Advertisement

Paediatric Femoral Fractures

  • John Stammers
  • Matthew Barry
Part of the In Clinical Practice book series (ICP)

Abstract

Femur fractures are the third most common paediatric fracture requiring admission (after tibia and forearm); the incidence is reported as between 20 and 50 per 100,000 children, per year. There is a bimodal distribution - early childhood and mid-adolescence, with an equal sex distribution during the early childhood peak where the common mechanism is falls. In mid-adolescents, due to an increased risk from sports and motor vehicle collisions, males are more commonly affected.

Keywords

Femoral Fracture Compartment Syndrome Motor Vehicle Collision Elastic Nail Soft Tissue Irritation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Key References

  1. Kocher M, Sink E, Blasier R, et al. Treatment of pediatric diaphyseal femur fractures AAOS clinical practice guideline summary. J Am Acad Orthop Surg. 2009;17:718–25.PubMedGoogle Scholar
  2. Flynn J, Luedtke L, Ganley T, et al. Comparison of titanium elastic nails with traction and a spica cast to treat femoral fractures in children. J Bone Joint Surg (Am). 2004;86-A(4):770–7.Google Scholar
  3. MacNeil JA, Francis A, El-Hawary R. A systematic review of rigid, locked, intramedullary nail insertion sites and avascular necrosis of the femoral head in the skeletally immature. J Pediatr Orthop. 2011;31(4):377–80.CrossRefPubMedGoogle Scholar
  4. Blasier RD, Aronson J, Tursky EA. External fixation of pediatric femur fractures. J Pediatr Orthop. 1997;17(3):342–6.Google Scholar
  5. Caird MS, Mueller KA, Puryear A, Farley FA. Compression plating of pediatric femoral shaft fractures. J Pediatr Orthop. 2003;23(4):448–52.Google Scholar
  6. Li Y, Hedequist DJ. Submuscular plating of pediatric femur fracture. J Am Acad Orthop Surg. 2012;20(9):596–603.Google Scholar
  7. MacNeil JA, Francis A, El-Hawary R. A systematic review of rigid, locked, intramedullary nail insertion sites and avascular necrosis of the femoral head in the skeletally immature. J Pediatr Orthop. 2011;31(4):377–80.Google Scholar

Copyright information

© Springer-Verlag London Ltd. 2015

Authors and Affiliations

  1. 1.T&O SpR Royal London RotationLondonUK
  2. 2.Consultant Orthopaedic and Trauma Surgeon, Paediatric and Young Adult Orthopaedic UnitThe Royal London and Barts and The London Children’s Hospitals, Barts Health NHS TrustLondonUK

Personalised recommendations