title: Kuntscher nailing of femoral shaft fractures in children and adolescents.
abstract: We have reviewed 29 cases of very unstable diaphyseal fractures of the femur in children and adolescents treated by Kuntscher nailing. Follow up was for at least 5 years, and in most cases until after the end of growth. There were no postoperative complications, and the mean overgrowth of the femur was 7.06 mm. There was growth disturbance of the proximal femur in one case, but this did not interfere with function. We believe that Kuntscher nailing is indicated in children and adolescents with unstable high velocity fractures of the femoral shaft.
authors.affiliation: Department of Traumatology and Orthopaedic Surgery, Faculty of Medicine, University of Valencia, Spain.
authors.forename: J I
authors.initials: JI
authors.lastname: Maruenda-Paulino
authors.forename: V
authors.initials: V
authors.lastname: Sanchis-Alfonso
authors.forename: F
authors.initials: F
authors.lastname: Gomar-Sancho
authors.forename: A
authors.initials: A
authors.lastname: Darder-Prats
authors.forename: J
authors.initials: J
authors.lastname: Gasco-Gomez de Membrillera
mesh_terms: D000293:Adolescent; D001858:Bone Nails; D002648:Child; D005260:Female; D005264:Femoral Fractures / Q000150:complications / Q000601:surgery*; D005269:Femur / Q000000981:diagnostic imaging / Q000254:growth & development; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D006801:Humans; D007870:Leg Length Inequality / Q000209:etiology; D008297:Male; D011859:Radiography