Outcomes of Closed Reduction and Internal Fixation (CRIF) by Cannulated Cancellous Hip Screw in Transcervical Fracture Neck of Femur in Children

Introduction: Fracture of the neck of the femur is one of the most common and difficult problems all over the world, for all ages. As the femur is the weight-bearing bone in the lower limbs, fracture of the neck femur creates severe problems like shortening, limping, and a painful unstable hip. The incidence of pediatric neck fractures is highest in children above the age of eleven. The most common cause is high-energy trauma such as motor vehicle accidents and falls from height, also osteogenesis imperfecta, and myelomeningocele. This study aimed to analyze the outcomes of closed reduction and internal fixation (CRIF) by the cannulated cancellous hip screw in the transcervical fracture neck of the femur in children. Methods: This prospective interventional study was conducted at the National Institute of Traumatology & Orthopedic Rehabilitation (NITOR), Dhaka, from July 2011 to June 2013. A total of 16 patients were selected for this study as per inclusion criteria. All statistical analysis of different variables was analyzed according to the standard statistical method by using SPSS. Result: In this study, the age of the patients ranged from 5-18 years with an average age of 11.25 years. The majority of the patients (56.25%) belonged to the age group 10-14 years, followed by 31.25% in the age group 5-9 years, and the rest 12.50% in the 15-18 years age group. Out of 16 patients, 10 patients (62.50%) were male and 06 patients (37.50%) were female. In the present study, the anatomical reduction was achieved in 07 (43.75%), the acceptable reduction was achieved in 05 (31.25%), and the unacceptable reduction in 04 (25.0%). The average time interval between injury and operation was 7.3 days, out of 16 study cases, 10 cases operated within 7 days of which 9 were united (90.0%), and 6 cases were operated after 7 days, of which 4 (66.66%) were united. Out of 16 patients, 12 (75.0%) regained full range of hip movement and 04 (25.0%) patients had limited range of motion. ...