Early versus late treatment of paediatric femoral neck fractures: a systematic review and meta-analysis.


Department of Surgery, Section of Orthopedics, Hamad General Hospital, Doha, Qatar. [Email]


Femoral neck fractures in children represent less than 1% of all paediatric fractures. Osteonecrosis of the femoral head is one of the devastating complications of this fracture. Time to treatment is one of the most important predictors of this outcome with no clear consensus in the literature. The aim of this study was to determine whether early treatment (< 24 hours) of pediatric femoral neck fractures is associated with a lower rate of osteonecrosis of the femoral head compared to late treatment (> 24 hours).


Avascular necrosis,Femur neck fractures,Hip fractures,Meta-anlysis,Osteonecrosis,Pediatrics,