Flexibility in fixation: an update on femur fractures in children

Journal of Pediatric Orthopedics
Unni G Narayanan, Jonathan H Phillips

Abstract

Although non-operative strategies remain a viable option for the management of some children's femur fractures, surgical management has become more popular and predictable, with potential complications better recognized and thus more easily avoided. This paper addresses the operative management of children's femur fractures highlighting the multiple techniques available to treat the spectrum of pediatric femur fractures. We present the applications of Elastic Stable Intramedullary Nailing and Locked intramedullary nailing, sub-muscular or open plating, and external fixation, and discuss the relative advantages and shortcomings of each technique. Cases are presented for illustration.

References

Nov 1, 1987·The Journal of Bone and Joint Surgery. British Volume·M Sugi, W G Cole
Jan 1, 1988·The Journal of Bone and Joint Surgery. British Volume·J N LigierP Lascombes
Jul 1, 1995·Journal of Pediatric Orthopedics·B F HughesJ D Thompson
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May 4, 1999·The Journal of Bone and Joint Surgery. American Volume·R Y HintonG Smith
Jun 19, 2004·Journal of Pediatric Orthopedics·Unni G NarayananBenjamin A Alman
Mar 30, 2005·Lancet·James G WrightPeter Coyte
Oct 4, 2005·Journal of Pediatric Orthopedics·Ernest L SinkMichael Repine
Mar 25, 2006·Journal of Pediatric Orthopedics·Ernest L SinkTimothy Hresko
Oct 3, 2006·The Journal of Bone and Joint Surgery. British Volume·L A MorozJ M Flynn
May 5, 2010·The Journal of Bone and Joint Surgery. American Volume·Leonhard E RamseierUnni G Narayanan

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Citations

Jun 5, 2016·Journal of Pediatric Orthopedics·Jason W StonebackNancy H Miller
Aug 1, 2013·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·P P Schmittenbecher

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