Scholarlink

The treatment of pediatric diaphyseal femur fractures is primarily guided by patient age, with specific interventions recommended for different age groups: a Pavlik harness for patients under 6 months, immediate spica casting for those 6 months to 5 years, elastic flexible nails for ages 5 to 11 years, and rigid intramedullary nails for children older than 11 years. These fractures typically heal well, allowing for minimal postoperative radiographs. Anatomic reduction is unnecessary, especially in younger children, given the remarkable remodeling potential of pediatric bone during growth. Involving parents in shared decision-making regarding the most appropriate treatment option, surgical risks, and family impact enhances value.

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Methods to Improve Value for Femoral Shaft Fractures in Children

  • 章节

  • 发表日期：

    2026年

查看全文
  • Jimmy Daher,
  • Benjamin D. Martin,
  • Matthew E. Oetgen

摘要

The treatment of pediatric diaphyseal femur fractures is primarily guided by patient age, with specific interventions recommended for different age groups: a Pavlik harness for patients under 6 months, immediate spica casting for those 6 months to 5 years, elastic flexible nails for ages 5 to 11 years, and rigid intramedullary nails for children older than 11 years. These fractures typically heal well, allowing for minimal postoperative radiographs. Anatomic reduction is unnecessary, especially in younger children, given the remarkable remodeling potential of pediatric bone during growth. Involving parents in shared decision-making regarding the most appropriate treatment option, surgical risks, and family impact enhances value.