Treatment of Femoral Fractures in Children by Pediatric Orthopedists: Results of a 1998 Survey

This study aimed to determine treatment preference of various femoral fracture patterns in children by pediatric orthopedists and whether it is practice dependent. In September 1998, members of the Pediatric Orthopedic Society of North America were surveyed to determine their current preferences in...

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Veröffentlicht in:Journal of pediatric orthopaedics 2001-07, Vol.21 (4), p.436-441
Hauptverfasser: Sanders, J O, Browne, R H, Mooney, J F, Raney, E M, Horn, B D, Anderson, D J, Hennrikus, W L, Robertson, W W
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container_end_page 441
container_issue 4
container_start_page 436
container_title Journal of pediatric orthopaedics
container_volume 21
creator Sanders, J O
Browne, R H
Mooney, J F
Raney, E M
Horn, B D
Anderson, D J
Hennrikus, W L
Robertson, W W
description This study aimed to determine treatment preference of various femoral fracture patterns in children by pediatric orthopedists and whether it is practice dependent. In September 1998, members of the Pediatric Orthopedic Society of North America were surveyed to determine their current preferences in treating each of four middle one-third femoral fracture patterns in four age groups. Forty-four percent (286/656) of those surveyed responded. For each fracture pattern, operative treatment was increasingly preferred over nonoperative as patient age increased, and the preferred treatments within the operative and nonoperative categories changed significantly as patient age increased. Fourteen specific cases of femoral head avascular necrosis were noted after rigid reamed and unreamed rodding. There is a statistically significant trend by pediatric orthopedists to treat older children's femur fractures operatively and younger children's nonoperatively. The consensus treatment is age dependent. The numerous cases of avascular necrosis after rigid rodding are a concern.
doi_str_mv 10.1097/00004694-200107000-00004
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In September 1998, members of the Pediatric Orthopedic Society of North America were surveyed to determine their current preferences in treating each of four middle one-third femoral fracture patterns in four age groups. Forty-four percent (286/656) of those surveyed responded. For each fracture pattern, operative treatment was increasingly preferred over nonoperative as patient age increased, and the preferred treatments within the operative and nonoperative categories changed significantly as patient age increased. Fourteen specific cases of femoral head avascular necrosis were noted after rigid reamed and unreamed rodding. There is a statistically significant trend by pediatric orthopedists to treat older children's femur fractures operatively and younger children's nonoperatively. The consensus treatment is age dependent. 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Orthopedic treatment ; Europe ; Femoral Fractures - classification ; Femoral Fractures - therapy ; Fracture Fixation - adverse effects ; Fracture Fixation - methods ; Fracture Fixation - statistics & numerical data ; Humans ; Infant ; Infant, Newborn ; Israel ; Japan ; Medical sciences ; North America ; Orthopedic surgery ; Orthopedics - methods ; Orthopedics - statistics & numerical data ; Patient Selection ; Pediatrics - methods ; Pediatrics - statistics & numerical data ; Practice Guidelines as Topic ; Practice Patterns, Physicians' - statistics & numerical data ; Professional Practice - organization & administration ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surveys and Questionnaires ; Traction - statistics & numerical data ; Traction - utilization ; Treatment Outcome ; Turkey]]></subject><ispartof>Journal of pediatric orthopaedics, 2001-07, Vol.21 (4), p.436-441</ispartof><rights>2001 Lippincott Williams &amp; Wilkins, Inc.</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3634-a41c9f45cb0775e088eb751e73de92864c74d9d472bf6a0b861927842be39d0e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=1101091$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11433152$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sanders, J O</creatorcontrib><creatorcontrib>Browne, R H</creatorcontrib><creatorcontrib>Mooney, J F</creatorcontrib><creatorcontrib>Raney, E M</creatorcontrib><creatorcontrib>Horn, B D</creatorcontrib><creatorcontrib>Anderson, D J</creatorcontrib><creatorcontrib>Hennrikus, W L</creatorcontrib><creatorcontrib>Robertson, W W</creatorcontrib><title>Treatment of Femoral Fractures in Children by Pediatric Orthopedists: Results of a 1998 Survey</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><description>This study aimed to determine treatment preference of various femoral fracture patterns in children by pediatric orthopedists and whether it is practice dependent. 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Orthopedic treatment</subject><subject>Europe</subject><subject>Femoral Fractures - classification</subject><subject>Femoral Fractures - therapy</subject><subject>Fracture Fixation - adverse effects</subject><subject>Fracture Fixation - methods</subject><subject>Fracture Fixation - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Israel</subject><subject>Japan</subject><subject>Medical sciences</subject><subject>North America</subject><subject>Orthopedic surgery</subject><subject>Orthopedics - methods</subject><subject>Orthopedics - statistics &amp; numerical data</subject><subject>Patient Selection</subject><subject>Pediatrics - methods</subject><subject>Pediatrics - statistics &amp; numerical data</subject><subject>Practice Guidelines as Topic</subject><subject>Practice Patterns, Physicians' - statistics &amp; numerical data</subject><subject>Professional Practice - organization &amp; administration</subject><subject>Radiotherapy. 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Graft diseases</subject><subject>Surveys and Questionnaires</subject><subject>Traction - statistics &amp; numerical data</subject><subject>Traction - utilization</subject><subject>Treatment Outcome</subject><subject>Turkey</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkVtLxDAQhYMouq7-BcmD-FbNrU3imyyuCgsrXl4taTql1bRdk9Rl_71VVxDnZTiHjwNzBiFMyTklWl6QcUSmRcIIoUSOKvm2dtCEplwnLJVkF00IkzTJpFYH6DCE15GVXPB9dECp4JymbIJenjyY2EIXcV_hObS9Nw7PvbFx8BBw0-FZ3bjSQ4eLDb6HsjHRNxYvfaz71ShDDJf4AcLgYvjKMJhqrfDj4D9gc4T2KuMCHG_3FD3Pr59mt8lieXM3u1oklmdcJEZQqyuR2oJImQJRCgqZUpC8BM1UJqwUpS6FZEWVGVKojGomlWAFcF0S4FN09pO78v37ACHmbRMsOGc66IeQS6Iz9XX-FJ1swaFoocxXvmmN3-S_jYzA6RYwwRpXedPZJvzhxsI1HTHxg617F8GHNzeswec1GBfrnFAmKNfq_3_4J-DHfvs</recordid><startdate>200107</startdate><enddate>200107</enddate><creator>Sanders, J O</creator><creator>Browne, R H</creator><creator>Mooney, J F</creator><creator>Raney, E M</creator><creator>Horn, B D</creator><creator>Anderson, D J</creator><creator>Hennrikus, W L</creator><creator>Robertson, W W</creator><general>Lippincott Williams &amp; Wilkins, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200107</creationdate><title>Treatment of Femoral Fractures in Children by Pediatric Orthopedists: Results of a 1998 Survey</title><author>Sanders, J O ; Browne, R H ; Mooney, J F ; Raney, E M ; Horn, B D ; Anderson, D J ; Hennrikus, W L ; Robertson, W W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3634-a41c9f45cb0775e088eb751e73de92864c74d9d472bf6a0b861927842be39d0e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>Attitude of Health Personnel</topic><topic>Australia</topic><topic>Biological and medical sciences</topic><topic>Casts, Surgical - statistics &amp; numerical data</topic><topic>Casts, Surgical - utilization</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>China</topic><topic>Diseases of the osteoarticular system. 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source MEDLINE; Journals@Ovid Ovid Autoload
subjects Adolescent
Age Factors
Attitude of Health Personnel
Australia
Biological and medical sciences
Casts, Surgical - statistics & numerical data
Casts, Surgical - utilization
Child
Child, Preschool
China
Diseases of the osteoarticular system. Orthopedic treatment
Europe
Femoral Fractures - classification
Femoral Fractures - therapy
Fracture Fixation - adverse effects
Fracture Fixation - methods
Fracture Fixation - statistics & numerical data
Humans
Infant
Infant, Newborn
Israel
Japan
Medical sciences
North America
Orthopedic surgery
Orthopedics - methods
Orthopedics - statistics & numerical data
Patient Selection
Pediatrics - methods
Pediatrics - statistics & numerical data
Practice Guidelines as Topic
Practice Patterns, Physicians' - statistics & numerical data
Professional Practice - organization & administration
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surveys and Questionnaires
Traction - statistics & numerical data
Traction - utilization
Treatment Outcome
Turkey
title Treatment of Femoral Fractures in Children by Pediatric Orthopedists: Results of a 1998 Survey
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