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Collum neck fracture in child

Girl, 11 years old ,ski crash: dislocated fracture of the femoral neck. How do you proceed?


Questions: Reduction

  • closed reduction and reduction with percutaneous pins
  • open reduction - which approach ? anterior, anteriolateral, posterolateral

Fixation:

  • Kirschner-wires (how many ?)
  • Screws (which diameter) - length, do you cross the growing plate?

Link: Surgical treatment, proposals