Main Article Content
Pediatric femoral fractures, radiation risk ,canser risk.
Introduction: To show midterm results and compare the three methods utilized in pediatric femoral diaphysis fractures fixation and the risks of radiation.
Methods: We 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.