Treatment of proximal third femoral shaft fractures in children by intramedullary Kirschner wires
Al-Zahrani, S.; Al-Fahel, H.; Zamzam, M.; Ikram, M.Arshad.; Kremli, M.; Ali, A.; Saadeddin, M.
Saudi Medical Journal 19(1): 41-44
1998
ISSN/ISBN: 0379-5284 PMID: 27701513 Document Number: 494570
Objective: to evaluate intramedullary K-wire fixations a surgical technique in the management of closed fractures of the proximal femoral shaft in children. Design and Subjects: Retrospective study of 14 patients (10 boys and 4 girls) with closed fractures of the proximal femoral shaft treated by closed reduction and elastic stable intramedullary K-wire fixation inodistal metaphysis, one wire from each side. Early mobilization with weight bearing was allowed. The wires were removed 3-6 months (mean 5 months) post surgery. Setting: King Khalid University, Riyadh, Saudi Arabia. Results: After a mean follow-up of eighteen months, all fractures have healed without relevant limb length discrepancy or residual angulation. Conclusion: Fractures of the proximal femoral shaft in children between 5 to 14 years can be successfully treated by closed reduction and intramedullary fixation using two thick K-wires.