HIP & FEMURFixator-augmented flexible intramedullary nailing for osteopenic femoral shaft fractures in childrenKong, Heather; Sabharwal, Sanjeev Author Information Department of Orthopaedic Surgery, New Jersey Medical School, Rutgers University, Newark, New Jersey, USA Correspondence to Heather Kong, MD, Department of Orthopaedic Surgery, Doctor’s Office Center, New Jersey Medical School, Rutgers University, 90 Bergen Street, Suite 7300, Newark, NJ 07103, USA Tel: +1 973 972 0244; fax: +1 973 972 1080; e-mail: [email protected] Journal of Pediatric Orthopaedics B: January 2016 - Volume 25 - Issue 1 - p 11-16 doi: 10.1097/BPB.0000000000000237 Buy Metrics Abstract Children with underlying metabolic bone diseases, such as osteogenesis imperfecta and spastic cerebral palsy, pose a challenge in the treatment of femoral shaft fractures. We performed flexible intramedullary nailing with supplemental monolateral external fixation in a subgroup of such patients. The external fixator assists in controlling angulation and rotation at the fracture site, and avoids the need for supplemental casting with its associated problems such as skin breakdown and difficulty with personal hygiene. We describe the surgical technique, pitfalls, and outcomes in a series of four patients with underlying osteopenia treated with external fixator-augmented flexible nailing for femoral shaft fractures. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.