• Murat Taşcı, Furkan Başak, Bahattin Kemah, and Mehmet Salih Söylemez.
• Department of Orthopaedics and Traumatology, Umraniye Training and Research Hospital, Istanbul, Türkiye. drtascimurat@gmail.com.
• Eur J Trauma Emerg Surg. 2024 Jun 29.

AimThis retrospective study aimed to evaluate surgical outcomes and identify influential factors in pediatric femoral neck fractures.Materials And MethodsA total of 25 hips from 23 pediatric patients who underwent surgical intervention for femoral neck fractures were included. Data encompassing patient demographics, fracture types, surgical techniques, complications, and follow-up outcomes were analyzed retrospectively. Factors such as fracture displacement, timing of surgery, fixation methods, and reduction quality were assessed concerning postoperative complications.ResultsFalling from a height accounted for 48% of the trauma mechanisms, and avascular necrosis (AVN) was the most prevalent complication (4 hips). Although fracture displacement, bad reduction quality, and delayed surgery were more common among complicated cases, statistical significance was not attained. The study noted an association between presence of avascular necrosis and worse clinical results(rho: 0.428, p: 0.05, CI: 95%).ConclusionSurgical treatment yielded favorable clinical outcomes; however, limitations due to the study's retrospective design, limited sample size, and single-center approach underscore the necessity for larger multicenter studies. Our findings emphasize the need for comprehensive investigations to better understand and manage pediatric femoral neck fractures, especially regarding factors influencing AVN and long-term outcomes.© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

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