Interventions for treating femoral shaft fractures in children and adolescents
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Cochrane Database Syst Rev. 2014 Jul 29;(7):CD009076. doi: 10.1002/14651858.CD009076.pub2.
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Fractures of the femoral shaft in children are relatively uncommon but serious injuries that disrupt the lives of children and their carers and can result in significant long-term disability. Treatment involves either surgical fixation, such as intramedullary nailing or external fixation, or conservative treatment involving prolonged immobilisation, often in hospital.
To assess the effects (benefits and harms) of interventions for treating femoral shaft fractures in children and adolescents.
There is insufficient evidence to determine if long-term function differs between surgical and conservative treatment. Surgery results in lower rates of malunion in children aged 4 to 12 years, but may increase the risk of serious adverse events. Elastic stable intramedullary nailing may reduce recovery time.There is insufficient evidence from comparisons of different methods of conservative treatment or of different methods of surgical treatment to draw conclusions on the relative effects of the treatments compared in the included trials.
- Interventions for treating femoral shaft fractures in children and adolescents. [Evid Based Child Health. 2014]
- PMID: 25072888 DOI: 10.1002/14651858.CD009076.pub2
- [PubMed – indexed for MEDLINE]