The management of paediatric diaphyseal femoral fractures: a modern approach
نویسندگان
چکیده
The definitive treatment of paediatric femoral diaphyseal fractures remains controversial. Modalities of treatment vary mostly according to age, with fracture pattern and site having a lesser impact. Current evidence is reflective of this variation with most evidence cited by the American Academy of Orthopedic Surgeons being level 4 or 5. The authors present a review of the most up-to-date evidence relating to the treatment of these fractures in each age group. In an attempt to clarify the current trends, we have produced an algorithm for decision-making based on the experience from our own tertiary referral level 1 major trauma centre.
منابع مشابه
Role of elastic stable intramedullary nail in the surgical management of diaphyseal fracture femur in children
Introduction: Femoral shaft fractures account for 1.6% of all paediatric injuries. In children 5 years or younger, early closed reduction and application of spica cast is an ideal treatment for most diaphyseal fracture. Elastic stable intramedullary nailing of long bone fractures in the skeletally immature has gained widespread popularity because of its clinical effectiveness and low risk of co...
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