PMID: 11901327Mar 20, 2002Paper

Complications of rigid intramedullary rodding of femoral shaft fractures in children

The Journal of Trauma
Merv LettsDarin Davidson

Abstract

Intramedullary rodding of femoral shaft fractures has been frequently performed in adults, but until recently rarely in children. It was the purpose of this study to investigate the experience with this treatment method at a pediatric trauma center. From 1987 to 1998, 54 children were treated for traumatic femoral fractures with intramedullary rods at a major pediatric trauma center. The average age was 15 years 3 months, ranging between 11 years 4 months and 17 years 11 months. The average follow-up was 5 years 3 months, ranging from 20 months to 10 years 1 month. All of the fractures occurred secondary to trauma and the most common anatomic fracture site was the femoral midshaft. Complications encountered included 8 instances of minor limb length discrepancy, 11 instances of discomfort because of rod prominence, 1 case of avascular necrosis of the femoral head, 2 instances of heterotopic ossification over the rod tip, 1 broken rod, and 3 cases that demonstrated decreased external rotation of the affected limb. One child developed osteomyelitis after intramedullary rodding for a fracture previously treated with external fixation. There were no cases of surgically induced nonunion or malunion and only one delayed union secondar...Continue Reading

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Citations

Jul 28, 2007·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Cem Zeki EsenyelAyhan N Kara
Sep 24, 2013·Injury·Ioannis PolyzoisSam Oussedik
Feb 6, 2004·Current Opinion in Pediatrics·Michael J GardnerMatthew H Griffith
Mar 15, 2006·The Journal of Trauma·James JarvisMerv Letts
Oct 1, 2013·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·D S AngadiT Barrett
Mar 3, 2017·World Journal of Orthopedics·Fabrizio DonatiGiulio Maccauro
Jun 23, 2007·Journal of Pediatric Orthopedics·Christopher A Iobst, Mark T Dahl
Dec 19, 2009·Journal of Pediatric Orthopedics. Part B·John E HerzenbergFrancisco H Violante
Oct 3, 2006·The Journal of Bone and Joint Surgery. British Volume·L A MorozJ M Flynn
Nov 3, 2010·The Journal of the American Academy of Orthopaedic Surgeons·Michael A FlierlWade R Smith
Aug 30, 2014·Journal of Pediatric Orthopedics. Part B·James F Mooney

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