Related Experiment Video
Updated: May 9, 2026
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Percutaneous k-wire fixation for femur shaft fractures in children: a treatment concepts for developing countries
1Department of Orthopedics, SMS and RI, Sharda University, Greater Noida, Uttar Pradesh, India.
Insights
Intramedullary Kirschner wires offer a safe and effective treatment for pediatric femoral shaft fractures, leading to excellent union rates and minimal complications. This technique promotes early weight-bearing and reduces hospitalization, proving economical for patient care.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Traumatology
Background:
- Femoral shaft fractures are a significant cause of morbidity and mortality in pediatric lower extremity injuries.
- Effective treatment is crucial to minimize long-term complications and ensure proper bone healing in children.
Purpose of the Study:
- To evaluate the efficacy of intramedullary Kirschner wires for treating femoral shaft fractures in pediatric patients.
- To assess the union rates, complication profile, and functional outcomes associated with this surgical technique.
Main Methods:
- A prospective study involving 68 children (mean age 7.7 years) with closed femoral shaft fractures.
- Surgical treatment using intramedullary Kirschner wires under general anesthesia.
- Twelve-month follow-up period to monitor bone union and complications.
Main Results:
- Sixty-four out of 68 patients achieved bone union within a mean of 56 days (range 42-70 days).
- Excellent results were observed in 94.1% of cases, with good results in 5.8%.
- Complications were minimal, with four cases of insignificant delayed union that resolved within three weeks; no major complications were reported.
Conclusions:
- Intramedullary Kirschner wire fixation is a simple, safe, and reliable method for pediatric femoral shaft fractures.
- The technique facilitates early mobilization and weight-bearing, reduces hospitalization duration, and offers good functional outcomes.
- This approach is cost-effective and provides excellent results in the pediatric population.
Background:
Fractures shaft femur is a major cause of morbidity and mortality in patients with lower extremity injuries.
Aims:
The aim of this study was to evaluate the efficacy of intramedullary Kirschner wires for the treatment of femoral shaft fracture in children.
Subjects And Methods:
This prospective study was conducted in the Department of Orthopaedic surgery in M. M. Medical College from June 2005 to June 2010. Sixty eight children with a mean age of 7.7 years (range, 2-14 years) were recruited from Emergency and out patient department having closed fracture of femoral shaft. All patients were operated under general anesthesia. All patients were followed for twelve months.
Results:
Out of sixty eight patients, sixty four patients underwent union in 42 to 70 days with a mean of 56 days. Touch down weight bearing was started on 2(nd) post-operative day. Complications found in four patients who had insignificant delayed union which were united next three weeks. Intramedullary Kirschner-wires were removed after an average of five months without any complications. The results were excellent in 94.1% (64/68) and good in 5.8% (4/68).
Conclusion:
This technique is simple, quick to perform, safe and reliable and avoids prolonged hospitalization with good results and is economical.
