Treatment outcomes after insufficiency femoral diaphyseal fractures in nonambulatory children.
J Pediatr Orthop B
; 25(4): 331-7, 2016 Jul.
Article
in En
| MEDLINE
| ID: mdl-27135220
ABSTRACT
UNLABELLED 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. LEVEL OF EVIDENCE III, therapeutic study; retrospective comparative study.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Bone Plates
/
Femoral Fractures
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Fracture Fixation
/
Fracture Fixation, Intramedullary
Type of study:
Observational_studies
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Language:
En
Journal:
J Pediatr Orthop B
Journal subject:
ORTOPEDIA
/
PEDIATRIA
Year:
2016
Document type:
Article
Affiliation country: