ORIGINAL RESEARCH article
Front. Pediatr.
Sec. Pediatric Surgery
Volume 13 - 2025 | doi: 10.3389/fped.2025.1660855
Application of headless cannulated compression screws for treatment of Delbet-Colonna II and III femoral neck fractures in children
Provisionally accepted
- Second Affiliated Hospital of Jilin University, Changchun, China
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Purpose: Femoral neck fractures are clinically rare and are associated with a high risk of complications in children. Traditional internal fixation implants such as Kirschner wires and partial-thread cannulated screws (PTCS) have complications such as screw withdrawal and internal fixation failure. To address this problem, in this study we investigated the effectiveness of headless cannulated compression screws (HCCS) in the treatment of femoral neck fractures in children patients. Methods: Children diagnosed with Delbet-Colonna II or III femoral neck fracture treated by closed reduction and percutaneous fixation with HCCS were retrospectively reviewed. The extent of fracture reduction and postoperative hip function were assessed according to the Haidukewych standard and with the Harris score, respectively. Postoperative complications were recorded.Results: According to the inclusion criteria and exclusion criteria in this retrospective study, A total of 12 patients (8 males and 4 females) aged 3-14 years (average age: 8.3 years) were reviewed. The mean blood loss from surgery was 34.58±9.40 ml and mean operation time was 102.50±32.72 min. Overall, fracture reduction was achieved in most cases, with 7 that were excellent (58.33%) and 5 that were good (41.67%) according to the Haidukewych standard. The average follow-up period was 24.67 months. Radiographic analysis revealed an average time for fracture healing of 8.58±3.87 weeks. Harris score was 88.67±2.61 at 3 months after surgery, and increased to 92.25±1.91 at the 6-month follow-up; excellent outcomes were achieved at the last follow-up evaluation (95.17±1.95). No surgery-related complications were reported during the follow-up period.We recommend closed reduction and internal fixation with HCCS as a feasible alternative for the treatment of Delbet-Colonna II and III femoral neck fractures in children.
Keywords: Closed reduction, Femoral neck fracture, headless cannulated compression screw, internal fixation, Delbet-Colonna II and III, children patient
Received: 07 Jul 2025; Accepted: 06 Aug 2025.
Copyright: © 2025 Jiang, Wang, Peng, Yuan and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Dankai Wu, Second Affiliated Hospital of Jilin University, Changchun, China
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