title: Intramedullary nailing of pediatric femoral shaft fracture.
abstract: Intramedullary nail fixation of pediatric long bone fracture, particularly femoral shaft fracture, has revolutionized the care and outcome of these complex injuries. Nailing is associated with a high rate of union and a low rate of complications. Improved understanding of proximal femoral vascularity has led to changes in nail insertion methodology. Multiple fixation devices are available; selection is based on fracture type, patient age, skeletal maturity, and body mass index. A thorough knowledge of anatomy and biomechanics is required to achieve optimal results without negatively affecting skeletal development.
authors.affiliation: Department of Orthopaedic Suregery, University of California, San Diego, CA, USA.
authors.forename: Harish S
authors.initials: HS
authors.lastname: Hosalkar
authors.forename: Nirav K
authors.initials: NK
authors.lastname: Pandya
authors.forename: Robert H
authors.initials: RH
authors.lastname: Cho
authors.forename: Diana A
authors.initials: DA
authors.lastname: Glaser
authors.forename: Molly A
authors.initials: MA
authors.lastname: Moor
authors.forename: Martin J
authors.initials: MJ
authors.lastname: Herman
mesh_terms: D000293:Adolescent; D001696:Biomechanical Phenomena; D001858:Bone Nails; D002648:Child; D002675:Child, Preschool; D020878:Device Removal; D005264:Femoral Fractures / Q000175:diagnosis / Q000601:surgery*; D005269:Femur / Q000098:blood supply; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D005597:Fractures, Open / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007223:Infant; D011182:Postoperative Care / Q000379:methods; D000072042:Salter-Harris Fractures