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Femoral shaft fractures in children represent 1.5% of all fractures in childhood. Up to the age of 4 years, conservative treatment in a hip spica or short-term overhead traction is the therapy of choice. Femoral shaft fractures between the age of 5 and 16 years should be treated surgically. In over 90% of these cases elastic stable intramedullary nailing (ESIN) is the premier treatment option. Additional end caps can be used for unstable fractures and in length discrepancy. The external fixator and the locking plate are reserved for fractures with severe soft tissue injuries, vascular problems and some specific situations mentioned later on. By adhering to these standards good results can be achieved with a low complication rate.
H-G Dietz, and
W Schlickewei
April 2006,
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H-G Dietz, and
W Schlickewei
June 1976,
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke,
H-G Dietz, and
W Schlickewei
September 1969,
Zentralblatt fur Chirurgie,
H-G Dietz, and
W Schlickewei
May 1976,
The Journal of trauma,
H-G Dietz, and
W Schlickewei
February 2000,
Harefuah,
H-G Dietz, and
W Schlickewei
September 1969,
Postgraduate medical journal,
H-G Dietz, and
W Schlickewei
March 1988,
Ugeskrift for laeger,
H-G Dietz, and
W Schlickewei
January 1953,
Clinical orthopaedics,
