TRAUMASTreatment of femoral shaft fractures in young children: comparison between conservative treatment and retrograde flexible nailingSong, Hae-Ryonga; Oh, Chang-Wugb; Shin, Hyun-Daec; Kim, Sung-Jungb; Kyung, Hee-Soob; Baek, Seung-Hoonb; Park, Byung-Chulb; Ihn, Joo-ChulbAuthor Information aDepartment of Orthopedic Surgery, Gyeongsang National University Hospital, Chinju bDepartment of Orthopedic Surgery, Kyungpook National University Hospital, Daegu cDepartment of Orthopedic Surgery, Chungnam National University Hospital, Daejeon, Korea Correspondence and requests for reprints to Chang-Wug Oh, MD, Department of Orthopedic Surgery, Kyungpook National University Hospital, 50, 2-Ga, SamDok-dong, Chung-gu, Daegu, Korea 700-721 Tel: +82 53 420 5630; fax: +82 53 422 6605; e-mail: firstname.lastname@example.org Journal of Pediatric Orthopaedics B: July 2004 - Volume 13 - Issue 4 - p 275-280 doi: 10.1097/01.bpb.0000111023.13276.43 Buy Metrics Abstract Outcomes of pediatric femoral fractures treated with traction followed by cast (conservative treatment) were compared with flexible nailing treatment. Fifty-one femoral fractures (24 conservative, 27 nail) from 46 patients were studied retrospectively. Four cases of angular deformities greater than 10° were observed from the conservative treatment and none from the nailing group. Conservative treatment showed a wider variance of leg length discrepancy (LLD) and four cases showed severe LLD greater than 10 mm. The nailing group had no discrepancy. Retrograde flexible nailing may result in more reliable outcomes than conservative treatment for femoral fractures. © 2004 Lippincott Williams & Wilkins, Inc.