The management of pathological fracture of the proximal femur in children using PHILOS plating: A case reports.

INTRODUCTION

Pathological fractures of the proximal femur in children, often resulting from conditions such as fibrous dysplasia and simple bone cysts, present significant treatment challenges. This study aims to evaluate the outcomes of utilizing the Adult Proximal Humeral Internal Locking System (PHILOS) plating in treating pediatric proximal femur fractures resulting from benign non-neoplastic bone lesions.

CASE PRESENTATION: This case report describes two pediatric patients treated with PHILOS plating for proximal femur fractures. Both cases demonstrated successful outcomes with PHILOS plating, evidenced by bone healing, minimal leg length discrepancy, and the return to normal activities without pain.

DISCUSSION: This method offers a reliable alternative to conventional pediatric fracture treatment modalities, particularly in cases where angular stability and anatomical alignment are paramount.

CONCLUSION

The proximal femur frequently serves as a common place for pathological fractures in pediatric cases. In summary, the PHILOS plate emerges as a suitable implant option for pediatric subtrochanteric femur fractures necessitating internal fixation.