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Treatment of Length-Unstable Pediatric Femur Fractures in Children Aged 5 to 11 years: A Focused Review
Journal article   Peer reviewed

Treatment of Length-Unstable Pediatric Femur Fractures in Children Aged 5 to 11 years: A Focused Review

Dustin A Greenhill, Anthony I Riccio and Martin J Herman
Journal of the American Academy of Orthopaedic Surgeons, v 32(9), pp 373-380
01 May 2024
PMID: 38639649

Abstract

Bone Nails Bone Plates Child Child, Preschool Femoral Fractures - surgery Femur - surgery Fracture Fixation, Intramedullary - methods Humans Retrospective Studies Treatment Outcome
Pediatric femur fractures in children aged 5 to 11 years are typically classified as length-stable versus length-unstable. For length-stable fracture patterns, there is frequent consensus among pediatric orthopaedic specialists regarding the appropriateness of flexible intramedullary nails, submuscular plates (SMP), or lateral-entry rigid intramedullary nails (LE-RIMN). With length-unstable fracture patterns, however, the decision is more complex. Age, weight, fracture pattern, fracture location, surgical technique, surgeon experience, several implant-specific details, and additional factors are all important when choosing between flexible intramedullary nail, SMP, and LE-RIMN. These familiar methods of fixation may all be supported by conflicting and sometimes heterogeneous data. When planning to treat length-unstable fractures in young children, surgeons should understand evidence-based details associated with each implant and how each patient-specific scenario affects perioperative decisions.

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
Surgery
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