Kirschner Wires Fixation Versus closed reduction Screws in Fracture of neck Femoral Managemnets in children and Adolescences Al-Fatlawy Wejdi A.* Department of Orthopedic Surgery, Medical College, Kufa University, Najaf, Iraq *Corresponding Author: Wejdi A. Al-Fatlawy, Department of Orthopedic Surgery, Medical College, Kufa University, Najaf, Iraq, Email: wejdi.alfatlawy@uokufa.edu.iq
Online published on 4 June, 2019. Abstract Femoral neck fractures represents less than one percent of all hip fractures and less than one percent of all fractures in pediatric patients. Age is the main variable in decision of type of fixation. We managed 134 patients with femoral neck fractures, Delbet class two and three, during the period between 2011 and 2018 who were followed up for an average period of 18 months at Al-Sader Teaching hospital in Najaf, republic of Iraq. The study included two groups of patients; first group included 68 cases treated by Kirschner wires fixation (KF) method and group two included 66 cases treated by screws. Findings revealed that in K-wire group, the outcome was good in 57.35%, fair in 33.8%, and poor in 8.8% cases but with screws group the outcome was good in 51.5%, fair in 36.36%, and poor in 12.12%. in Conclusion Kirschner wires fixation method is superior than screws fixation method in treatments of femoral neck fractures in children and adolescence. Top Keywords Neck femur fractures, reduction, , percutaneous, fixation. Top |