130 likes | 449 Vues
INTRODUCTION. Optimal treatment of adolescent femur fractures remains undetermined:- Flexible nails- External fixator- Rigid intramedullary nails- Plate osteosynthesis. Gerber C, JBJS 86-A: 245, 2003(Referenzen-Beispiel) . METHODS. Retrospective cohort studyIncluded:- Isolated traumati
E N D
1. ISOLATED FEMUR FRACTURES IN AOLESCENTS: COMPARISON OF 4 OPERATIVE METHODS
2. INTRODUCTION Optimal treatment of adolescent femur fractures remains undetermined:
- Flexible nails
- External fixator
- Rigid intramedullary nails
- Plate osteosynthesis
3. METHODS Retrospective cohort study
Included:
- Isolated traumatic diaphyseal femur fractures
- Age 11-18
Excluded:
- Polytrauma
- Pathologic fractures
4. METHODS Patient characterized:
- Age
- Gender
- Weight
- Mechanism and energy of injury
- Fracture level, pattern and comminution
- Method of fixation
5. METHODS Method of fixation:
- Flexible intramedullary nails n= 78
- External fixator n= 17
- Ridig intramedullary nail n= 25
- Plate osteoynthesis n= 12
6. RESULTS
7. RESULTS
8. RESULTS
9. RESULTS
10. RESULTS
11. COMPLICATIONS
12. CONCLUSION
13. SIGNIFICANCE