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Table 3 Demographic, clinical and radiographic characteristics of AVN after PFNF

From: The clinical and radiographic characteristics of avascular necrosis after pediatric femoral neck fracture: a systematic review and retrospective study of 115 patients

 

Total

Non-collapsed stage

Collapsed stage

p value

Demographic parameters

 Age (mean ± SD, years)

13.6 ± 2.0

13.6 ± 2.1

13.5 ± 1.2

0.89*

 Sex (n, %)

   

0.72**

  Male

78 (67.8)

28 (70.0)

50 (66.7)

 

  Female

37 (32.2)

12 (30.0)

25 (33.3)

 

 Side (n, %)

   

< 0.01**

  Left

51 (44.3)

11 (27.5)

40 (53.3)

 

  Right

64 (55.7)

29 (72.5)

35 (46.7)

 

Clinical characteristics

 Interval between fracture and AVN diagnosis (mean ± SD, months)

13.7 ± 9.5

15.1 ± 9.8

11.2 ± 8.5

0.04*

 Symptomatic (n, %)

  Yes

68 (59.1)

10 (25.0)

58 (77.3)

< 0.01**

  No

47 (40.9)

30 (75.0)

17 (22.7)

 

 Hip pain (n, %)

   

< 0.01**

  Yes

63 (54.8)

10 (25.0)

53 (70.7)

 

  No

52 (45.2)

30 (75.0)

22 (29.3)

 

 Limp (n, %)

   

< 0.01**

  Yes

58 (50.4)

6 (15.0)

52 (69.3)

 

  No

57 (49.6)

34 (85.0)

23 (30.7)

 

 Restricted hip function

   

< 0.01***

  Yes

34 (29.6)

1 (2.5)

33 (56.0)

 

  No

81 (70.4)

39 (97.5)

42 (44.0)

 

Radiographic characteristics

 Ratliff classification of AVN (n, %)

   

< 0.01****

  Type I

50 (43.5)

7 (17.5)

43 (43.5)

 

  Type II

61 (53.0)

29 (72.5)

32 (53.0)

 

  Type III

4 (3.5)

4 (10.0)

0 (0)

 

 JIC classification of AVN (n, %)

   

< 0.01****

  A/B

13 (11.3)

12 (30.0)

1 (1.3)

 

  C1

40 (34.8)

17 (42.5)

23 (30.7)

 

  C2

62 (53.9)

11 (27.5)

51 (68.0)

 

 ARCO stage (n, %)

  II

40 (34.8)

   

  IIIA

34 (29.6)

   

  IIIB

16 (13.9)

   

  IIIC

25 (21.7)

   
  1. ARCO Association Research Circulation Osseous, AVN avascular necrosis, JIC Japanese Investigation Committee
  2. *Independent sample t test
  3. **Chi-square test
  4. ***Fisher’s exact test
  5. ****Mann-Whitney U test