Femoral shaft fractures in young children (<5 years of age): operative and non-operative treatments in clinical practice

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Marion RappP Illing

Abstract

Femoral shaft fractures comprise around 4 % of all long-bone fractures in childhood. There is controversy about the treatment of fractures in children below 5 years, between those preferring non-operative methods, such as casting or traction, and those supporting elastic stable intramedullary nailing (ESIN). This retrospective study evaluates the day-by-day treatment of femoral shaft fractures in children aged 6-60 months in four major paediatric surgery trauma centres in Germany from 1 January 2004 to 31 December 2011 by chart review. We analysed all patient-related data, causes of fracture, fracture type, treatment method and potential post-treatment complications. We identified 225 patients (male to female 2:1) with femoral shaft fractures. Around 2/3 of these resulted from falls of less than 1 m or 1-3 m, the most frequent result (>40 %) being a long spiral fracture. All 19 children below 1 year of age were treated by casting or traction. Between the ages of 12 and 24 months (n = 56), different treatment concepts were preferred (1/5 ESIN, 2/5 traction and 2/5 spica casting). Between 24 and 36 months, operative and non-operative therapies were equally distributed. In children older than 36 months (n = 64), most fractures wer...Continue Reading

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Citations

Mar 3, 2017·World Journal of Orthopedics·Fabrizio DonatiGiulio Maccauro
Sep 21, 2017·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·L KremerI Marzi
May 1, 2018·Journal of Children's Orthopaedics·R T TishermanS A Mendelson
Feb 3, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Peter P Schmittenbecher
Dec 15, 2020·Journal of Orthopaedic Surgery and Research·Hui GaoYuxi Su
Feb 25, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Meizhen Guo, Yuxi Su

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