Current practices in the management of closed femoral shaft fractures in children: A nationwide survey among Dutch orthopaedic surgeons.

Background: There remains a lack of high-quality evidence on the treatment of pediatric femur shaft fractures. Therefore, treatment choices may still be based on personal preference of treating surgeons. To gain insight in considerations regarding treatment options, we conducted a survey among Dutch trauma and orthopedic surgeons.

Treatment of closed femoral shaft fractures in children aged 2-10 years: a systematic review and meta-analysis.

Objective: To review current literature on treatment of closed femoral shaft fractures in children of 2-10 years old, with subgroup analysis of children aged 2-6 years, comparing intramedullary nailing (IMN) to conservative treatment modalities.

Methods: We included clinical trials and observational studies that compared traction and subsequent casting (TSC), spica casting and IMN for treatment of femur shaft fractures in children of 2-10 years of age. Subgroup analysis of children aged 2-6 years was performed.

[A young, obese woman with a painful knee].

A 23-year-old morbidly obese woman (BMI: 62,5 kg/m2) came to the ER because of a painful right knee. When walking the knee had collapsed spontaneously. Physical examination of the right leg was not possible due to pain.