ArticleDer Unfallchirurg2015
[Femoral shaft fractures in children under 3 years old. Current treatment standard].
Article in Der Unfallchirurg, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Epidemiology and management of pediatric femoral fractures at a level I trauma center: a 10-year retrospective monocentric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- [Techniques of lower limb immobilization in children and adolescents].Operative Orthopadie und Traumatologie · 2025Article
- Closed reduction and intramedullary nails for acute completely displaced femoral diaphysis fracture in children aged 2-6.Frontiers in pediatrics · 2024Article
- ESIN in femur fractures in children under 3: is it safe?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Results after skin traction for femur shaft fractures in children below the age of four years.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Impressive Remodeling of the Fractured Femur with Transposition of the Fractured Parts, Treated Conservatively with skin Traction, in a 3-Year-Old Boy.Journal of orthopaedic case reports · 2022Article
- [Complication rate after femoral shaft fractures in childhood and adolescence depending on patient factors and treatment measures].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2022Article
- Therapy preference of 131 parents confronted with a pediatric femoral fracture.Frontiers in pediatrics · 2022Article
- [Diaphyseal and metaphyseal femoral fractures in childhood].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- TREATMENT OF PEDIATRIC FEMORAL FRACTURES IN THE CITY OF ZAGREB.Acta clinica Croatica · 2020Article
- Femoral shaft fractures in young children (<5 years of age): operative and non-operative treatments in clinical practice.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFemoral shaft fractures in children are a common injury. Operative treatment is recommended for children above 3 years of age. The question of this investigation was the current clinical standard for the treatment of femoral shaft fractures in children under 3 years old. MATERIAL AND
methodsAn e-mail questionnaire was sent to all clinics and hospital departments of the members of the German Society for Trauma Surgery and the German Society of Pediatric Surgery.
resultsOut of 775 clinics and departments, 121 participated in the survey (16 %). From 2011 to 2012 overall 756 femoral shaft fractures of children 3 years and younger were treated of which 375 (50 %) were stabilized with elastic stable intramedullary nailing (ESIN), 183 (24 %) with an overhead extension, 178 (23 %) with a plaster cast and 9 (1 %) with external fixation. Finally, operative treatment was used in 51 % compared to 49 % with conservative treatment. DISCUSSION: Obviously, operative treatment of femoral shaft fractures in children younger than 3 years is routinely used despite the fact that there is no evidential basis for this approach. There are good arguments for and against operative and conservative forms of treatment. Indications for operative treatment include multiple trauma, open fractures, body weight over 20 kg, child already free walking and lack of stable fixation with conservative treatment. To achieve more evidence for the existing recommendation of the American Academy of Orthopaedic Surgeons (AAOS) and the Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF, Working Group of the Scientific Medical Specialist Societies), further investigations are needed.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.