# TREATMENT OF PEDIATRIC FEMUR FRACTURES WITH FLEXIBLE STAINLESS STEEL INTRAMEDULLARY NAIL

## TL;DR

This study examines the treatment of femur fractures in children using a stainless steel intramedullary nail and reports on patient outcomes and complications.

## Contribution

The paper provides a case series on the use of a specific stainless steel intramedullary nail in pediatric femur fractures.

## Key findings

- Most fractures occurred in the mid-diaphyseal region with a high prevalence of being run over or falling from height as trauma mechanisms.
- Three complications (12.5%) were observed, including bursitis, vicious construction, and loss of reduction.
- Traumatic brain injury was the most common associated trauma in these patients.

## Abstract

Objectives: To identify the characteristics of patients and femur fractures treated with a stainless steel intramedullary nail (ESIN) in children under 15 years of age. Know the results of using the ESIN of related steel in the service. Methods: Retrospective study with review of hospital records and organization of data in spreadsheets. Result: 24 cases were identified, 17 male cases and 7 female cases. A minimum age of 4 years and a maximum of 11 years were observed (average of 7 years). The 3 most common trauma mechanisms were being run over (n:8, 33%) and falling from a height (n:8, 3%). The most common location of the fractures was in the mid-diaphyseal region (n: 20, 88%), only one case presented a bilateral femur fracture. The most common associated trauma was traumatic brain injury. The observation period observed several months between 2 and 5. With regard to complications, 3 cases were observed (12.5%) being bursitis, vicious construction and loss of reduction. Conclusion: Steel HIF shows similar good results. As the study includes the retrospective profile, the absence of a group and the small sample size.
Level of Evidence IV, Case series.