Paediatria Croatica, Vol. 58 No. 1, 2014.
Original scientific paper
https://doi.org/10.13112/PC.2014.5
Birth fractures of the femur
Ozren Vrdoljak
; Zavod za dječju ortopediju, Klinika za dječje bolesti Zagreb, Zagreb
Igor Bumči
; Klinika za dječju kirurgiju, Klinika za dječje bolesti Zagreb, Zagreb
Andrija Car
; Klinika za dječju kirurgiju, Klinika za dječje bolesti Zagreb, Zagreb
Božidar Župančić
; Klinika za dječju kirurgiju, Klinika za dječje bolesti Zagreb, Zagreb
Mislav Bastić
; Klinika za dječju kirurgiju, Klinika za dječje bolesti Zagreb, Zagreb
Zoran Barčot
; Klinika za dječju kirurgiju, Klinika za dječje bolesti Zagreb, Zagreb
Dražen Tufeković
; OB Karlovac, Kirurški odjel, Karlovac
Javor Vrdoljak
; Ortopedska poliklinika Vrdoljak, Zagreb
Abstract
Birth fractures of the femur are uncommon. During the period between 1988 and 2013, twelve newborns under the age of one
month were treated at Zagreb Children’s Hospital with birth fracture of the mid-third and proximal third of the femur. The most
common risk factor was breech delivery. Diagnosis was set according to clinical examination and x-rays. Patients were treated by
extension according to Bryant, casting, and recently, with the Pavlik harness. In all patients, stable bone callus was seen on x-rays in
the fourth week of life, and despite signifi cant displacement of the bone fragments, adequate bone axis of the femur was achieved.
There was no signifi cant leg length discrepancy or angulation of the femur in further development.
Keywords
femoral fractures; infant, newborn
Hrčak ID:
120002
URI
Publication date:
24.3.2014.
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