Key result
Rigid intramedullary nailing is an excellent treatment option for older children and adolescents with femoral shaft fractures, particularly for length-unstable fractures and larger patients.
Rigid intramedullary nailing is described as an excellent treatment option for older children and adolescents with femoral shaft fractures, particularly for length-unstable fractures and larger patients.
May support rigid nailing for unstable pediatric femoral fractures; leaves open need for prospective comparative trials.
Femoral shaft fractures are common injuries in the pediatric and adolescent age groups. Rigid intramedullary nailing is an excellent treatment option for older children and adolescents, particularly for length-unstable fractures and larger patients (>49 kg). Appropriate indications, contraindications, and preoperative assessment are described. The rigid nailing surgical technique is detailed including positioning, operative steps, pearls, and pitfalls. Complications and the reported outcomes of lateral trochanteric entry nailing are reviewed from the published series.
No takes yet. Share an insight, caveat, or question.
Jeffrey E. Martus (2016) conducted a review in Femoral shaft fractures. Rigid intramedullary nailing was evaluated. Rigid intramedullary nailing is an excellent treatment option for older children and adolescents with femoral shaft fractures, particularly for length-unstable fractures and larger patients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: