title: [Extension or osteosynthesis of juvenile femoral shaft fractures--experiences with the external fixator].
abstract: Since 1988 14 femoral shaft fractures were primarily treated in children using the AO-external fixation technique. In contrast to the patients treated by extension only, early mobilisation and out-patient management of these patients became possible. However the time of consolidation was prolonged, probably due to the rigidity of the unilateral double tube AO-external fixator and consequently the insufficient dynamisation of the fracture. Despite of technical complications having occurred in two patients we will continue to apply this method of treatment for femoral shaft fractures. This because the above-mentioned fundamental advantages of this osteosynthesis. For future use a new system with improved means of dynamisation is in evaluation.
authors.affiliation: Traumatologischen Abteilung der Kinderchirurgischen und Orthopädischen Klinik, Kinderspital, Basel.
authors.forename: L
authors.initials: L
authors.lastname: Kaelin
authors.forename: U
authors.initials: U
authors.lastname: Freiburghaus
authors.forename: L
authors.initials: L
authors.lastname: von Laer
authors.forename: C
authors.initials: C
authors.lastname: Lampert
mesh_terms: D000293:Adolescent; D001860:Bone Plates; D002648:Child; D002675:Child, Preschool; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D009984:Orthopedic Fixation Devices; D011859:Radiography
vernacular_title: Extension oder Osteosynthese kindlicher Oberschenkelfrakturen--Erfahrungen mit dem Fixateur externe.