Key result
Closed intramedullary nailing of adolescent femoral shaft fractures achieved 100% healing without malunion and significantly shorter hospitalizations compared to casting and traction.
Why the study?
Does closed reamed intramedullary nailing improve outcomes and reduce hospitalization time and cost compared to casting and traction in adolescents with femoral shaft fractures?
Population
31 adolescent patients with open physes and femoral shaft fractures
Comparison
Closed reamed intramedullary nailing vs Casting and traction
Design
Cohort
Follow-up
average 26.7 months
Authors
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May shorten adolescent hospitalizations without malunion; leaves open confirmation in randomized trials.
Cohort (n=31)
Does closed reamed intramedullary nailing improve outcomes and reduce hospitalization time and cost compared to casting and traction in adolescents with femoral shaft fractures?
Closed intramedullary nailing is an effective, faster, and cost-saving treatment option for femoral shaft fractures in adolescents compared to traditional casting and traction.
Timmerman et al. (1993) conducted a cohort in Femoral shaft fractures (n=31). Closed reamed intramedullary nailing vs. Casting and traction was evaluated on Hospitalization time, cost, and time to mobilization. Closed intramedullary nailing of adolescent femoral shaft fractures achieved 100% healing without malunion and significantly shorter hospitalizations compared to casting and traction.
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