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Treatment of femoral shaft fracture with an interlocking humeral nail in older children and adolescents

 Hoon Park  ;  Hyun Woo Kim 
 YONSEI MEDICAL JOURNAL, Vol.53(2) : 408-415, 2012 
Journal Title
Issue Date
Adolescent ; Bone Nails* ; Child ; Female ; Femoral Fractures/surgery* ; Femur/injuries ; Femur/surgery ; Humans ; Male ; Retrospective Studies ; Treatment Outcome
Children ; adolescent ; femoral shaft fracture ; interlocking humeral nail ; greater trochanter
PURPOSE: Rigid interlocking nailing for femoral shaft fracture is ideal for use in adolescents in terms of stability of the fracture and convenience for the patient. However, numerous authors have reported that rigid interlocking nailing has some limitations in this age group due to the risk of complications. We evaluated the results of intramedullary nailing for femoral shaft fractures with an interlocking humeral nail in older children and adolescents. MATERIALS AND METHODS: We retrospectively reviewed records of patients treated with an interlocking humeral nail. Radiographs were examined for proximal femoral change and evidence of osteonecrosis. Outcomes were assessed by major or minor complications that occurred after operative treatment. RESULTS: Twenty-four femoral shaft fractures in 23 patients were enrolled. The mean age at the time of operation was 12 years and 8 months and the mean follow- up period was 21 months. Bony union was achieved in all patients without any complications related to the procedure such as infection, nonunion, malalignment and limb length discrepancy. All fractures were clinically and radiographically united within an average eight weeks. No patients developed avascular necrosis of the femoral head and coxa valga. CONCLUSION: Intramedullary nailing through the greater trochanter using a rigid interlocking humeral nail is effective and safe for the treatment of femoral shaft fractures in older children and adolescents.
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1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyun Woo(김현우) ORCID logo https://orcid.org/0000-0001-8576-1877
Park, Hoon(박훈) ORCID logo https://orcid.org/0000-0002-8063-3742
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