Closed Intramedullar Osteosynthesis in Surgical Treatment of Children with Diaphyseal Femur Fractures

Outcomes of surgical treatment for diaphyseal fractures of the femur were analyzed in 270 (278 interventions) out of 509 patients being admitted to the clinic since 1999. In overwhelming majority of patients (226 children) closed intramedullar fixation of bone fragments (231 operations) was performed. Closed intramedullar osteosynthesis was performed using flexible and rigid rods including the locking ones. Elastic-stable osteosynthesis is indicated for the treatment of under school age children with type A1, A2, A3, B1, B2, B3, C2 fractures as well as junior school age children with type A1, A2, B1, B3, C2 fractures. Presented technique can be considered as a gold standard in this group of patients. Closed intramedullary osteosynthesis by rigid rod without locking is the optimum technique for the treatment of junior and senior school age children in bearing injuries of types A3 and B2. Method of choice in senior school age children with A1, A2, B1, B3, C1, C2 and C3 fractures is closed intramedullar osteosynthesis with locking rod. Preliminary extrafocal fixation in multiple and open injuries creates optimum conditions for delayed intramedullar osteosynthesis.

TEN, children, femur, diaphyseal fracture, elastic-stable osteosynthesis, flexible rods, TEN, rigid rod, locking rod