The surgery outcomes of pediatric femoral shaft fractures and comparision of radiation risks

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Şeyhmus Yigit
Azad Yıldırım


Pediatric femoral fractures, radiation risk ,canser risk.



IntroductionTo  show  midterm  results  and  compare  the three  methods  utilized  in  pediatric  femoral  diaphysis  fractures  fixation  and  the  risks  of  radiation.

MethodsWe  conducted  retrospective  studies  of  78  children and adolescent   between  the  age  of  6  to  16  years  who  were exposed to traumatic    femoral  shaft  fractures  and  treated    with methods  of  fixation  titanyum  elastic  nail (EN),  submuscular  bridge  plating (SBP)  and  open  reduction  internal  fixation with plate(ORPF).  Twenty eight ( 18 males  and  10  females)  were treated  with SBP    (group  1),  18  patients (  12 males  and  6  females) were treated  with ORPF  (group2)  and  32  patients  (18  males  and  14 females) were  treated  with EN  (group  3).

Results:  The  mean  age  of  the  patients  was  10,5  years.  Duration of follow-up was 29.7 months.  Mean  union  time  was  7,4  weeks  (range,  6-10  weeks).  Operative  time  was  on  average  62.8  minutes.  Considering  Flynn’s  criteria,  the  results  of  treatment  was  excellent  in 66,  good  in  6  and  poor  in  6  cases.  Since fluoroscopy was used in Group 1 and Group 3, there was a significant risk of radiation exposure compared to Group 2 (p <0.001).

Conclusions: In the surgical treatment of pediatric femoral shaft fractures, fixation techniques such as  elastic nails , submuscular bridge plating  and open  reduction  internal  plate  fixation were found to have similar fracture healing and complication rates. The  risk  of  radiation  should  be  considered  in  surgical  choice.  An orthopaedic  surgeon  must  protect  himself,  his  personnel  and  the  patient  from  radiation  exposure.



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