Open femoral neck fracture of 14 years old boy treated by                      emergency internal fixation with additional osteomuscular pedicle graft: case report

Hendra C. Kumara; Ariya M. Nasution; Bayu S. Jiwandono; Anung B. Satriadi; Pamudji Utomo

doi:10.18203/issn.2455-4510.IntJResOrthop20204601

Authors

Hendra C. Kumara Department of Orthopaedic and Traumatology, Faculty of Medicine, Sebelas Maret University, Professor Dr. R. Soeharso Hospital, Surakarta, Central Java, Indonesia
Ariya M. Nasution Department of Orthopaedic and Traumatology, Faculty of Medicine, Sebelas Maret University, Professor Dr. R. Soeharso Hospital, Surakarta, Central Java, Indonesia
Bayu S. Jiwandono Department of Orthopaedic and Traumatology, Faculty of Medicine, Sebelas Maret University, Professor Dr. R. Soeharso Hospital, Surakarta, Central Java, Indonesia
Anung B. Satriadi Department of Orthopaedic and Traumatology, Faculty of Medicine, Sebelas Maret University, Professor Dr. R. Soeharso Hospital, Surakarta, Central Java, Indonesia
Pamudji Utomo Department of Orthopaedic and Traumatology, Faculty of Medicine, Sebelas Maret University, Professor Dr. R. Soeharso Hospital, Surakarta, Central Java, Indonesia

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20204601

Keywords:

Open femoral neck fracture, Osteomuscular pedicle graft, OMPG

Abstract

The incidence of femoral neck fractures in pediatric patients is rare, including <1% in all cases of fractures in children. The mechanism of injury is a high-energy injury that can cause a fracture in the femoral neck, open fracture cases are rare. Avascular necrosis is the most common complication. We report a fourteen year old boy who was in a road-traffic accident and had a Gustillo Anderson grade IIIA open femoral neck fracture. On the X-ray findings, we classified the type of fracture into Delbet type II. We decided to do the debridement and ORIF accompanied by an osteomuscular pedicle graft using a quadratus femoris muscle tendon fixed with 3 interfragmentary screws. Short-term evaluation shows a clinical union picture and is still well reduced without any signs of infection. Long-term evaluation of the bone healing process is needed and recognizes complications in the form of avascular necrosis of the femoral head.

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