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ISSN 2063-5346
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A RARE CASE REPORT OF SUBTROCHANTERIC PAEDIATRIC FEMUR FRACTURE TREATED [VIA] PHILOS PLATING AND REVIEW OF LITERATURE

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Aravindan M1*, Mervin Rosario2, Venkat Kiran Pillella3, Akilans S S4 Ram Shankar5
» doi: 10.48047/ecb/2023.12.si5a.0570

Abstract

Hip fractures are rare in paediatric age group and as an incidence of less than one percent of all paediatric fractures. Even though this fractures are uncommon among this age group, care must be given In such cases, there is no standard protocol for surgical management. This is a case report of twelve year old boy diagnosed to have subtrochanteric right femur fracture with history of slip and fall injury from twelve feet height. He landed on his left lower limb and subsequently was unable to ambulate due to great pain around the left hip. Patient initially treated conservatively by analgesic and skin traction, followed by planned for surgical repair. Since there is no definitive protocol for the treatment of managing paediatric hip fracture we went through various treatment option modalities like tens nailing, rigid intramedullary nailing and compression plating, but all this treatment option has its own demerits. So we went through various literature in search of different treatment modalities and found out PHILOS plating being used for paediatric hip fractures and has been providing good outcome with minimal complication rate. The fracture was treated using precontoured long PHILOS plating via MIPPO Technique, at the end of six month follow up the patient showed good clinical and radiological outcome with good range of movements, no limb length discrepancy and functional daily activities were achieved.

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