Article TitlesTreatment of Femoral Shaft Fractures in Children by Intramedullary Kirschner WiresShakeel Ahmad Qidwai , D. ORTH, MS, ORTH; Kamran Khattak, Zafar FRCS, MCh, ORTH Author Information From the King Khalid Hospital, Najran, Kingdom of Saudi Arabia. Address for reprints: Shakeel Ahmad Qidwai, D. ORTH, MS, ORTH, Department of Orthopedics, King Khalid Hospital, P.O. Box 1120, Najran, K.S.A. Submitted for publication December 1, 1998. Accepted for publication October 20, 1999. The Journal of Trauma: Injury, Infection, and Critical Care: February 2000 - Volume 48 - Issue 2 - p 256-259 Buy Abstract Background: We present a retrospective analysis of a case series to evaluate closed intramedullary Kirschner wire (K-wire) fixation as a surgical technique in the treatment of femoral shaft fractures in children. Methods: Fifty-three femoral shaft fractures (at various levels) were fixed by using closed intramedullary K-wires. The patient was placed supine on an orthopedic traction table. Under fluoroscopic control, two K-wires (2.5–3.5 mm thick) were introduced from distal metaphysis to the proximal metaphysis, one each, from medial and lateral cortices. In three distal fractures, K-wires were inserted antegrade from the proximal to distal metaphysis through the lateral cortex. Early mobilization and weight bearing was allowed. Mean hospital stay was 6.5 days, and K-wires were removed after a mean of 5.6 months. The study included seven open fractures as well. Results: Sound unions were achieved between 6 and 10 weeks without any significant complication. Conclusion: Closed intramedullary K-wire fixation for femoral shaft fractures in children is a simple surgical technique that has excellent clinical and functional results. © 2000 Lippincott Williams & Wilkins, Inc.