Paediatric Femoral Fractures
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.
KeywordsFemoral Fracture Compartment Syndrome Motor Vehicle Collision Elastic Nail Soft Tissue Irritation
- 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
- Blasier RD, Aronson J, Tursky EA. External fixation of pediatric femur fractures. J Pediatr Orthop. 1997;17(3):342–6.Google Scholar
- 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
- Li Y, Hedequist DJ. Submuscular plating of pediatric femur fracture. J Am Acad Orthop Surg. 2012;20(9):596–603.Google Scholar
- 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