One hundred pediatric femoral fractures: epidemiology, treatment attitudes, and early complications.
Analysis of 100 consecutive femoral fractures admitted to our institution revealed an incidence of about 1 fracture per 2,000 children per year. Epidemiologic data may help to promote prevention. Initial treatment was performed by many doctors, thus rendering guidelines to safe and cost-effective management indispensable. In the last decade, growing concern to reduce hospital stays and costs led to new approaches that replaced traction as a therapeutic principle. Today, we consider immediate spica casting a good option for the group 0-5 years old, whereas in the age group 5-12 years old elastic stable intramedullary nailing (ESIN) produces reliably good results. Minor complications were common and could be avoided partially, but they did not affect the good final outcome.
Buess
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Pediatric Orthopaedics Unit, Children's Hospital, Hôpitaux Universitaires de Genève, Switzerland.
Kaelin
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D000293:Adolescent; D017677:Age Distribution; D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D005260:Female; D005264:Femoral Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000628:therapy*; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015994:Incidence; D007223:Infant; D007902:Length of Stay; D008297:Male; D011859:Radiography; D017678:Sex Distribution; D013557:Switzerland / Q000453:epidemiology; D016896:Treatment Outcome