الفهرس 
AnatomyOnly 14 pages are availabe for public view
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Abstract
Pediatric femoral fractures are the most the common long bone fracture in children, with one third of these occurring between ages 5 to 12. These injuries are usually the result of road traffic accidents, sports and non-accidental injury. Different modalities exist for managing these fractures, often stratified according to the age of the patient.
The American Academy of Orthopaedic Surgeons (AAOS) provides guidance for the treatment of paediatric diaphyseal femoral fractures, which was most recently updated in 2015. These guidelines provide evidence for managing fractures in three sub- groups based upon age, but recommendations for the 4 to 12 year old group are lacking.
Complications of both treatments include malunion, non-union, infection, limb length discrepancy, implant failure, prominent metalwork and revision surgery.
In patients undergoing flexible nailing, the surgical variable data found this treatment modality to be superior in terms of certain operative features: shorter operative duration times (p = 0.00001), smaller volumes of estimated blood loss (p = 0.00001). There was no difference regarding length of hostital stay (p=0.59).