Trauma: Complications of Femoral Diaphyseal Fractures

ortopedi-16-2-2024-kapak-1

Yavuz SAĞLAMa , Avni İlhan BAYHANb

aİstanbul University İstanbul Faculty of Medicine, Department of Orthopedics and Traumatology, İstanbul, Türkiye
bMetin Sabancı Baltalimanı Bone Diseases Training and Research Hospital, Department of Orthopedics and Traumatology, İstanbul, Türkiye

ABSTRACT
The ideal choice of treatment for femoral diaphysis fractures in pediatric patients has remained a constant challenge for pediatric orthopedic surgeons and pose a management dilemma, particularly in school-aged children. The available literature does point to a number of trends, however, which have emerged to aid in decision-making regarding management in select circumstances. A lack of comparative evidence investigating best practices has limited the applicability of conscientious attempts at the creation of formal management guidelines. Multiple fixation modalities are available such as, conventional plating, biologic plating, titanium elastic nailing, external fixation and rigid nailing. Management decisions are primarily based on the age and size of the patient. Other important considerations include fracture configuration, surgeon’s experience and disruption to family life. All these modalities have different type and rate of complications, which will be discussed in individual sections.
Keywords: Femoral fractures; femur; complication

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