The Clinical Observation of the Femoral Shaft Fracture in Children

Youn, Te Hyun; Kim, Han Kyu

Abstract

The management of the femoral shaft fracture in children is quite different from that of in adults. This report analysed the treatment and results in 63 children with fractures of the femoral shaft at the Chosun University Hospital during the period ranging from Jan. 1975 to Dec. 1978 and follow up study was made for 2 to 4 years following the fractures. End results obtained are as follows; 1. The sex ratio between the male and the female was 2.3: 1 and the type of fractures observed was transverse fracture(41.2%), oblique fracture (23.8%), spiral fracture (20.6%) etc. 2. The traffic accidents was most common cause of the fracture (60.3%) and the next most frequent one was fall (26.9%). 3. There was no clinical deformity at the fracture site after complete remodeling, when initial angulation was under 20 degrees. 4. The overriding of the fractured fragment in 10mm to 15mm between the age 2 to 10 years was permissible. 5. The average value of the overgrowth was 11.2mm and the growth stimulation caused no significant change under 2 years of age and over 11 years of age.