Neurologic complications of pediatric femoral nailing

K. Daniel Riew, Peter F. Sturm, Donald Rosenbaum, William W. Robertson, Ken Yamaguchi

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Neurologic complications of femoral rodding with interlocking nails were investigated in 35 consecutive pediatric patients, aged 10-17 years, with traumatic femur fractures. We examined various risk factors for neurologic complications, including timing and duration of surgery, preoperative and intraoperative traction type, adequacy of preoperative traction, intraoperative patient position, degree of comminution of the fracture, and use of interlocking screws. There were eight (22.2%) neurologic complications. Of these, only two (5.6%) persisted for longer than a week. The combination of surgical delay >48 h, preoperative shortening, and the use of boot traction increased the incidence of all palsies to 5.68 times and peroneal palsies to 11.4 times that of patients without this combination of risk factors. Adequate pre- and intraoperative skeletal traction, especially in patients with hours of surgical delay, may decrease the incidence of neurologic complications in pediatric femoral nailings.

Original languageEnglish
Pages (from-to)606-612
Number of pages7
JournalJournal of Pediatric Orthopaedics
Volume16
Issue number5
DOIs
StatePublished - Aug 27 1996
Externally publishedYes

Keywords

  • Femoral roddings
  • Neurologic complications
  • Skeletal traction

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