Progress in treatment techniques for femoral shaft fractures in children
Femoral shaft fractures during childhood are a frequent type of fractures,comprising 1.4%-1.7%of all childhood fractures.The children's age,weight,type of fractures,and mode of injuries all need to be taken into consideration when deciding on the best treatment.Generally,non-invasive fixation methods,such as Pavlik sling or hip herringbone cast,are used for preschool children,while internal fixation methods,such as plates,flexible intramedullary nails,and locked intramedullary nails,are preferred for school-age children.External fixation,on the other hand,is typically reserved for special cases,such as complex trauma.This article reviews the progress of research on treatment techniques for childhood femoral shaft fractures,including conservative treatment,external fixation,and closed reduction.