ArticleJournal of the Pediatric Orthopaedic Society of North America2025
Advantages of a Dedicated Orthopaedic Trauma Room for Children With Fractures of the Femur Treated at a Pediatric Community Hospital.
Article in Journal of the Pediatric Orthopaedic Society of North America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Nighttime intramedullary nailing of femoral fractures is not associated with worse outcomes: a 13-year Level I trauma center cohort.Archives of orthopaedic and trauma surgery · 2026Observational
- Impact of a Dedicated Pediatric Orthopaedic Trauma Room on Efficiency Metrics and Complications: A Systematic Review and Meta-analysis.Journal of the Pediatric Orthopaedic Society of North America · 2026Review
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5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: The benefits of a dedicated orthopaedic trauma room (DOTR) for patients with isolated femur fractures have not been reported from a pediatric community hospital. Methods: Twenty-three years of skeletally immature patients treated for an isolated diaphyseal femur fracture with two flexible intramedullary nails, Pre-DOTR: 2000-2015 and Post-DOTR: 2016-2022, were reviewed for comparison of patient demographics and injury patterns, timing and durations of surgery, fellow presence, duration and cost of hospitalization, and complication rates. Results: One hundred fifty-three patients were identified. One hundred twenty-six patients underwent surgery pre-DOTR and 27 post-DOTR. Demographics were similar between groups, except the post-DOTR patients were younger (mean age 7.4 years vs 9.0 years, Conclusions: Implementing a guaranteed first start for orthopaedic trauma via a DOTR at a pediatric community hospital, a pediatric non-Level I or II trauma center, allowed for daytime surgery without prolonging hospital stays for pediatric patients undergoing flexible intramedullary nailing for a femur fracture. Guaranteed morning OR block time for orthopaedic trauma decreased lengths of hospital stay and enabled a larger percentage of surgeries to be done during daytime hours. Shorter hospital stays suggest substantial cost savings, while early daytime surgery for nonemergent procedures avoided burdening families with prolonged waits to surgery. Key Concepts: (1)A daily dedicated orthopaedic trauma room (DOTR) for operative treatment of orthopaedic trauma in a pediatric community hospital results in the vast majority of femur fracture surgeries being performed during daytime hours.(2)Even with a delay of many femur fracture surgeries until the next morning, a DOTR does not increase the fraction of patients treated outside the 18-h window from admission.(3)A DOTR for operative treatment of pediatric femur fractures in a community pediatric hospital can decrease lengths of stay for patients treated for diaphyseal femur fractures.(4)A DOTR may decrease the costs of hospitalization by decreasing lengths of stay for patients treated for diaphyseal femur fractures. Level of Evidence: Therapeutic, Level III - Retrospective comparison study.
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