Key result
Recent literature on pediatric diaphyseal femoral fractures highlights a shift toward shorter hospital stays, less traction, and increased use of operative intervention and intramedullary fixation.
This article reviews recent literature on the evolving treatment of pediatric femoral shaft fractures, highlighting a trend toward operative intervention and intramedullary fixation.
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Supports trend toward operative fixation in pediatric femoral fractures; leaves open need for prospective trials on outcomes.
The treatment of pediatric diaphyseal femoral fractures has changed substantially over the last 2 decades and continues to be refined. Shorter hospital stays, less traction, and more operative intervention have been the hallmarks and, more recently, a move toward intramedullary fixation. Despite these major changes in clinical practice, the literature still struggles to keep up and the topic generates many articles each year. This article will review the last year of significant literature on pediatric femoral shaft fractures.
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Stotts et al. (2012) conducted a review in Pediatric diaphyseal femoral fractures. Operative intervention and intramedullary fixation was evaluated. Recent literature on pediatric diaphyseal femoral fractures highlights a shift toward shorter hospital stays, less traction, and increased use of operative intervention and intramedullary fixation.
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