Treatment of Pediatric Diaphyseal Femur Fractures
- 1 November 2009
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of the American Academy of Orthopaedic Surgeons
- Vol. 17 (11), 718-725
- https://doi.org/10.5435/00124635-200911000-00006
Abstract
Methods of treating pediatric diaphyseal femur fractures are dictated by patient age, fracture characteristics, and family social situation. The recent trend has been away from nonsurgical treatment and toward surgical stabilization. The clinical practice guideline on pediatric diaphyseal femur fractures was undertaken to determine the best evidence regarding a number of different options for surgical stabilization. The recommendations address treatments that include Pavlik harness, spica casts, flexible intramedullary nailing, rigid trochanteric entry nailing, submuscular plating, and pain management. The guideline authors conclude that controversy and lack of conclusive evidence remain regarding the different treatment options for pediatric femur fractures and that the quality of scientific evidence could be improved for the revised guideline.Keywords
This publication has 25 references indexed in Scilit:
- Femoral fractures in children, is early interventional treatment beneficial?Injury, 2007
- Titanium elastic nailing of fractures of the femur in childrenThe Journal of Bone and Joint Surgery. British volume, 2006
- Closed, Locked Intramedullary Nailing of Pediatric Femoral Shaft Fractures Through the Tip of the Greater TrochanterThe Journal of Trauma and Acute Care Surgery, 2006
- Grading quality of evidence and strength of recommendationsBMJ, 2004
- Comparison of Pavlik Harness Application and Immediate Spica Casting for Femur Fractures in InfantsJournal of Pediatric Orthopaedics, 2004
- A cost analysis of three methods of treating femoral shaft fractures in childrenA comparison of traction in hospital, traction in hospital/home and external fixationActa Orthopaedica, 2004
- Femoral Shaft Fractures in Children: Traction and Casting versus Elastic Stable Intramedullary NailingThe Journal of Trauma and Acute Care Surgery, 2002
- Occurrence of fractures in a defined population: a 1-year studyInjury, 1990
- Femoral Nerve Blockade in Children Using BupivacaineAnesthesiology, 1989
- Immobilization of femoral shaft fractures in children aged 2–10 yearsInjury, 1972