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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
Published on: August 17, 2017
Femoral fractures in children
James Brousil1, James B Hunter
1Department of Trauma and Orthopaedics, Queens Medical Centre, Nottingham, UK.
Insights
Pediatric femoral fractures are common and costly. Advances in surgical care, particularly for proximal femur and shaft fractures, are improving outcomes and reducing complications like avascular necrosis.
Area of Science:
- Pediatric Orthopedics
- Trauma Surgery
Background:
- Femoral fractures are the most common pediatric fracture requiring hospitalization, presenting a significant healthcare burden.
- Recent advancements in operative management have enhanced clinical and health economic outcomes for these injuries.
Purpose of the Study:
- To review 21st-century management strategies for pediatric femoral fractures.
- To highlight recent advancements and their impact on treatment outcomes.
Main Methods:
- Review of current literature on pediatric femoral fracture management.
- Analysis of trends in operative versus non-operative treatment.
- Evaluation of outcomes, including complication rates.
Main Results:
- A notable increase in operative management for all types of femoral fractures.
- Improved clinical outcomes for proximal femur and shaft fractures.
- Significant reduction in the incidence of avascular necrosis of the femoral head due to treatment advancements.
Conclusions:
- Specialized surgical expertise and dedicated equipment are essential for optimal management of pediatric femoral fractures.
- Centers treating pediatric fractures must have access to these resources to improve patient outcomes.
Purpose Of Review:
Femoral fractures in children are the commonest children's fracture requiring hospitalization. They consume disproportionate amounts of healthcare resource. Advances in operative management have resulted in improved clinical and health economic outcomes.
Recent Findings:
This article describes 21st-century management of femoral fractures concentrating on recent advances. There is a clear trend to increased operative management in all femoral fractures with improved outcomes in the proximal femur and shaft. Crucially, advances in the treatment of both have led to a reduction in the rate of avascular necrosis of the femoral head.
Summary:
Units treating paediatric fractures need access to specialist surgeons and equipment to treat the full range of femoral fractures and improve outcomes.
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