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Table 2 Treatment outcome according to treatment group

From: Pediatric femoral shaft fractures: treatment strategies according to age - 13 years of experience in one medical center

Outcome

Plating

IMN

Skin traction

Ex-Fix

TEN

Spica

Uniona

100

100

100

100

100

100

Nonunion

-

-

-

-

-

-

Malunion

-

-

-

-

-

-

LLD (% of patients)

      

 Normal LLD

100

63.6

100

67

84.2

92.7

 LLD >2 cm of shortening

-

-

-

16

5.3

4.6

 LLD >1 cm of lengthening

-

27.3

-

16

10.5

2.7

 Total LLD

-

27.3

-

33

15.8

7.3

Complications (% of patients)

      

 None

100

100

100

75

91.5

85.4

 Local infection

-

-

-

8.3

-

1.3

 Limitation of range of motion

-

-

-

8.3

-

0.66

 Avascular necrosis

-

-

-

-

-

-

 Contact dermatitis

-

-

-

-

-

6.6

 Re-manipulation and casting

-

-

-

-

-

6.6

 Re-fracture

-

-

-

8.3

-

-

 Neurovascular deficit

-

-

-

-

-

-

 Soft tissue irritation at insertion site (for TEN procedures)

-

-

-

-

9.5

-

 Change in type of treatment

-

-

-

-

-

0.66

  1. aRadiographic confirmation of solid union regardless of treatment method. There were no cases of malunion. TEN titanium elastic nail, Ex-Fix external fixator, IMN intramedullary medullary nail, LLD leg length discrepancies.