Security Fixation of Diaphyseal Fractures in Children and Adolescents

Abstract

Over the last years, the treatment of diaphyseal fractures in children and adolescents has evolved towards an approach that permits shorter immobilization and hospitalization and a rapid re-insertion in social life. Outcomes of diaphyseal fractures treated non-operatively were compared with the percutaneous flexible fixation method in a retrospective study. 105 diaphyseal fractures (tibial and femoral) were treated in our clinic between 1995 and 2004 (46 non-operatively and 59 by percutaneous elastic nailing). Conservative treatment led to a greater number of complications, such as limb length discrepancy and malalignment. Stabilization of the fracture by use of percutaneous elastic nailing allowed consolidation and rapid mobilization with few complications.

Key words

internal fixation - elastic nailing - fracture stabilization - casting

References

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