Journal article
Treatment of Pediatric Femoral Shaft Fractures
Journal of the American Academy of Orthopaedic Surgeons, v 30(22), pp E1443-E1452
15 Nov 2022
PMID: 36107122
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Diaphyseal femur fractures are common in pediatric orthopaedic settings. A patient-specific treatment plan incorporates several factors, including age, weight, fracture pattern, associated injuries, and social considerations. Nonaccidental trauma should be considered in children younger than 3 years. In general, young children are treated with noninvasive immobilization (Pavlik harness or early hip spica casting) while school-aged children are treated with internal fixation. Internal fixation options include flexible intramedullary nails, rigid locked intramedullary nails, and plate osteosynthesis. Flexible intramedullary nails have the best outcomes in children of appropriate weight, aged 5 to 11 years, with stable fracture patterns. Lateral-entry rigid intramedullary nails have been designed for use in older children. External fixation is usually reserved for complex scenarios. Regarding all treatment methods, surgeons should be aware of several technical factors necessary to optimize outcomes.
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Details
- Title
- Treatment of Pediatric Femoral Shaft Fractures
- Creators
- Dustin A. Greenhill - St. Luke's University Health NetworkMartin J. Herman - St. Christopher's Hospital for Children
- Publication Details
- Journal of the American Academy of Orthopaedic Surgeons, v 30(22), pp E1443-E1452
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 10
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics; Orthopedic/Orthopaedic Surgery
- Web of Science ID
- WOS:000878281100011
- Scopus ID
- 2-s2.0-85141889842
- Other Identifier
- 991020836607704721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Orthopedics
- Surgery