Best way to treat a fracture neck of femur in a child is?
ANSWER: (A) Hip Spica in abduction and internal rotationREF: Tachidjian s pediatrics orthopedics 3ed p. 2286-300"Hip spica is used in all patients after internal fixation under 10 year age for 6-12 weeks"Delbet and Colonna classification of hip fractures in childrenTypelType 2Type3Type4TransepiphysealTranscervical (most common)CervicotrochantricIntertrochantricUndisplaced or < 2yrsDisplaced Or > 2yrsShould be fixed with implant according to ageShould be fixed with implant according to ageUndisplaced or < 3yrsdisplaced or > 3yrsSpica in abduction and internal rotationOperative internal fixation with implants according to age0-3 yrs: k wares or pins3-8yrs-4mm cancellous screws > 8yrs: 6.5or7mm cancellous screws0-3 yrs: k wires or pins 3-8 yrs-4 mm cancellous screws > 8 yrs: 6.5 or 7 mm cancellous screw'sSpica castOperative internal fixation With DHS
Hip Spica in abduction and internal rotation
Traction
Open reduction
Masterly inactivity
Fracture of Femur