Intramedullary nailing versus submuscular plating in adolescent femoral fracture

Ki Chul Park, Chang Wug Oh, Young Soo Byun, Jong Keon Oh, Hyun Joo Lee, Kyung Hyun Park, Hee Soo Kyung, Byung Chul Park

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background: Femoral fractures in adolescents usually need operative treatment, but the optimal method is unclear. The purpose of this study is to compare intramedullary nailing (IN) and submuscular plating (SP) in adolescent femoral fractures. Materials and methods: We performed the prospective, comparison study of IN and SP in adolescent femoral shaft fractures at a mean age of 13.9 years (11-17.4). Twenty-two cases of IN and 23 cases of SP were followed for a minimum of 1 year. We compared radiological and clinical results, surgical parameters, and complications of two techniques. Results: Bony union was achieved in all cases except one case of IN. Time to union was similar in both groups. None showed mal-union over 10° or limb length discrepancy over 1 cm. None of SP group and 2 in IN group experienced re-operation; one patient had deep infection with nonunion. The other patient sustained mal-rotation. Both patients healed after revision procedure. All patients showed excellent or satisfactory results of Flynn's criteria. The time to full-weight bearing was shorter in IN (IN: 57.3 days, SP: 89.2 days, p < 0.05). In surgical parameters, operative time seemed shorter in IN (IN: 94.7 min, SP: 104 min, p = 0.095), and fluoroscopy time was shorter in IN (IN: 58 s, SP: 109 s, p < 0.05) than SP group. Conclusion: Although both IN and SP yield good results and minimal complication in adolescent femoral fractures, IN may be advantageous in less need of fluoroscopy, technical easiness in reduction and early weight bearing.

Original languageEnglish
Pages (from-to)870-875
Number of pages6
JournalInjury
Volume43
Issue number6
DOIs
Publication statusPublished - 2012 Jun

Keywords

  • Adolescent femoral fractures
  • Intramedullary nailing
  • Submuscular plating

ASJC Scopus subject areas

  • Emergency Medicine
  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Intramedullary nailing versus submuscular plating in adolescent femoral fracture'. Together they form a unique fingerprint.

  • Cite this

    Park, K. C., Oh, C. W., Byun, Y. S., Oh, J. K., Lee, H. J., Park, K. H., Kyung, H. S., & Park, B. C. (2012). Intramedullary nailing versus submuscular plating in adolescent femoral fracture. Injury, 43(6), 870-875. https://doi.org/10.1016/j.injury.2011.10.032