Treatment of femoral fractures in children by pediatric orthopedists: Results of a 1998 survey

被引：76

作者：

Sanders, JO ^{[1
]}

Browne, RH ^{[1
]}

Mooney, JF ^{[1
]}

Raney, EM ^{[1
]}

Horn, BD ^{[1
]}

Anderson, DJ ^{[1
]}

Hennrikus, WL ^{[1
]}

Robertson, WW ^{[1
]}

机构：

[1] Shriners Hosp Children, Erie, PA 16505 USA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 2001年 / 21卷 / 04期

关键词：

adolescent; children; femur fractures; infants;

D O I：

10.1097/00004694-200107000-00004

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：

This study aimed to determine treatment preference of various femoral fracture patterns in children by pediatric orthopedists and whether it is practice dependent. In September 1998, members of the Pediatric Orthopedic Society of North America were sun;eyed to determine their current preferences in treating each of four middle one-third femoral fracture patterns in four age groups. Forty-four percent (286/656) of those surveyed responded. For each fracture pattern, operative treatment was increasingly preferred over nonoperative as patient age increased, and the preferred treatments within the operative and nonoperative categories changed significantly as patient age increased. Fourteen specific cases of femoral head avascular necrosis were noted after rigid reamed and unreamed redding. There is a statistically significant trend by pediatric orthopedists to treat older children's femur fractures operatively and younger children's nonoperatively. The consensus treatment is age dependent. The numerous cases of avascular necrosis after rigid redding are a concern.

引用

页码：436 / 441

页数：6

共 16 条

[1] AVASCULAR NECROSIS OF THE CAPITAL FEMORAL EPIPHYSIS AFTER INTRAMEDULLARY NAILING FOR A FRACTURE OF THE FEMORAL-SHAFT [J].