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OrthoVellum

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Paediatrics
intermediate
X-Type

Pediatric Femoral Shaft Fracture

Lower Limb Trauma

A 7-year-old boy sustains a transverse midshaft femur fracture after a fall from a bicycle. He weighs 25kg. The fracture is displaced with 2cm of shortening. The emergency physician asks about the most appropriate management. Regarding pediatric femoral shaft fractures:

Mark each as TRUE or FALSE

A

Treatment is age-based: Pavlik harness (0-6 months), spica casting (6 months to 5 years), flexible i...

B

Spica casting requires adequate reduction and acceptable alignment; acceptable angulation decreases ...

C

Rigid reamed intramedullary nails are appropriate for all ages; flexible nails can be used in skelet...

D

Flexible intramedullary nails (titanium elastic nails - TENs) provide relative stability allowing ca...

E

Complications include leg length discrepancy (overgrowth of 1-2cm common, may get shortening with co...

Answer the questions to see explanations

Click T (True) or F (False) for each option