Treatment of Proximal Femoral Fractures in Children Delbet Type II by Ilizarov Technique

Hip fractures rarely occur in children but when it occurs it is potentially very serious. Fracture in children is due to high velocity trauma, for example falling from a height or a car accident. Among the high risk complications we can get avascular necrosis, premature physeal closure and coxa vara when we use screws. Between the age of 4 and 9 the ligamentous teres contributes very little to the blood supply of the epiphysis, hence it is prone to post traumatic ischaemia. We treated a 10 years old boy who fell from height and admitted in Bari-Ilizarov Orthopaedic Centre on 02.06.2017, 3 months back. We treated the boy within 18 hours as urgency by Ilizarov technique under image intensifier by closed reduction and fixation with 1.5 mm 6 multiple Ilizarov wires. These Ilizarov wires were fixed with 6 hole plates which was fixed with two full rings, placed in the lower region of femur.