الفهرس 
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Abstract
This prospective study was conducted on 20 school aged children with subtrochanteric femur fracture which were treated by fluoroscopic guided reduction and fixation by TENs who completed their follow up in Menoufia University Hospital from April 2019 to May 2021.
Informed consent was obtained from one guardian following our local medical ethical committee rules.
Patients were followed up regularly at 2 weeks interval in the first three months, then monthly till 6 months postoperatively and at the end of the study respectively to evaluate the results clinically, radiologically, functional outcome and complications.
All the patients were examined clinically and radiologically, including detailed history of trauma, thorough general and local examination including neurovascular status of the limb and any associated injuries or co-morbidities at the time of admission. Patients fulfilling the inclusion criteria were only included in the study.
The study included 20 patients (10 males, 10 females). Mean age was (7.47) range (5 to 11) years. Transverse fractures were the most encountered fracture pattern in 16 patients (80%), oblique fractures in 3 patients (15%) and spiral fracture in one patient. Length stable fractures were recorded in 95% of patients.
Associated injuries were found in one patient (contralateral neck of femur), There was no need for blood transfusion also operative time range from (30-50) minutes. Full weight bearing was possible in a mean of 9.7 weeks. Callus was first noted at an average of 4 weeks radiological union was achieved in all patients in a mean time of
Summary
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7.6 weeks all patients were followed up for at least 6 months clinical and radiographical examination was done in each of follow up visits.
Over all complication was 15%, one patient had low grade infection, another with malaligment and the third with leg length discrepancy. None of the patient needed reoperation due to major complications.