Treatment of Diaphyseal Pediatric Femur Fractures with Flexible Intramedullary Fixation

  • Karl Rathjen
  • Phillip L. Wilson


Flexible, or elastic, intramedullary nails (IMNs) are an effective treatment option for children with diaphyseal femur fractures. This technique is most commonly utilized in patients between 5 and 11 years of age weighing less than 45 kg. Length-stable patterns (primarily transverse or short oblique, with minimal comminution) are the fractures that are most amenable to fixation using flexible IMN fixation. Surgeons may choose between titanium and stainless steel implants, one or two insertion sites, and retrograde or antegrade insertion. Patients can usually be managed without any external immobilization and generally make a rapid return to activities without formal physical therapy. While implant removal is not typically required, many surgeons routinely perform removal procedures empirically.


Femur fracture Pediatric Intramedullary fixation Flexible intramedullary nails 


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Department of OrthopaedicsTexas Scottish Rite Hospital for ChildrenDallasUSA
  2. 2.Department of Orthopedics, Texas Scottish Rite HospitalUniversity of Texas Southwestern Medical SchoolDallasUSA

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