Controversies in the management of pediatric neck femur fractures- a systematic review

Purpose: To review controversies systematically in the management of pediatric neck femur fracture from the literature and to develop consensus for the optimum management. Methods: Authors searched literature by using keywords of pediatric neck femur fracture, proximal femur fracture, complications, management by following PRISMA guidelines. A common dilemma was listed. Results: Age, mechanism of injury, fracture type, presentation, treatment method, implant, and nature of complications were compared. Inference from recent literature was extracted for optimum management. Conclusion: Immediate anatomical reduction with stable fixation must be accomplished. Complications continue to happen despite the best efforts and a longer follow-up is important.