ReviewIndian journal of orthopaedics2021
Pediatric Femoral Shaft Fracture: An Age-Based Treatment Algorithm.
Review in Indian journal of orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 29 citations in OpenAlex.
- Conservative Treatment of Pediatric Fractures-Narrative Review of Acceptable Deformity and Remodeling Potential.Medical sciences (Basel, Switzerland) · 2026Review
- Radiological effectiveness and cost analysis of the spica casting method without anesthesia in emergency room conditions for femoral shaft fractures in children under five years old.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Elastic nailing versus plate and screws fixation for pediatric femoral shaft fractures: a systematic review and meta-analysis of high quality randomized controlled trials.Frontiers in pediatrics · 2026Review
- The top 50 cited publications relating to femoral shaft fractures - A bibliometric analysis of the literature.Journal of orthopaedics · 2025Article
- Recommended Treatment for Pediatric Upper Extremity Fractures Varies Among Orthopaedic Surgeons and Trainees.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Elastic stable intramedullary nailing versus submuscular plating in length unstable pediatric diaphyseal femur fractures: A prospective comparative study.Journal of clinical orthopaedics and trauma · 2025Article
- Comparative analysis of adolescent intramedullary nailing and locking plate fixation for femoral shaft fractures.Frontiers in surgery · 2025Article
- An exploration into the principles and theoretical progress of fracture treatment based on the mechanism of fracture healing.Biomaterials translational · 2025Review
- Direct medical costs of paediatric diaphyseal femoral fracture treatment in a public academic hospital in South Africa.Orthopedic reviews · 2025Article
- Ultrasound-guided techniques for managing length- unstable femoral shaft fractures in children.BMC musculoskeletal disorders · 2024Article
- Single-leg versus double-leg hip spica casts in the management of paediatric femoral shaft fractures? A systematic review and meta-analysis.Journal of clinical orthopaedics and trauma · 2024Review
- Comparing pediatric femoral shaft fracture repair patient outcomes between pediatric and non-pediatric orthopedic surgeons.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Submuscular Plating Versus Elastic Intramedullary Nailing in Children with Femoral Shaft Fracture; a systematic review and meta-analysis.Journal of clinical orthopaedics and trauma · 2023Review
- Suitability of skin traction combined with braces for treating femoral shaft fractures in 3-5 years old children.Journal of orthopaedic surgery and research · 2023Article
- Racial Disparities in Outcomes Following Open Treatment of Pediatric Femoral Shaft Fractures.Cureus · 2022Article
- Pediatric Femoral Shaft Fracture: An Age-Based Treatment Algorithm. Liau GZQ, Lin HY, Wang Y, Nistala KRY, Cheong CK, Hui JHP. Indian J Orthop. 2020 Oct 10;55(1):55-67. doi:10.1007/s43465-020-00281-6. eCollection 2021 Feb.Indian journal of orthopaedics · 2022Article
- Operative Choice for Length-Unstable Femoral Shaft Fracture in School-Aged Children: Locking Plate vs. Monolateral External Fixator.Frontiers in pediatrics · 2021Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFractures of the femoral shaft in children are common. The rates of bone growth and remodeling in children vary according to their ages, which affect their respective management.
methodsThis paper evaluates the incidence and patterns of pediatric femoral shaft fracture and the current concepts of treatments available.
resultsThe type of fracture-closed or open; stable or unstable-needs to be taken into account. Child abuse should be suspected in fractures sustained by infants. For younger children, non-surgical management is preferred, which include Pavlik harness (< 6 months old) and early spica casting (6 months to 6 years old). Older children (> 6 years old) usually benefit from surgical treatments as outcomes of non-surgical alternatives are worse and are associated with prolonged recovery times. These operative measures for older children that are 6-12 years old include elastic stable intramedullary nailing and submuscular plating. Factors to be considered when devising an appropriate intervention include body mass, location of injury, and nature of fracture. For adolescent and skeletally mature teenagers (> 12 years old), rigid antegrade entry intramedullary fixation is indicated. In the event of open fractures or polytrauma, external fixation should be considered as a temporary treatment method for initial fracture stabilization.
conclusionAn age-based and evidence-based algorithm has been proposed to guide surgeons in the process of evaluating an appropriate treatment.
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Registered trials
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.