Treatment of femoral shaft fracture with an interlocking humeral nail in older children and adolescents.
OBJECTIVE
Rigid interlocking nailing for femoral shaft fracture is ideal for use in adolescents in terms of stability of the fracture and convenience for the patient. However, numerous authors have reported that rigid interlocking nailing has some limitations in this age group due to the risk of complications. We evaluated the results of intramedullary nailing for femoral shaft fractures with an interlocking humeral nail in older children and adolescents.


METHODS
We retrospectively reviewed records of patients treated with an interlocking humeral nail. Radiographs were examined for proximal femoral change and evidence of osteonecrosis. Outcomes were assessed by major or minor complications that occurred after operative treatment.


RESULTS
Twenty-four femoral shaft fractures in 23 patients were enrolled. The mean age at the time of operation was 12 years and 8 months and the mean follow- up period was 21 months. Bony union was achieved in all patients without any complications related to the procedure such as infection, nonunion, malalignment and limb length discrepancy. All fractures were clinically and radiographically united within an average eight weeks. No patients developed avascular necrosis of the femoral head and coxa valga.


CONCLUSIONS
Intramedullary nailing through the greater trochanter using a rigid interlocking humeral nail is effective and safe for the treatment of femoral shaft fractures in older children and adolescents.
Department of Orthopaedic Surgery, Severance Children's Hospital, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea.
Hoon
H
Park
Hyun Woo
HW
Kim
D000293:Adolescent; D001858:Bone Nails; D002648:Child; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005269:Femur / Q000293:injuries / Q000601:surgery; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome