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 |
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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. The numerous cases of avascular necrosis after rigid rodding are a concern.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/00004694-200107000-00004</identifier><identifier>PMID: 11433152</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject><![CDATA[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]]></subject><ispartof>Journal of pediatric orthopaedics, 2001-07, Vol.21 (4), p.436-441</ispartof><rights>2001 Lippincott Williams & 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&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. 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.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Attitude of Health Personnel</subject><subject>Australia</subject><subject>Biological and medical sciences</subject><subject>Casts, Surgical - statistics & numerical data</subject><subject>Casts, Surgical - utilization</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>China</subject><subject>Diseases of the osteoarticular system. 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 & 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 & numerical data</subject><subject>Patient Selection</subject><subject>Pediatrics - methods</subject><subject>Pediatrics - statistics & numerical data</subject><subject>Practice Guidelines as Topic</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Professional Practice - organization & administration</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surveys and Questionnaires</subject><subject>Traction - statistics & 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 & 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 & numerical data</topic><topic>Casts, Surgical - utilization</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>China</topic><topic>Diseases of the osteoarticular system. Orthopedic treatment</topic><topic>Europe</topic><topic>Femoral Fractures - classification</topic><topic>Femoral Fractures - therapy</topic><topic>Fracture Fixation - adverse effects</topic><topic>Fracture Fixation - methods</topic><topic>Fracture Fixation - statistics & numerical data</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Israel</topic><topic>Japan</topic><topic>Medical sciences</topic><topic>North America</topic><topic>Orthopedic surgery</topic><topic>Orthopedics - methods</topic><topic>Orthopedics - statistics & numerical data</topic><topic>Patient Selection</topic><topic>Pediatrics - methods</topic><topic>Pediatrics - statistics & numerical data</topic><topic>Practice Guidelines as Topic</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Professional Practice - organization & administration</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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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. The numerous cases of avascular necrosis after rigid rodding are a concern.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>11433152</pmid><doi>10.1097/00004694-200107000-00004</doi><tpages>6</tpages></addata></record> |
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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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