The Community Orthopaedic Surgeon Taking Trauma Call: Pediatric Femoral Shaft Fracture Pearls and Pitfalls.

Abstract:

:Pediatric femoral shaft fractures present many challenging patient care decisions. Nonoperative treatment approaches still dominate care of the youngest age groups while surgical intervention is commonplace in virtually all older children. Treatment is determined primarily by patient age as modified by clinical factors including mechanism of injury, weight, and skeletal maturity. Infants can be successfully treated by placement into a Pavlik harness, whereas children younger than 5 years are most commonly treated by early reduction and spica cast immobilization. Children aged up to 11 years are most commonly treated by flexible intramedullary nailing, whereas older children and adolescents, particularly with length unstable fractures should be treated with more rigid fixation such as lateral entry locked nails or submuscular plating.

journal_name

J Orthop Trauma

authors

Gordon JE,Mehlman CT

doi

10.1097/BOT.0000000000001016

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

S16-S21

eissn

0890-5339

issn

1531-2291

pii

00005131-201711006-00005

journal_volume

31 Suppl 6

pub_type

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