OrthopedicsAdvances in the surgical management of pediatric femoral shaft fracturesKuremsky, Marshall A; Frick, Steven LAuthor Information Department of Orthopaedic Surgery, Carolinas Medical Center, Charlotte, North Carolina, USA Correspondence to Steven L. Frick, MD, Department of Orthopaedic Surgery, Carolinas Medical Center, PO Box 32861, Charlotte, NC 28232, USA Tel: +704 355 3184; fax: +704 355 6041; e-mail: [email protected] Current Opinion in Pediatrics: February 2007 - Volume 19 - Issue 1 - p 51-57 doi: 10.1097/MOP.0b013e3280123142 Buy Metrics Abstract Purpose of review To provide an update on surgical methods of pediatric femur fracture treatment. Recent findings Multiple studies describe successful results with elastic nail stabilization of pediatric femur fractures. The indications and risk factors for complications are being more clearly defined. Trochanteric entry-locked intramedullary nailing and submuscular bridge plating have also recently been reported to produce excellent outcomes in a high percentage of patients. Older (>11 years) patients, heavier patients and patients with length-unstable fracture patterns may be best treated with locked nailing or plating. Summary Pediatric femur fractures can be successfully treated by a number of methods. This review examines the recent literature to provide some guidelines for choosing amongst the options for surgical stabilization. © 2007 Lippincott Williams & Wilkins, Inc.