Table Of Contents
Paediatric Femoral Shaft Fracture
Femoral shaft fractures are the most common fracture-related indication for admission in paediatrics. However, they only account for about 2% of paediatric fractures. Femoral shaft fractures should prompt concern for non-accidental injury in patients < 3 years old.
| Age | Treatment |
|---|---|
| < 5 years old | Hip spica cast |
| 5 – 14 years old | ORIF with flexible nails if the fracture is lenght-stable (transverse fracture) or plating if length-unstable (communited fracture) |
| > 14 years or > 50kg | ORIF with rigid intramedullary nail |
