Flexible Intramedullary Nails for Femur Fractures in Pediatric Patients Heavier Than 100 Pounds

James Shaha, Jason M. Cage, Sheena Black, Robert L. Wimberly, Steven H. Shaha, Anthony I. Riccio

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


BACKGROUND:: Flexible intramedullary nailing (FIMN) of femoral shaft fractures in children >100 pounds remains controversial. The purpose of this study is to assess the relationship between patient weight and alignment at radiographic union following Ender’s FIMN of pediatric femoral shaft fractures. METHODS:: An IRB approved, retrospective review of all patients who sustained a femoral shaft fracture treated by retrograde, stainless-steel Ender’s FIMN was performed at a level 1 pediatric trauma center from 2005 to 2012. Preoperative radiographs were analyzed to determine fracture pattern, location, and isthmic canal diameter. Patient weight was measured on presentation to the emergency room. Radiographs at bony union were reviewed to measure shortening, coronal angulation, and sagittal angulation. RESULTS:: A total of 261 children underwent Ender’s FIMN for femoral shaft fractures during the study period. There were 24 patients who weighed ≥100 lbs and 237 patients who weighed

Original languageEnglish (US)
JournalJournal of Pediatric Orthopaedics
StateAccepted/In press - Apr 30 2016

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine


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