Open AccessManagement of complex femur fractures in children: A report of Three Cases
Author(s) -
Sudhindra Kulkarni,
Sunil Mannual,
Manjunath Daragad,
Naveenkumar Patil,
Daniel Ernest
Publication year - 2021
Publication title -
journal of orthopaedic case reports
Language(s) - English
Resource type - Journals
eISSN - 2321-3817
pISSN - 2250-0685
DOI - 10.13107/jocr.2021.v11.i10.2456
Subject(s) - medicine , femur , femur fracture , surgery , radiological weapon , fixation (population genetics) , dynamic hip screw , orthodontics , dentistry , population , environmental health
Complex femur fractures are defined as combined fractures of shaft and proximal of or the distal femur. Restoration of anatomical alignment is the primary goal of the management of these fractures. In this report, we describe the management of complex femur shaft fractures in three pediatric patients.Case Report: This report includes three patients. The first patient was a 10-year-boy with comminuted proximal femur shaft fracture extending into the subtrochanteric area, managed with minimally invasive sub-muscular plating. The second patient was a 12-year-boy with comminuted femur shaft extending into subtrochanteric area, treated with combined retrograde and anterograde Titanium Elastic Nail System. A 12-year-old boy with femur shaft with intertrochanteric fracture managed with K-wire fixation for intertrochanteric fracture and plating with dynamic compression plate for femur shaft was our third patient. All patients had excellent radiological and functional outcome.Conclusion: Complex femur shaft fractures in children are very rare and challenging injuries. With proper pre-operative planning and use of appropriate implants excellent outcomes can be obtained.Keywords:Complex femur fractures, pediatric orthopedics, sub-muscular plating, titanium elastic nailing.