Femoral Shaft Fractures in Children

Celiker, Omer; Çetin, İlker; Sahlan, Safak; F, Pestilci; Altuğ, Muhammed Enes

doi:10.1097/01241398-198809000-00017

Cited by 16 publications

(3 citation statements)

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“…A host of options are available for treating femoral-shaft fractures in children, including skin or skeletal traction with or without spica casting [1,9,11,13], an immediate spica cast, a spica cast incorporating skin traction or skeletal traction [4,6,14,17,18,19,20], external fixation [2,3,16], or internal fixation with flexible intramedullary nails [2,5,7,10,21] or compression plating [8,22]. Although prolonged traction (with or without delayed spica casting) is a time-honoured method, it may be beneficial for both the patient and the health care system to use a method that facilitates earlier discharge.…”

Section: Discussionmentioning

confidence: 99%

“…The concept of a traction spica cast is not new. Techniques involving either skin traction or skeletal traction have been associated with adequate results and early dis-charge from the hospital [4,6,14,17,18,19,20]. Staheli and Sheridan reported success with a spica cast incorporating bilateral skin traction [20].…”

Section: Discussionmentioning

confidence: 99%

“…Celiker et al treated 65 children with a distal femoral traction pin (Kirschner wire) incorporated into a one and one-half spica cast (1.5-2 cm. of shortening accepted) [4]. Hip position was determined by the location of the fracture, and the knee joint was maintained at 90°flexion.…”

Section: Discussionmentioning

confidence: 99%

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Traction spica cast for femoral-shaft fractures in children

Gracilla

Diaz

Penaranda

et al. 2003

International Orthopaedics (SICOT)

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We treated 20 children for an isolated femoral shaft fracture using distal tibial traction incorporated into a spica cast with the knee in full extension. Patients were discharged from the hospital at a mean of 5.1 days following injury. All fractures healed, and there were four minor complications. At a mean follow-up of 35 (13-72) months, all patients were asymptomatic with normal function. All but one fracture healed in acceptable alignment, and there was no clinically significant leg-length discrepancy. The method is relatively simple to employ and may be advantageous in a setting of limited resources.Résumé Nous avons traité 20 enfants pour une fracture de la diaphyse fémorale isolée avec une traction tibiale distale incorporée dans le spica avec le genou en extension complète. Les malades ont quitté l'hôpital en moyenne 5.1 jours après le traumatisme. Toutes les fractures ont consolidé, et il y avait 4 complications mineures. À une moyenne de suivi de 35 (13-72) mois tous les malades étaient assymptomatiques avec une fonction normale. Toutes les fractures sauf une ont guéri avec un alignement acceptable, et il n'y avait aucune différence de longueur cliniquement. La méthode est relativement simple à emploi, et peut être avantageuse dans un cadre de ressources limitées.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Traction spica cast for femoral-shaft fractures in children

Gracilla

Diaz

Penaranda

et al. 2003

International Orthopaedics (SICOT)

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Femur

Skeletal Injury in the Child

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FIGURE 21-4. Roentgenographic development of the distal femur. (A) Serial sections from a 3-year-old child (accident victim). Note the differences in the physeal/metaphyseal contours. There is a torus fracture in the distal metaphysis (arrows). (B) Irregular medial ossification (arrow) is evident in this specimen from a 7-year-old. (C) Femur from a 15-year-old showing early stages of physiologic epiphysiodesis.

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