Chapter

Injuries of the femur and patella in children

David Hollinghurst

in Oxford Textbook of Trauma and Orthopaedics

Second edition

Published on behalf of Oxford University Press

Published in print August 2011 | ISBN: 9780199550647
Published online April 2011 | e-ISBN: 9780199608249 | DOI: http://dx.doi.org/10.1093/med/9780199550647.003.014009

Series: Oxford Textbooks

Injuries of the femur and patella in children

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There is considerable scope for remodelling in the child’s femur

Significant overgrowth may correct shortening after a fracture

Below the age of 5 years femoral fractures may be treated non-operatively in a spica or with traction; above the age of 11 years surgical stabilization of the fracture will normally be needed

Flexible intramedullary nails have largely replaced external fixators

Fractures involving the distal femoral physis need careful treatment and follow-up as they may lead to significant growth arrest

Osteochondral fractures accompany a proportion of acute patella dislocations.

Chapter.  5007 words.  Illustrated.

Subjects: Trauma and Orthopaedic Surgery ; Paediatrics

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