leg length discrepancy.
- Further research is warranted to establish optimal treatment guidelines for these rare injuries.
Abstract:
We report long-term outcomes in 4 patients with transphyseal fractures of the hip, a rare injury. All the patients were treated without surgery. The results were good in all the patients at follow-up, 34-48 years after injury. The only complication we found was a leg-length discrepancy of 3 cm in 1 patient due to premature closure of the capital femoral physis.