A Resource-limited Approach for Stabilising Paediatric Femoral Neck Fracture: A Case Report

Paediatric Femoral Neck Fracture (PFNF) is rare, and its repair is challenging for orthopaedists. Surgical treatment should be performed, as soon as, possible with anatomical repair to avoid postoperative complications, including Avascular Head Necrosis (AVN) and bone deformity. In the present case scenario, a 14-year-old male patient presented to the Orthopaedic Emergency Department with hip pain and an inability to bear weight or move his right lower extremity. He arrived at the hospital at night and was examined immediately. The patient reported a fall from the second floor two days prior. Due to the unavailability of some necessary surgical instruments at the time of the emergency surgery, orthopaedic surgeons adopted a new procedure for treating a PFNF. The fracture reduction was maintained under general anaesthesia, and the incision site was properly sterilised before using a 3 mm Kirschner wire (K-wire). The 3 mm K-wire was removed before compressing the fracture site with screws. The wires were cut to a length that allows them to be bent over the femoral shaft and secured to the shaft using ligature wires. This is a modification of the Wagner technique, which involves passing the ligature wire around the femoral shaft.