fractures of femoral shaft in children

نویسندگان

بهادر اعلمی هرندی

alami harandi b عیسی نواب

navab i مسعود نوروزی

noroozi m

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Femoral shaft fractures in children.

Femoral shaft fractures represent approximately 1.6% of all bony injuries in children. There is a first peak in early childhood and a second one in midadolescence. Although femoral shaft fractures are disabling injuries, most heal rapidly without significant complications. Traction and casting were standard treatment up to a few years ago. Duration of hospitalisation was high. Recently however,...

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Fractures of the femoral shaft in children.

A series of 133 fractures of the shaft of the femur in children (during the first 12 years) is discussed. The injury is much more common in boys. The highest incidence is in 3-year-old children. A gentle reduction is desirable and anaesthesia is rarely necessary. In the age group under consideration i in. of shortening in reduction is desirable; angulation should be avoided. Initial immobilizat...

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[Femoral shaft fractures in children and adolescents].

Femoral-shaft fractures are frequent in children and adolescents. Fortunately, most unite rapidly without significant complications or sequelae. Treatment options include spica casting, traction, external fixation, compression plating, and flexible or locked intramedullary nailing, each of which has advantages and dis-advantages. Treatment is determined primarily on the basis of the age of the ...

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Remodelling of angular deformity after femoral shaft fractures in children.

We reviewed 28 children with unilateral middle-third fractures of the femoral shaft who had an angular deformity after union of 10 degrees to 26 degrees. At an average follow-up of 45 months (20 to 66), we measured remodelling of the proximal physis, the distal physis and the femoral shaft. The average correction was 85% of the initial deformity. We found that 74% of correction occurred at the ...

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Elastic stable intramedullary nailing of femoral shaft fractures in children.

We report the use of elastic stable intramedullary nailing (ESIN) in 123 fractures of the femoral shaft in children. Flexible rods are introduced through the distal metaphyseal area, and the aim is to develop bridging callus. Early weight-bearing is possible and is recommended. There was one case of bone infection and no delayed union. Complications were minimal, the most common being minor ski...

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Conservative management of femoral shaft fractures in children.

Thirty-two children with femoral shaft fractures were treated conservatively with initial skin traction followed by an additional period in a spica cast. After 12 to 20 months of follow up, none had any pain and all of them were attending school without problems. Shortening of more than 2 cm occurred in 6 (19%) of the 32 patients. The most important factor associated with shortening was an over...

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عنوان ژورنال:
مجله دانشکده پزشکی دانشگاه علوم پزشکی تهران

جلد ۵۸، شماره ۳، صفحات ۱-۸

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