title: Treatment of pediatric diaphyseal femur fractures.
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.
authors.affiliation: Department of Orthopaedics, Children's Hospital, Boston, MA, USA.
authors.forename: Mininder S
authors.initials: MS
authors.lastname: Kocher
authors.forename: Ernest L
authors.initials: EL
authors.lastname: Sink
authors.forename: R Dale
authors.initials: RD
authors.lastname: Blasier
authors.forename: Scott J
authors.initials: SJ
authors.lastname: Luhmann
authors.forename: Charles T
authors.initials: CT
authors.lastname: Mehlman
authors.forename: David M
authors.initials: DM
authors.lastname: Scher
authors.forename: Travis
authors.initials: T
authors.lastname: Matheney
authors.forename: James O
authors.initials: JO
authors.lastname: Sanders
authors.forename: William C
authors.initials: WC
authors.lastname: Watters
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Goldberg
authors.forename: Michael Warren
authors.initials: MW
authors.lastname: Keith
authors.forename: Robert H
authors.initials: RH
authors.lastname: Haralson
authors.forename: Charles M
authors.initials: CM
authors.lastname: Turkelson
authors.forename: Janet L
authors.initials: JL
authors.lastname: Wies
authors.forename: Patrick
authors.initials: P
authors.lastname: Sluka
authors.forename: Kristin
authors.initials: K
authors.lastname: Hitchcock
mesh_terms: 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