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Updated: Mar 9 2025

Femoral Shaft Fractures - Pediatric

Images
  • summary
  • Epidemiology
  • Etiology
  • Anatomy
  • Classification
  • Presentation
  • Imaging
  • Treatment
    • Nonoperative
      • Pavlik harness
        • indications
          • children < 6 months old
          • any fracture pattern
      • spica casting
        • indications
          • children 0-5 years old
          • relatively contraindicated with polytrauma, open fractures and shortening > 2-3 cm
      • traction + delayed spica casting
        • indications
          • younger patients with significant shortening
          • rarely utilized
    • Operative
      • flexible intramedullary nails
        • indications
          • most length stable fracture patterns in children 5-11 years old weighing < 49kg (100 lbs)
      • submuscular bridge plate fixation
        • indications
          • unstable fractures in children > 5 years old and > 49kg (100lbs)
          • very proximal or very distal fractures
          • severe comminution
      • antegrade rigid intramedullary nail fixation
        • indications
          • in patients > 11 years old or approaching skeletal maturity
          • unstable fractures
          • fractures in patients weighing > 49kg (100 lbs)
      • external fixation
        • indications
          • damage control orthopedics in a polytrauma patient
          • open fractures
          • associated vascular injuries requiring revascularization
          • segmental or significantly comminuted fractures
      • Treatment Table by Age
      • < 6 months
      • Pavlik harness
      • Early spica casting
      • 6 months - 5 years
      • Early spica casting
      • Unstable fracture pattern
      • Polytrauma, multiple/open fx
      • Traction with delayed spica casting
      • External fixator
      • 5-11 years
      • Length stable and <49kg
      • Flexible titanium nail
      • Length unstable fx (comminuted or spiral)
      • Very proximal or distal fx
      • Any weight
      • ORIF with submuscular bridge plating
      • Stainless steel Enders nails
      • External fixation
      • > 11 years
      • Patient weighs > 49kg (100 lbs)
      • Antegrade rigid intramedullary nail fixation
      • Proximal or distal fx
      • Severe comminution
      • ORIF with submuscular bridge plating
  • Techniques
  • Complications
  • Prognosis
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Question
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Pediatrics ⎜ Femoral Shaft Fractures (ft. Dr. Eric Shirley)
  • Pediatrics
  • - Femoral Shaft Fractures - Pediatric
19:35 min
10/18/2019
287 plays
5.0
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(2)
Pediatrics | Femoral Shaft Fractures - Pediatric
  • Pediatrics
  • - Femoral Shaft Fractures - Pediatric
24:33 min
10/31/2019
904 plays
5.0
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(2)
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