Key result
Intramedullary nailing for femoral shaft fractures in adolescents resulted in 0% malunions compared to 29.2% in the nonoperative group, with a significantly shorter hospital stay.
Cohort (n=44)
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May support intramedullary nailing in adolescents; leaves open confirmation in prospective trials.
Forty-four patients (45 fractures) with open physes (age range 11-16 years) underwent treatment for femoral shaft fractures. Seven malunions occurred in the 24 fractures in the nonoperative group; none occurred in the 21 fractures treated by intramedullary nailing. Hospital stay was significantly shorter in the operatively treated patients. There was no premature growth arrest in the surgical group.
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Herndon et al. (1989) conducted a cohort in Femoral shaft fractures (n=44). Intramedullary nailing vs. Nonoperative treatment was evaluated on Malunion. Intramedullary nailing for femoral shaft fractures in adolescents resulted in 0% malunions compared to 29.2% in the nonoperative group, with a significantly shorter hospital stay.
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