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Current Treatment Options for Pediatric Femur Fractures
Historically, the vast majority of femur fractures in children have been treated with casting alone, or with traction followed by casting when there is a risk of excessive shortening. These methods have been very successful, although malunion and limb length inequality continue to occur in a small percentage of children. Surgeons who treat large numbers of pediatric femur fractures have increasing enthusiasm for methods of internal and external fixation that obviate the need for lengthy traction. External fixation, flexible, or rigid IM nails, and plating are used to maximize early mobility and minimize the length of hospital stay. Each method has particular indications, contraindications, and complications that must be considered in choosing the optimal treatment for a particular child and his or her fracture.
John M. Flynn, M.D. Division of Orthopaedic Surgery, The Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA.
Type: Reference Material
Author/Contact: John M. Flynn, M.D.
Institution: University of Pennsylvania Orthopaedic Journal
Submitted by: admin
Added: Thu Mar 12 2009