Stainless steel flexible intramedullary fixation of unstable femoral shaft fractures in children

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

To assess the role of stainless steel flexible intramedullary fixation in unstable pediatric femur fractures, we compared a group of 41 stable (transverse or oblique) fractures with a group of 40 unstable (spiral and/or comminuted) fractures treated with stainless steel (Ender) nails placed through a single lateral insertion. The fractures were followed up until clinical and radiographic union was evident with an average follow-up period of 13 months. All fractures were healed at an average of 1.4 months. No infections or refractures occurred. Although minor radiographic angular deformities and shortening were present in both groups, no patient had a clinically detectable angular deformity. Two patients with stable fracture patterns had 10 to 20 degrees of asymmetry in foot progression angles, and 1 patient with an unstable fracture pattern (Winquist grade IV comminution) had a 3-cm limb length difference at final follow-up. Stainless steel flexible intramedullary fixation is effective for unstable pediatric femur fractures if cortical abutment is present.

Original languageEnglish (US)
Pages (from-to)432-441
Number of pages10
JournalJournal of Pediatric Orthopaedics
Volume27
Issue number4
DOIs
StatePublished - Jun 2007

Fingerprint

Femoral Fractures
Stainless Steel
Femur
Pediatrics
Comminuted Fractures
Nails
Foot
Extremities
Infection

Keywords

  • Children
  • Elastic nailing
  • Femur fracture
  • Intramedullary fixation

ASJC Scopus subject areas

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

Cite this

Stainless steel flexible intramedullary fixation of unstable femoral shaft fractures in children. / Rathjen, Karl E.; Riccio, Anthony I.; De La Garza, David.

In: Journal of Pediatric Orthopaedics, Vol. 27, No. 4, 06.2007, p. 432-441.

Research output: Contribution to journalArticle

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