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Traumatic Separation of Proximal Femoral Epiphysis – Presentation and Management.


Case Report | Volume 4 | Issue 3 | JOCR July-Sep 2014 | Page 29-31 |Pal CP, Kumar D, Singh P, Gaurav V.  DOI: 10.13107/jocr.2250-0685.190


Authors: Pal CP, Kumar D, Singh P, Gaurav V

[1] Department of orthopaedics, S. N. Medical College, Agra, India.

[2] Department of Orthopaedics, U.P R.I.M.S. & R, Saifai, Etawah, India.

Address of Correspondence:

Dr. Chandra Prakash Pal, Assistant Professor and Head, Dept of Orthopaedicsm, S.N. Medical College, Agra-282002, India. M: +919634031500. Email :-  drcportho@gmail.com


Abstract

Introduction: Hip fractures are very common in adults, but are rare in children, comprising less than 1% of all pediatric fractures. Separation of the proximal femoral epiphysis can occur in a child with a traumatic hip dislocation and an open epiphysis. Regardless of the mechanism of proximal femoral epiphyseal separation, the prognosis is poor secondary to the development of osteonecrosis.

Case Report: Here we are reporting a case of complete separation of the proximal epiphysis of the femur in a 2 year old female child. She was treated by open reduction and internal fixation by a single k-wire of proximal femoral epiphysis. Regular follow up showed fusion of proximal femoral epiphysis at about 3 months of post operative period. After 8 months of follow up she can stand and walk without support. Long term outcome is awaited.

Conclusion: Traumatic separation of the proximal femoral epiphysis is a rare but devastating injury because osteonecrosis occurs in most cases. In our study we found fusion of the proximal femoral epiphysis to the neck after 3 months of postoperative period. But to comment upon the final outcome a long follow up is awaited.

Keywords: Epiphysis separation, Osteonecrosis, Growth arrest.


How to Cite This Article: Pal CP, Kumar D, Singh P, Gaurav V. Complete Traumatic Separation of Proximal Femoral Epiphysis in A 2 Year Old Child. Journal of Orthopaedic Case Reports 2014 July-Sep;4(3): 29-31. Available from: http://www.jocr.co.in/wp/2014/07/11/2250-0685-190-abstract/

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