A RARE CASE OF FEMORAL COLUMN FRACTURE IN CHILDREN WITH CLOSED REDUCTION AND SPICA CAST: A CASE REPORT

Abstract

Background: Femoral column fracture is a rare case fracture in children. This is usually caused by high-energy trauma, such as falling from a height, or, in some cases, can also occur due to pathological fractures or repetitive trauma, such as running or jumping. Femoral column fractures can occure several complications, such as avascular necrosis (AVN), coxa vara, malunion, and osteonecrosis. Therefore, appropriate treatment is needed to reduce the risk of complications that may occur. Case Presentation: A 15 year old boy came to the emergency room with complaints of pain in base of his right thigh after falling while jumping over a tennis net with focus on his right leg. On examination, vital signs were normal, pain in the right groin had limited range of motion (ROM), and no other injuries or pain were found in his parts of the body. Then treatment was carried out using the closed reduction method and the installation of a spica cast without internal fixation. Conclusion: Although there is still a lot of controversy regarding the best time and method for administering therapy, determining the Delbet classification is very helpful as a consideration in choosing treatment and patient prognosis. In this case, treatment was given using close reduction and spica cast techniques with the consideration that anatomical reduction could be achieved.