The clinical features, management options and complications of paediatric femoral fractures

Abstract This article discusses the incidence, applied anatomy and classification of paediatric femoral fractures based on critical appraisal available evidence. The aim is to identify techniques that are relevant contemporary practice whilst excluding technical details individual procedures beyond scope this review. Injuries proximal, diaphyseal distal segments considered individually as there considerations specific each anatomical site. Femoral neck rare injuries require prompt reduction stable fixation minimise potentially devastating consequences avascular necrosis. Diaphyseal relatively common, a spectrum management options depend patient age size. Distal often involve physis, which contributes up 70% length. Growth arrest common consequence in region, resulting angular length-related deformity. Long-term surveillance recommended deformity evolution provide an opportunity for early intervention. Deliberate injury should be all fractures, particularly physeal non-walking child.