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Objective: To compare the functional and radiological results of diaphyseal femur fractures in children between the use of ESIN (Elastic Stable Intramedullary Nail) versus LCP (Locking Compression Plates). Material and methods: We conducted a prospective, longitudinal, randomized clinical trial on patients aged 5-16 years with diaphyseal femur fractures. All patients weighed more than 30 kg and exhibited no evidence of distal neurovascular compromise or severe polytrauma. We evaluated radiographic consolidation and knee flexion and extension mobility. Results: A total of 22 patients divided into two groups according to the treatment method were included. Of these, 20 patients completed the study (11 in the ESIN group and 9 in the LCP group). At 3 months, the LCP group exhibited significantly better recovery based on consolidation and knee flexion. The other parameters were not significant. Conclusions: The group of patients treated with LCP exhibited more rapid consolidation and return to their daily activities. Furthermore, patients treated with LCP suffered fewer complications. Level of evidence: Therapeutic studies level II prospective comparative study.

journal of musculoskeletal disorders and treatment

Diaphyseal Femur Fractures in Children: A Preliminary Study Comparing the use of Elastic Stable Intramedullary Nailing (ESIN) Versus Locking Compression Plates (LCP)