Background Fracture of the femoral shaft is a common injury that has varying etiology in the
pediatric population. Rigid, locked, intramedullary nailing allows for early mobilization, and …

Background: Antegrade intramedullary (IM) nailing for skeletally immature femur fractures
can damage the capital femoral epiphysis blood supply, leading to avascular necrosis (AVN) …

Flexible intramedullary nailing has become a popular method of fixation of pediatric femoral
fractures. The authors analyzed their first 5-year experience with titanium elastic stable intra …

Background: The treatment of femoral shaft fractures in older children and adolescents using
rigid intramedullary (IM) nail fixation offers the advantages of decreased soft tissue stripping …

Elastic intramedullary (IM) devices, which avoid the physeal region like Nancy and Ender
nails do, can be used in children younger than even 4 years without compromising the …

Background: Closed femoral nailing is universally accepted as the treatment of choice in
almost all diaphyseal femoral fractures in adults. Numerous authors reported favorable …

Nailing of femoral fractures before closure of the growth plates may lead to avascular
necrosis of the femoral head in 3-4% of cases. In addition to the 14 cases described in the …

Background: Although flexible intramedullary nailing is a popular treatment option for
femoral shaft fractures in juvenile and young adolescent patients, it may not be appropriate …

Background Femoral shaft fractures are an incapacitating pediatric injury accounting for
1.6% of all pediatric bony injuries. Management of these fractures is largely directed by age …

Closed rigid intramedullary nailing of femoral shaft fractures in children has been associated
with avascular necrosis of the femoral head. Avascular necrosis of the femoral head is …