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The use of ‘damage control orthopedics’ techniques in children with segmental open femur fractures

Mooney, James F.

Journal of Pediatric Orthopaedics B: September 2012 - Volume 21 - Issue 5 - p 400–403
doi: 10.1097/BPB.0b013e32834fe897
Pelvis, Hip and Femur

Femur fractures are common long bone injuries in children. Open femur fractures; however, are uncommon. Traditionally, long-term external fixation has been recommended for treatment of these fractures. Damage control orthopedics is a well-recognized concept in adult orthopedic trauma management. Little or no literature exists demonstrating the use of damage control orthopedics principles in children. These cases illustrate the utility of these techniques as a temporary bridge in the management of open, segmental pediatric femur fractures complicated by severe soft tissue injury and bone loss, which were managed definitively by submuscular bridge plates.

Pediatric Orthopaedic Surgery, Medical University of South Carolina, Charleston, South Carolina, USA

Correspondence to James F. Mooney, III, MD, Chief, Pediatric Orthopaedic Surgery, Medical University of South Carolina, 96 Jonathan Lucas St, CSB 708, Charleston, SC 29425, USA Tel: +843 792 8765; fax: +843 792 3149; e-mail:

© 2012 Lippincott Williams & Wilkins, Inc.