Treatment of pediatric diaphyseal femur fractures.
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.
Kocher
Mininder S
MS
Department of Orthopaedics, Children's Hospital, Boston, MA, USA.
Sink
Ernest L
EL
Blasier
R Dale
RD
Luhmann
Scott J
SJ
Mehlman
Charles T
CT
Scher
David M
DM
Matheney
Travis
T
Sanders
James O
JO
Watters
William C
WC
Goldberg
Michael J
MJ
Keith
Michael Warren
MW
Haralson
Robert H
RH
Turkelson
Charles M
CM
Wies
Janet L
JL
Sluka
Patrick
P
Hitchcock
Kristin
K
D002648:Child; D018483:Diaphyses / Q000293:injuries; D005264:Femoral Fractures / Q000628:therapy*; D005269:Femur / Q000293:injuries*; D005592:Fracture Fixation / Q000379:methods*; D006801:Humans; D017410:Practice Guidelines as Topic