Rigid Intramedullary Nailing of Femoral Shaft Fractures for Patients Age 12 and Younger: Indications and Technique.
Femoral shaft fractures are common injuries in the pediatric and adolescent age groups. Rigid intramedullary nailing is an excellent treatment option for older children and adolescents, particularly for length-unstable fractures and larger patients (>49 kg). Appropriate indications, contraindications, and preoperative assessment are described. The rigid nailing surgical technique is detailed including positioning, operative steps, pearls, and pitfalls. Complications and the reported outcomes of lateral trochanteric entry nailing are reviewed from the published series.
Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Monroe Carell Jr Children's Hospital, Nashville, TN.
Jeffrey E
JE
Martus
D000293:Adolescent; D000465:Algorithms; D001860:Bone Plates; D005260:Female; D005264:Femoral Fractures / Q000175:diagnosis / Q000601:surgery; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008297:Male; D056888:Patient Positioning; D011183:Postoperative Complications / Q000517:prevention & control*; D011859:Radiography / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome