Current treatment protocol for pediatric femoral shaft fractures is immediate spica casting for patients 6 years and younger and for patients over 6 years and older is percutaneous or open placement of titanium elastic intramedullary nails. The investigators would like to evaluate the current treatment protocol by comparing those patients 6 years and younger treated with closed reduction and spica casting to those 6 years and younger treated with percutaneous pinned with titanium elastic intramedullary nails or submuscular plating. The investigators will be comparing their post-operative functional level, pain management, impact on family and complications through chart and x-ray reviews. The goal is to improve patient care pre and post-operatively for those who have sustained a femoral shaft fracture 6 years old and younger and increase the knowledge of those residents/physicians who care for this patient population.
Study Type
OBSERVATIONAL
Enrollment
48
all participants will have undergone surgical intervention to repair a femur fracture, the investigators will simply be collecting data after the procedure; participants will not be consented until after the procedure
Children's Hospital - University Missouri
Columbia, Missouri, United States
Children's Mercy Hospital
Kansas City, Missouri, United States
St. Louis Childrens Hospital
St Louis, Missouri, United States
Impact on family
Time frame: 6 months
post-operative functional level
Time frame: 1 year
pain management
Time frame: 6 weeks
complications
Time frame: 2 years
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