Authors: Hatem S A Elgohary Wael A El Adl
Publish Date: 2013/12/04
Volume: 24, Issue: 7, Pages: 1229-1235
Abstract
The aim of this work was to evaluate the results of rigid nailing of pediatric femoral shaft fractures inserted antegrade through the tip of the greater trochanter Twentythree femoral shaft fractures in 23 children were fixed with rigid interlocking nails inserted through the tip of the greater trochanter at Mansoura Emergency Hospital in the period between June 2009 and August 2011 The average age of the patients at the time of injury was 126 years range 92–15 years The final followup radiographs were assessed for evidence of avascular necrosis AVN of the femoral head and any deformity of the proximal femur the neck–shaft angle the articulotrochanteric distance and the femoral neck diameter Patients were followed to a mean period of 31 months range from 25 to 36 months postoperatively All fractures united in a range of 9 weeks from 8 to 13 weeks with no limb length discrepancy more than 2 cm and no clinically evident rotation in either direction no case had a vascular necrosis of the femoral head or significant proximal femoral deformity by the final followup Fixation of fractures of the shaft of the femur in children with rigid interlocking nails inserted through the tip of the greater trochanter is a rigid way for fixation controlling rotation and length It is a safe technique without causing AVN of the femoral head or proximal femoral deformityThis study have been approved by the ethical committee in Mansoura University and performed in accordance with the pertinent ethical guidelines ie Declaration of Helsinki as laid down in 1964 and revised in 2008 and informed consents were taken from parents of all patients
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