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All patients were followed up for 24 months. Union time, neck shaft angle, neck length, quality of reduction, and functional outcomes were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study included 37 patients; the mean age was 8.6+\/- 1.6 (6\u201311) years. Delbet type IV was the most frequent fracture type (13 cases, 35.1%), followed by type V (10 cases, 27%), and type III (9 cases, 24.3%), with type II accounting for 5 cases. All fractures achieved union with a mean time of 8,7 weeks (range 6\u201312 weeks), As regards radiographic parameters, the mean neck shaft angle difference was 4.9 (SD 3.7) degrees (range 0\u201316 degrees) less than the contralateral side, the mean neck resorption ratio was 93.8 +\/- 4 (range 85\u2013100), The quality of reduction was anatomical in 24 cases (64.9%), acceptable in 10 cases (37%), and considered unacceptable in 3 cases (8.1%), The functional outcome was good in 24 cases (64.9%), fair in 11 patients (29.7%) and poor in two patients (5.4%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The use of a contoured 3.5\u00a0mm conventional T-plate in the fixation of recent pediatric femoral fractures (types II\u2013V) yields good results regarding union rates, functional outcome, and maintaining the mechanics of the hip.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00402-026-06193-8","type":"journal-article","created":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T03:54:40Z","timestamp":1772769280000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of internal fixation for pediatric proximal femoral fractures using a 3.5\u00a0mm T-plate"],"prefix":"10.1007","volume":"146","author":[{"given":"Mohamed I.","family":"Abulsoud","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed G.","family":"Hussiny","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir A.","family":"Nematallah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Al Nahhas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim M.","family":"Elsebaey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emad","family":"Zayed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed F.","family":"Elhalawany","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mostafa M.","family":"Elgahel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yahia A .","family":"Hassanein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsayed","family":"Shaheen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed H.","family":"Abdou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud M.","family":"Hassan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"6193_CR1","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0000000000001127","author":"MS -S\u00f6ylemez","year":"2023","unstructured":"-S\u00f6ylemez MS, Bing\u00f6l \u0130, Ya\u015far NE, Dumlupinar E, Ayvali MO, Ata N et al (2023) Epidemiology and demographics of pediatric proximal femur fractures in T\u00fcrkiye: results from a government-based health registry. 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