Pitfalls in the Treatment of Femur Fractures in Children and Adolescents

Abstract

Pediatric fractures of the femoral shaft are common and typically heal well, with excellent outcomes. Despite this, patients with such fractures may experience complications compromising a satisfactory final outcome. This article provides guidance for avoiding the pitfalls leading to these complications. It discusses perioperative complications of pediatric fractures of the femoral shaft, including errors in their diagnosis and concerns in their medical management. It also provides pointers for the common methods of treating such fractures, including casting, external fixation, plate fixation, and flexible and rigid intramedullary nailing. Lastly, it discusses longer-term complications of these fractures, including malunion and leg-length discrepancy.

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