title: [Growth behavior after femoral shaft fractures: feasibility of patient therapy targets].
abstract: BACKGROUND
  The treatment of femoral shaft fractures has increasingly become a domain of surgical therapy. On the one hand the possibilities of spontaneous correction of shaft axis deviation and rotation are limited and on the other hand leg length differences are often observed as a result of shaft fractures, which can lead to relevant consequences for spinal and pelvic statics.
  
  
  OBJECTIVE
  Is there a benefit from the increasing trend towards surgical therapy and what treatment options are currently available for the treatment of femoral shaft fractures?
  
  
  METHODS
  Analysis of treatment recommendations and a literature search of the last decades.
  
  
  CONCLUSIONS
  Newly developed implants currently provide a variety of methods for osteosynthesis for each age group and each fracture type. This allows a better fracture, weight and age adjusted retention of fractures with increased stability and a lower risk of post-traumatic leg length differences. Secondary effects are prompt mobilization and reintegration in the social environment of patients and hence a better achievement of their own therapeutic goals.
authors.affiliation: Abteilung für Unfallchirurgie, Sportorthopädie und Kindertraumatologie, BGU Murnau,Klinikum Garmisch-Partenkirchen, Prof.-Küntscher-Str. 8, 82418, Murnau, Deutschland, dorien.schneidmueller@bgu-murnau.de.
authors.forename: D
authors.initials: D
authors.lastname: Schneidmueller
authors.forename: C
authors.initials: C
authors.lastname: Kraft
authors.forename: V
authors.initials: V
authors.lastname: Bühren
authors.forename: L
authors.initials: L
authors.lastname: von Laer
mesh_terms: D000293:Adolescent; D002648:Child; D005240:Feasibility Studies; D005260:Female; D005264:Femoral Fractures / Q000175:diagnosis* / Q000628:therapy*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods; D017102:Fracture Healing; D006132:Growth Plate / Q000254:growth & development; D006801:Humans; D007103:Immobilization / Q000379:methods; D008297:Male; D018579:Patient Selection; D026741:Physical Therapy Modalities; D019736:Prostheses and Implants; D020127:Recovery of Function; D000072042:Salter-Harris Fractures