Controversies in the management of pediatric neck femur fractures- a systematic review.

Abstract

To review controversies systematically in the management of pediatric neck femur fracture from the literature and to develop consensus for the optimum management. Authors searched literature by using keywords of pediatric neck femur fracture, proximal femur fracture, complications, management by following PRISMA guidelines. A common dilemma was listed. Age, mechanism of injury, fracture type, presentation, treatment method, implant, and nature of complications were compared. Inference from recent literature was extracted for optimum management. Immediate anatomical reduction with stable fixation must be accomplished. Complications continue to happen despite the best efforts and a longer follow-up is important.