{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T06:11:30Z","timestamp":1768457490334,"version":"3.49.0"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"1","license":[{"start":{"date-parts":[[2002,1,1]],"date-time":"2002-01-01T00:00:00Z","timestamp":1009843200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2002,1]]},"abstract":"<jats:p> Fractures of the hip in children have been associated with a very high rate of serious complications including avascular necrosis (up to 47%) and coxa vara (up to 32%). Over a period of 20 years, we have treated displaced fractures by early anatomical reduction, internal fixation and immobilisation in a spica cast to try to reduce these complications. <\/jats:p><jats:p> We have reviewed 18 patients who had a displaced non-pathological fracture of the hip when under 16 years of age. Their mean age at the time of the injury was eight years (2 to 13). They returned for examination and radiography at a mean follow-up of eight years (2 to 17). Each patient had been treated by early (\u203324 hours) closed or open reduction with internal fixation and 16 had immobilisation in a spica cast. <\/jats:p><jats:p> By Delbet\u2019s classification, there was one type-I, eight type-II, eight type-III, and one type-IV fractures. There were no complications in 15 patients. Avascular necrosis occurred in one patient (type-III), nonunion in one (type-II, one of the two patients who did not have a cast) and premature physeal closure in one (type-I). There were no cases of infection or complications as a result of the cast. <\/jats:p><jats:p> Our treatment of displaced hip fractures in children by early reduction, internal fixation, and immobilisation in a spica cast gave reduced rates of complications compared with that of large published series in the literature. <\/jats:p>","DOI":"10.1302\/0301-620x.84b1.0840108","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T19:22:34Z","timestamp":1519240954000},"page":"108-112","source":"Crossref","is-referenced-by-count":84,"title":["Displaced fractures of the hip in children"],"prefix":"10.1302","volume":"84-B","author":[{"given":"J. M.","family":"Flynn","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. L.","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospitals of the University of Pennsylvania, Silverstein Building, Second Floor, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. L.","family":"Yeh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospitals of the University of Pennsylvania, Silverstein Building, Second Floor, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. S.","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Children\u2019s Hospital of Philadelphia, 2 Wood Centre, 34th Street and Civic Centre Boulevard, Philadelphia, Pennsylvania 19104, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. S.","family":"Davidson","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.84B1.0840108","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.84B1.0840108","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T20:25:32Z","timestamp":1629145532000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.84B1.0840108"}},"subtitle":["MANAGEMENT BY EARLY OPERATION AND IMMOBILISATION IN A HIP SPICA CAST"],"short-title":[],"issued":{"date-parts":[[2002,1]]},"references-count":0,"aliases":["10.1302\/0301-620x.84b1.11972"],"journal-issue":{"issue":"1","published-print":{"date-parts":[[2002,1]]}},"alternative-id":["10.1302\/0301-620X.84B1.0840108"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.84b1.0840108","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,1]]}}}