Resumo

AZURDUY ANCE, Rolando. Tratamiento quirúrgico de las fracturas del extremo proximal de fémur en niños: experiencia institucional. Cuad. - Hosp. Clín. [online]. 2007, vol.52, n.2, pp.75-78. ISSN 1562-6776.

Fractures of the proximal end of the femur, due to the peculiar characteristics of their vascularization and the presence of growth cartilage, require well established criteria for treatment. In our hospital, they constitute 1% of the fractural lesions that are admitted to the section of orthopedics and traumatology and that correspond generally to high energy trauma associated with polytrauma (TCE, thoracic, abdominal, and pelvic trauma ) which implies a high risk of death. For this reason we consider that surgical treatment is an alternative for the resolution of these fractures without comparing unfavourably with the advantages of the conservative treatment. The biomechanical forces around the hip, however, cause the fractures to heal in bad positions. For this reason, in our section, we decided in favour of surgical treatment by a bloody reduction with osteosynthesis as the best alternative. With the use of cannulated screws, the results are satisfactory, rehabilitation is fast and post surgical complications are minimized.

Palavras-chave : Fracture; femur; surgical.