Interlocking Intramedullary Nailing of Femoral-Shaft Fractures in Adolescents: Preliminary Results and Complications

James Beaty, Susan M. Austin, William C. Warner, S. Terry Canale, Lorenzo Nichols

Research output: Contribution to journalArticle

145 Citations (Scopus)

Abstract

Thirty-one femoral-shaft fractures in 30 patients were treated with interlocking intramedullary nails. The 19 boys and 11 girls ranged in age from 10 to 15 years (average age 12 + 3 years) at the time of injury. All fractures united, and the average leg-length discrepancy (comparing the injured to the uninjured extremity) was 0.51 cm. Two patients had overgrowth of >2.5 cm; none had angular or rotational malunions. One patient developed asymptomatic segmental avascular necrosis of the femoral head, which was not seen on radiographs until 15 months after injury. All nails were removed at an average of 14 months after injury; no refracture or femoral neck fracture has since occurred. Intramedullary nailing is a reasonable alternative for the treatment of isolated femoral-shaft fractures in older adolescents and in younger adolescents with multiple trauma.

Original languageEnglish (US)
Pages (from-to)178-183
Number of pages6
JournalJournal of Pediatric Orthopaedics
Volume14
Issue number2
DOIs
StatePublished - Jan 1 1994

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Intramedullary Fracture Fixation
Femoral Fractures
Nails
Wounds and Injuries
Femur Head Necrosis
Femoral Neck Fractures
Multiple Trauma
Leg
Extremities
Therapeutics

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

Cite this

Interlocking Intramedullary Nailing of Femoral-Shaft Fractures in Adolescents : Preliminary Results and Complications. / Beaty, James; Austin, Susan M.; Warner, William C.; Canale, S. Terry; Nichols, Lorenzo.

In: Journal of Pediatric Orthopaedics, Vol. 14, No. 2, 01.01.1994, p. 178-183.

Research output: Contribution to journalArticle

Beaty, James ; Austin, Susan M. ; Warner, William C. ; Canale, S. Terry ; Nichols, Lorenzo. / Interlocking Intramedullary Nailing of Femoral-Shaft Fractures in Adolescents : Preliminary Results and Complications. In: Journal of Pediatric Orthopaedics. 1994 ; Vol. 14, No. 2. pp. 178-183.
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