TY - JOUR
T1 - Treatment of pediatric diaphyseal femur fractures
AU - Kocher, Mininder S.
AU - Sink, Ernest L.
AU - Blasier, R. Dale
AU - Luhmann, Scott I.
AU - Mehlman, Charles T.
AU - Scher, David M.
AU - Matheney, Travis
AU - Sanders, James O.
AU - Watters, William C.
AU - Goldberg, Michael J.
AU - Keith, Michael Warren
AU - Haralson, Robert H.
AU - Turkelson, Charles M.
AU - Wies, Janet L.
AU - Sluka, Patrick
AU - Hitchcock, Kristin
PY - 2009/11
Y1 - 2009/11
N2 - Methods of treating pediatric diaphyseal femur fractures are dictated by patient age, fracture characteristics, and family social situation. The recent trend has been away from nonsurgical treatment and toward surgical stabilization. The clinical practice guideline on pediatric diaphyseal femur fractures was undertaken to determine the best evidence regarding a number of different options for surgical stabilization. The recommendations address treatments that include Pavlik harness, spica casts, flexible intramedullary nailing, rigid trochanteric entry nailing, submuscular plating, and pain management. The guideline authors conclude that controversy and lack of conclusive evidence remain regarding the different treatment options for pediatric femur fractures and that the quality of scientific evidence could be improved for the revised guideline.
AB - Methods of treating pediatric diaphyseal femur fractures are dictated by patient age, fracture characteristics, and family social situation. The recent trend has been away from nonsurgical treatment and toward surgical stabilization. The clinical practice guideline on pediatric diaphyseal femur fractures was undertaken to determine the best evidence regarding a number of different options for surgical stabilization. The recommendations address treatments that include Pavlik harness, spica casts, flexible intramedullary nailing, rigid trochanteric entry nailing, submuscular plating, and pain management. The guideline authors conclude that controversy and lack of conclusive evidence remain regarding the different treatment options for pediatric femur fractures and that the quality of scientific evidence could be improved for the revised guideline.
UR - http://www.scopus.com/inward/record.url?scp=71949113189&partnerID=8YFLogxK
U2 - 10.5435/00124635-200911000-00006
DO - 10.5435/00124635-200911000-00006
M3 - Article
C2 - 19880682
AN - SCOPUS:71949113189
SN - 1067-151X
VL - 17
SP - 718
EP - 725
JO - Journal of the American Academy of Orthopaedic Surgeons
JF - Journal of the American Academy of Orthopaedic Surgeons
IS - 11
ER -