DOI: 10.36347/sasjs.2023.v09i02.013

Pages: 122-124

Paediatric neck of femur fractures is rare and incorporates less than 1% of all the paediatric fractures. Complications of femoral neck fractures in children includes necrosis (AVN) of femoral head, non-union and premature closure of the proximal femoral physis— resulting in decrease of growth, coxa vara and limb-length discrepancies. In past, the incidence of non-union varied from 7% to 10%, depending on the location of the fracture in the neck of femur the incidence of non-union in these fractures have significantly reduced in the recent times due to early anatomical reduction and rigid internal fixation. Due to the small number of cases, the treatment protocols for non-union of the paediatric femoral neck fractures are not well defined. Valgus osteotomy changes the shearing force at the non-union site to compression forces which provides optimal environment for bone union. Here we present a case of 6 years old child who presented with non-united fracture of the neck of femur with coxa vara, 1 year after conservatively treated osteomyelitis of proximal femur with valgus intertrochanteric osteotomy.