Management of Postoperative Infection After Fixation of a Delbet Type III Pediatric Femoral Neck Fracture: A Case Report

A pediatric male patient sustained a postoperative infection of the femoral neck after open anatomic reduction and internal fixation (ORIF) of a Delbet type III femoral neck fracture. Treatment included surgical intervention with antibiotic Steinmann pins incorporated into an external fixator to pro...

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Bibliographic Details
Published inJBJS case connector Vol. 12; no. 1
Main Authors Trynz, Samantha, McCaskey, Meghan, Warnick, Drew
Format Journal Article
LanguageEnglish
Published United States 26.01.2022
Subjects
Bone Nails
Child
Femoral Neck Fractures - surgery
Fracture Fixation, Internal - adverse effects
Fracture Fixation, Internal - methods
Humans
Male
Open Fracture Reduction
Retrospective Studies
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Summary:A pediatric male patient sustained a postoperative infection of the femoral neck after open anatomic reduction and internal fixation (ORIF) of a Delbet type III femoral neck fracture. Treatment included surgical intervention with antibiotic Steinmann pins incorporated into an external fixator to provide stability to the femoral neck. At the 27-month follow-up, films showed complete healing with a 1.67-cm leg length discrepancy, treated with a 1-cm shoe lift. There is insufficient literature for the treatment of postoperative infection after ORIF in a pediatric patient. We present a successful treatment method for treating an infection while sustaining the stability of the femoral neck.
ISSN:2160-3251
DOI:10.2106/JBJS.CC.21.00503