Displaced hip fractures in children and adolescents

Marc F. Swiontkowski, Robert A. Winquist

Research output: Contribution to journalArticlepeer-review

79 Scopus citations


The results of ten acute, displaced proximal femoral fractures in patients 14 years and under are reported. These high-risk fractures were managed with urgent open reduction and pin or screw fixation with supplemental spica casting. The exception to this protocol was in two Delbet’s type IV (intertrochanteric) fractures which were managed by closed reduction and spica casting. There was a case of partial avascular necrosis of the femoral head in a type I transepiphyseal fracture. At a minimum followup of 2 years the patients were asymptomatic with no significant limitation of hip motion.

Original languageEnglish (US)
Pages (from-to)384-388
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Issue number4
StatePublished - Apr 1986


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