Treatment of Pediatric Diaphyseal Femur Fractures

被引：108

作者：

Kocher, Mininder S. ^{[1
]}

Sink, Ernest L. ^{[2
]}

Blasier, R. Dale ^{[3
]}

Luhmann, Scott J. ^{[4
]}

Mehlman, Charles T. ^{[5
]}

Scher, David M. ^{[6
]}

Matheney, Travis ^{[7
]}

Sanders, James O. ^{[8
]}

Watters, William C. ^{[9
]}

Goldberg, Michael J. ^{[10
]}

Keith, Michael Warren ^{[11
]}

Haralson, Robert H., III

Turkelson, Charles M.

Wies, Janet L. ^{[12
]}

Sluka, Patrick ^{[12
]}

Hitchcock, Kristin

机构：

[1] Childrens Hosp, Dept Orthopaed, Boston, MA 02115 USA

[2] Childrens Hosp, Dept Orthopaed, Aurora, CO USA

[3] Univ Arkansas Med Sci Hosp, Dept Orthopaed Surg, Little Rock, AR 72205 USA

[4] St Louis Childrens Hosp, Dept Orthopaed Surg, St Louis, MO 63178 USA

[5] Childrens Hosp, Med Ctr, Cincinnati, OH 45229 USA

[6] Hosp Special Surg, Dept Pediat Orthopaed, New York, NY 10021 USA

[7] Childrens Hosp, Dept Orthopaed Surg, Boston, MA 02115 USA

[8] Univ Rochester, Dept Orthopaed & Rehabil, Rochester, NY USA

[9] Bone & Joint Clin Houston, Houston, TX USA

[10] Childrens Hosp & Reg Med Ctr, Skeletal Dysplasia Clin, Seattle, WA USA

[11] Case Western Reserve Univ, Metrohlth Med Ctr, Hand Surg Serv, Cleveland, OH USA

[12] AAOS, Dept Res & Sci Affairs, Clin Practice Guidelines Unit, Rosemont, IL USA

来源：

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS | 2009年 / 17卷 / 11期

关键词：

FEMORAL-SHAFT FRACTURES; SOCIODEMOGRAPHIC RISK-FACTORS; EXTERNAL FIXATION; SPICA CAST; CHILDREN; TRACTION; TITANIUM; COMPLICATIONS; POPULATION; INFANTS;

D O I：

10.5435/00124635-200911000-00006

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Methods of treating pediatric diaphyseal femur fractures are dictated by patient age, fracture characteristics, and family social situation. The recent trend has been away from nonsurgical treatment and toward surgical stabilization. The clinical practice guideline on pediatric diaphyseal femur fractures was undertaken to determine the best evidence regarding a number of different options for surgical stabilization. The recommendations address treatments that include Pavlik harness, Spica casts, flexible intramedullary nailing, rigid trochanteric entry nailing, submuscular plating, and pain management. The guideline authors conclude that controversy and lack of conclusive evidence remain regarding the different treatment options for pediatric femur fractures and that the quality of scientific evidence could be improved for the revised guideline.

引用

页码：718 / 725

页数：8

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