Management of Pediatric Femoral Neck Fracture

Joseph T. Patterson, MD; Jennifer Tangtiphaiboontana, MD; Nirav K. Pandya, MD


J Am Acad Orthop Surg. 2018;26(12):411-419. 

In This Article


In the pediatric population, femoral neck fractures are a rare injury with potentially disabling long-term sequelae. Although debate exists on the management of these injuries in regard to surgical timing, surgical approach, and fixation, the goal of treatment remains unchanged: achieve fracture union and anatomic reduction while avoiding osteonecrosis. The Delbet classification provides insight on prognosis and guides treatment. Coxa vara, nonunion, and physeal arrest may be encountered by the treating clinician after fracture fixation. Diagnosis of femoral stress fractures in this population is also critical, and risk factors for the development of these fractures must be fully explored.