Strategies in Trauma and Limb Reconstruction

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VOLUME 11 , ISSUE 2 ( August, 2016 ) > List of Articles

Review

The management of paediatric diaphyseal femoral fractures: a modern approach

Al-achraf Khoriati, Carl Jones, Yael Gelfer, Alex Trompeter

Keywords : Paediatric, Femur, Fracture, Management, Review, Trauma, Evidence

Citation Information : Khoriati A, Jones C, Gelfer Y, Trompeter A. The management of paediatric diaphyseal femoral fractures: a modern approach. 2016; 11 (2):87-97.

DOI: 10.1007/s11751-016-0258-2

License: CC BY-NC-SA 4.0

Published Online: 01-06-2014

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

The definitive treatment of paediatric femoral diaphyseal fractures remains controversial. Modalities of treatment vary mostly according to age, with fracture pattern and site having a lesser impact. Current evidence is reflective of this variation with most evidence cited by the American Academy of Orthopedic Surgeons being level 4 or 5. The authors present a review of the most up-to-date evidence relating to the treatment of these fractures in each age group. In an attempt to clarify the current trends, we have produced an algorithm for decision-making based on the experience from our own tertiary referral level 1 major trauma centre.


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