NEED TRO NAIβ£Classification of paeds NOF fracture?Delbetβs (prognosticates risk of AVN)Type 1 = Transphyseal [SH-1] (100%)Type 2 = Transcervical (50%) - most common3 = Basicervical (25%)4 = Intertrochanteric (10%)β£Management for child < 4 yo?Non Op with hip Spicaβ£Mx for child > 4 year old?Type 1 = 2 smooth pins or transphyseal screwsType 2/ 3 = 6.5mm Screws< 10 yo - Physeal sparing screws if 4 - 9 yo (if sufficient metaphysis)> 10 yo - Transphyseal screws (better purchase)Type 4 = DHS, proximal femoral locking plates< 10yo physeal sparing> 10yo - transphysealβ£Future complications?AVN 20%Coxa Vara 20%Premature physeal closure β coxa breva β LLDIf partial physeal bar can lead to angular vara or valga deformityNon- union