title: The management of paediatric diaphyseal femoral fractures: a modern approach.
abstract: The definitive treatment of paediatric femoral diaphyseal fractures remains controversial. Modalities of treatment vary mostly according to age, with fracture pattern and site having a lesser impact. Current evidence is reflective of this variation with most evidence cited by the American Academy of Orthopedic Surgeons being level 4 or 5. The authors present a review of the most up-to-date evidence relating to the treatment of these fractures in each age group. In an attempt to clarify the current trends, we have produced an algorithm for decision-making based on the experience from our own tertiary referral level 1 major trauma centre.
authors.affiliation: St George's Hospital, 68 Daybrook Road, London, SW19 3DH, UK. Alkhoriati@doctors.org.uk.
authors.forename: Al-Achraf
authors.initials: AA
authors.lastname: Khoriati
authors.affiliation: Royal County Surrey, Guildford, UK.
authors.forename: Carl
authors.initials: C
authors.lastname: Jones
authors.affiliation: St George's Hospital, 68 Daybrook Road, London, SW19 3DH, UK.
authors.forename: Yael
authors.initials: Y
authors.lastname: Gelfer
authors.affiliation: St George's Hospital, 68 Daybrook Road, London, SW19 3DH, UK.
authors.forename: Alex
authors.initials: A
authors.lastname: Trompeter
keywords: Evidence; Femur; Fracture; Management; Paediatric; Review; Trauma