Surgical treatment of neglected hip fracture in children with cerebral palsy: case report and review of the literature

Clin Cases Miner Bone Metab. 2017 Sep-Dec;14(3):317-323. doi: 10.11138/ccmbm/2017.14.3.317. Epub 2017 Dec 27.

Abstract

Case: A clinical case of a 15-year-old cerebral palsy child with a Sandhu type 2 neglected femoral neck fracture is presented. The patient was treated using cannulated screws and cancellous bone graft augmented with mesenchymal stem cells. At 6 months after the surgery complete fracture healing was observed.

Conclusion: To early diagnose this fractures, it is mandatory to perform a comprehensive clinical and radiological evaluation including also a second level imaging. The use of cannulated screws with cancellous bone graft and MSCs is a viable treatment option in these patients.

Keywords: cerebral palsy; children’s hip fracture; diamond concept; mesenchymal stem cells; neglected femoral neck fractures; non-union.

Publication types

  • Review