A five year learning experience with sequence of events in a child with closed femur shaft fracture
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20211633Keywords:
Paediatric femur fracture, Titanium elastic nailing system, Deformity correctionAbstract
Femur shaft fractures are the most common fractures requiring hospitalization in children. Management of these fractures mainly depend on the age of the child. Associated injuries, fracture pattern, weight of the child and overlying soft tissue condition also influence the management. Still, the definitive treatment remains controversial in children between 5-16 years. We present our experience in management of 5 year old boy with mid shaft femur fracture and its complications. In his paper we want to highlight the importance of sticking to the basic principles and the recommendations in the management of the paediatric femur shaft fractures.
References
Flynn JM, Skaggs D. Femoral shaft fractures. In: Flynn JM, Skaggs D, Waters P, eds. Rockwood & Wilkins’ Fractures in Children. 9th ed. Philadelphia: Wolters Kluwer; 2014:987-1026.
Loder RT, ODonnell PW, Feinberg JR. Epidemiology and mechanisms of femur fractures in children. J Pediatr Orthop. 2006;26(5):561-6.
Yandow SM, Archibeck MJ, Stevens PM, Shultz R. Femoral-shaft fractures in children: A comparison of immediate casting and traction. J Pediatr Orthop. 1999;19(1):55-9.
Sanders JO, Browne RH, Mooney JFm. Treatment of femoral fractures in children by pediatric orthopedists: Results of a 1998 survey. J Pediatr Orthop. 2001;21(4):436-41.
Harvey AR, Bowyer GW, Clarke NMP. The management of paediatric femoral shaft fractures. Curr Orthop. 2002;16(4):293-9.
Wallace ME, Hoffman EB. Remodelling of angular deformity after femoral shaft fractures in children. J Bone Joint Surg Br. 1992;74(5):765-9.
Davids JR. Rotational deformity and remodeling after fracture of the femur in children. Clin Orthop Relat Res. 1994;302:27-35.
Slongo TF. The choice of treatment according to the type and location of the fracture and the age of the child. Injury. 2005;36(Suppl 1):12-9.
Kocher MS, Sink EL, Blasier RD, Luhmann SJ, Mehlman CT, Scher DM, et al. American Academy of Orthopaedic Surgeons clinical practice guideline on treatment of paediatric diaphyseal femur fracture. J Bone Joint Surg Am. 2010;92(8):1790-2.
Canale ST, Beaty JH. Campbell`s operative orthopaedics. 12th ed. Philadelphia: Elsevier; 2013: 1460-70.
Narayanan UG, Hyman JE, Wainwright AM, Rang M, Alman BA. Complications of elastic stable intramedullary nail fixation of pediatric femoral fractures, and how to avoid them. J Pediatr Orthop. 2004;24(4):363-9.
Beaupre GS, Giori NJ, Caler WE, Csongradi J. A comparison of unicortical and bicortical end screw attachment of fracture fixation plates. J Orthop Trauma. 1992;6(3):294-300.
Davenport SR, Lindsey RW, Leggon R, Miclau T, Panjabi M. Dynamic compression plate fixation: a biomechanical comparison of unicortical vs bicortical distal screw fixation. J Orthop Trauma. 1988;2(2):146-50.
Apivatthakakul T, Phaliphot J, Leuvitoonvechkit S. Percutaneous cerclage wiring, does it disrupt femoral blood supply? a cadaveric injection study. Injury. 2013;44:168-74.
Perren SM, Cordey J, Rahn BA, Gautier E, Schneider E. Early temporary porosis of bone induced by internal fixation implants: a reaction to necrosis, not to stress protection? Clin Orthop. 1988;232:139-51.
Buijze GA, Richardson S, Jupiter JB. Successful reconstruction for complex malunions and nonunions of the tibia and femur. J Bone Joint Surg Am. 2011;93(5):485-92.