Short Term Outcome of Pediatric Fracture of Neck Femur Fixation by Plate and Screws

Study Overview
=================
Brief Summary
-----------------
the incidence of femoral neck fracture in children ranges between 0.3 and 0.5 of all childhood fractures per year. the incidence is maximum at the ranges of 11 and 12 years with a male preponderance ranging from 1.3 to 1.7:1. in contrast to osteoprotic proximal femur fractures in the eldery. although rarely seen in children fracture neck of femur has aconsiderable risk of complications such as avascular necrosisos femoral head, coxa vara, non union, delayed union, premature physeal arrest and infection. in infants and toddlrs below age of 2 years, closed reduction and fixation with smooth 1.8 or 2 mm K wires may be carried out, in children there are many methods of fixation, cannulated 4,4.5 screws, plates,dynamic hip screw.

Detailed Description
-----------------
the incidence of femoral neck fracture in children ranges between 0.3 and 0.5 of all childhood fractures per year. the incidence is maximum at the ranges of 11 and 12 years with a male preponderance ranging from 1.3 to 1.7:1. in contrast to osteoprotic proximal femur fractures in the eldery. although rarely seen in children fracture neck of femur has aconsiderable risk of complications such as avascular necrosisos femoral head, coxa vara, non union, delayed union, premature physeal arrest and infection. in infants and toddlrs below age of 2 years, closed reduction and fixation with smooth 1.8 or 2 mm K wires may be carried out, in children there are many methods of fixation, cannulated 4,4.5 screws, plates,dynamic hip screw.

Official Title
-----------------
Short Term Outcome of Pediatric Fracture of Neck Femur Fixation by Plate and Screws

Conditions
-----------------
Fracture of Pediatric Neck Femur

Intervention / Treatment
-----------------
* Procedure: fixation by plate and screws


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: children between 2 and 16 years having fracture of neck femur Exclusion Criteria: patients more than 16 years, cases with open fractures, preexisting deformity, other pelvic or ipsilateral femoral injuries

Ages Eligible for Study
-----------------
Minimum Age: 1 Year
Maximum Age: 16 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Procedure: fixation by plate and screws|reduction and fixation of pediatric fracture neck femur by plate and screws|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| avascular necrosis by degree of bone necrosis in head and neck femur | osteonecrosis and death of bone tissue of head and neck femur | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| coxa vara degree by angle of shaft and head femur | angle between the head and the shaft femur is reduced to less than 120 degrees | 6 months |