J Korean Fract Soc.  2002 Apr;15(2):292-298. 10.12671/jksf.2002.15.2.292.

Treatment of femoral diaphyseal fractures in children: Comparison between conservative treatment and retrograde flexible intramedullary nailing

• Oh CW
• Park BC
• Ihn JC
• Soh HT
• Baek SH

• KMID: 1999412
• DOI: http://doi.org/10.12671/jksf.2002.15.2.292

Abstract

PURPOSE: To compare clinical outcomes and complications between pediatric patients with femoral shaft fracture who had undergone conservative treatment and retrograde flexible intramedullary nailing.
MATERIALS AND METHODS
51 cases of 46 pediatric patients who had femoral shaft fracture were retrospectively studied. Hip spica cast was applied 3~6 weeks after traction in 24 cases of conservative treatment group and closed reduction and internal fixation with flexible nails were performed in 27 cases. RESULT: Neither pain, limitation of joint motion, nor nonunion was reported in both groups. In radiologic evaluation, 4 cases of angulation more than 10 degrees were observed in conservative treatment group and none of surgical treatment group. In leg length discrepancy(LLD) over 10 mm, there was none in surgical treatment group, but 4 cases were seen in the conservative group. Two cases of limping were observed only in the conservative group. Mean time to weight bearing was earlier in surgical treatment group(7.5 weeks) than that in the conservative group(10.8 weeks).
CONCLUSION
As treatment of pediatric femoral shaft fracture, retrograde flexible intramedullary nailing had less complications such as LLD and angulation and enabled earlier rehabilitation than conservative treatment.

Keyword

children; femur shaft fracture; conservative treatment; retrograde flexible intramedullary nailing; leg length discrepancy

MeSH Terms

Child*
Fracture Fixation, Intramedullary*
Hip
Humans
Joints
Leg
Rehabilitation
Retrospective Studies
Traction
Weight-Bearing