BACKGROUND: The purpose of this study was to identify temporal trends in the management of pediatric femoral shaft fractures in 4- and 5-year-old children. METHODS: The Kids' Inpatient Database was used to extract data on patients aged 4 and 5 years with closed femoral shaft fractures. The frequency of nonsurgical and surgical management was calculated, and temporal trends were evaluated. RESULTS: Between 1997 and 2012, the absolute increase in surgical fixation was 35% and 58% in 4- and 5-year-old patients, respectively. The surgical rate increased every 3 years by 13.8% in 4-year-old patients and 7.6% in 5-year-old patients. Significant associations were noted based on demographics, comorbidities, and hospital characteristics with management decisions. CONCLUSIONS: A clear and significant increase was noted in internal fixation for pediatric femoral shaft fractures in 4- and 5-year-old children, and the lower age limit for surgical management of these fractures is decreasing. LEVEL OF EVIDENCE: Level III. Retrospective comparative study.
BACKGROUND: The purpose of this study was to identify temporal trends in the management of pediatric femoral shaft fractures in 4- and 5-year-old children. METHODS: The Kids' Inpatient Database was used to extract data on patients aged 4 and 5 years with closed femoral shaft fractures. The frequency of nonsurgical and surgical management was calculated, and temporal trends were evaluated. RESULTS: Between 1997 and 2012, the absolute increase in surgical fixation was 35% and 58% in 4- and 5-year-old patients, respectively. The surgical rate increased every 3 years by 13.8% in 4-year-old patients and 7.6% in 5-year-old patients. Significant associations were noted based on demographics, comorbidities, and hospital characteristics with management decisions. CONCLUSIONS: A clear and significant increase was noted in internal fixation for pediatric femoral shaft fractures in 4- and 5-year-old children, and the lower age limit for surgical management of these fractures is decreasing. LEVEL OF EVIDENCE: Level III. Retrospective comparative study.
Authors: Markus Dietzel; Leon Ole Schöneberg; Matthias Schunn; Simon Scherer; Michael Esser; Hans Joachim Kirschner; Jörg Fuchs; Justus Lieber Journal: Eur J Trauma Emerg Surg Date: 2022-05-31 Impact factor: 2.374
Authors: Stijn van Cruchten; Eefke C Warmerdam; Dagmar R J Kempink; Victor A de Ridder Journal: Eur J Trauma Emerg Surg Date: 2021-08-02 Impact factor: 2.374