Treatment of femoral fractures in neonates

Uri Givon1, Nir Sherr-Lurie, Amos Schindler

  • 1Pediatric Orthopedics Unit, Safra Hospital for Children, Tel Hashomer, Israel. ugivon@smile.net.il

Insights

Bryant traction effectively treats neonatal femoral fractures, ensuring full healing without long-term issues. This safe method offers good outcomes for infants with femur fractures.

Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Neonatal care

Background:

  • Neonatal femur fractures are uncommon but cause significant infant distress and prolonged hospitalization.
  • Treatment challenges arise due to the small size of neonates.

Purpose of the Study:

  • To evaluate the treatment outcomes of neonatal femoral fractures.

Main Methods:

  • Retrospective review of 13 neonatal femur fractures in 11 infants over 12 years.
  • Treatment involved improvised Bryant skin traction applied to both legs.
  • Patients were followed up for a mean of 5.2 years.

Main Results:

  • All fractures demonstrated satisfactory clinical and radiographic healing.
  • No residual deformities, leg length discrepancies, or functional impairments were observed.

Conclusions:

  • Bryant's traction for 2-3 weeks is a safe and effective treatment for neonatal femoral fractures.
  • This method leads to good clinical outcomes and functional recovery.
Abstract