Treatment outcomes after insufficiency femoral diaphyseal fractures in nonambulatory children.
retrospective_cohort · Level III
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- Record sourced from PubMed, PMID 27135220.
- Also identified by DOI 10.1097/BPB.0000000000000317.
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Abstract
We retrospectively reviewed the treatment and outcomes of diaphyseal femur fractures in a cohort of nonambulatory children. There were 30 patients (38 fractures) reviewed [average age of 10.1 years (range: 1.8-17.8)]. Fractures were treated with locked plate/screw fixation (n=18), with a complication rate of 24% (9/38). Patients with elastic stable intramedullary nailing experienced the highest complication rate (5/7, 71%) compared with plate/screw fixation (2/18, 11%) (P=0.01) and underwent greater subsequent procedures (n=5, 63%). Surgeons should consider locked plate and screw fixation as their first treatment choice in this challenging patient population. III, therapeutic study; retrospective comparative study.
Medical subject headings
- Bone Plates
- Femoral Fractures
- Fracture Fixation
- Fracture Fixation, Intramedullary
Anatomy
- femur