Outcomes of internal fixation for pediatric proximal femoral fractures using a 3.5 mm T-plate

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Proximal femoral fractures in children are rare, with an incidence of 0.45 per 100,000, primarily affecting males aged nine due to accidents.
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The Delbet classification categorizes proximal femoral fractures, with type II being the most common, followed by types III and IV.
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Avascular necrosis (AVN) occurs in about 29% of proximal femoral fracture cases, with initial displacement and fracture type being predictive factors.
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This study evaluated the outcomes of using a 3.5 mm T-plate for internal fixation in 37 children aged 6 to 12 with specific fracture types.
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Surgical intervention is essential for managing proximal femoral fractures to prevent complications like AVN, non-union, or coxa vara.

Archives Of Orthopaedic And Trauma Surgery

by Abulsoud, Mohamed I., Hussiny, Mohamed G., Nematallah, Samir A., Al Nahhas, Mohammed, Elsebaey, Ibrahim M., Zayed, Emad, Elhalawany, Mohamed F., Elgahel, Mostafa M., Hassanein, Yahia A ., Shaheen, Elsayed, Abdou, Mohamed H., Hassan, Mahmoud M.
March 6, 2026

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