Open Reduction of Pediatric XXXX Reduces @entity2530 Risk.

@entity1 @entity2249 @entity174 @entity6044 @entity2530
Pediatric @entity2249 are rare injuries that are associated with a high risk of @entity2530 of the femoral head. This study compared pediatric @entity1 with fully displaced @entity2249 treated with either open reduction and internal fixation (ORIF) or @entity6044 ( @entity6044 ). After institutional review board approval was obtained, the authors identified 53 @entity1 who were treated for @entity2249 between 2003 and 2012. Inclusion criteria were as follows: (1) diagnosis of a fully displaced @entity2249 with no anatomic cortical contact; (2) age of at least 4 years; and (3) clinical/radiographic follow-up of at least 1 year. Medical records and radiographs were retrospectively reviewed. Excluded from the study were 16 @entity1 who had @entity174 that were not fully displaced, 4 who were outside of the eligible age range, 1 who had insufficient radiographs, and 10 who had insufficient follow-up. Of the 22 @entity1 included, 6 were treated with ORIF and 16 were treated with @entity6044 . Treatment groups were compared with Fisher's exact test for categorical outcome data and the Wilcoxon rank-sum test for continuous variables. There was a significantly (P=.051) greater occurrence of @entity2530 after @entity6044 (50%) than after ORIF (0%). Further, @entity1 who underwent ORIF had a higher (P=.009) quality of reduction, a higher (P=.046) rate of anatomic union, and fewer (P=.009) complications than those who underwent @entity6044 . Major complications occurred in significantly fewer (P=.015) hips after ORIF than after @entity6044 . No significant difference (P=.477) was seen between groups, according to the Ratliff assessment of final results. Fully displaced pediatric @entity2249 treated with ORIF had a significantly higher quality of reduction, with fewer complications, including @entity2530 , than those treated with @entity6044 . [Orthopedics. 2015; 38(11):e983-e990.].
