Percutaneous k-wire fixation for femur shaft fractures in children: a treatment concepts for developing countries.

Discussion Fractures of the femur in children are generally managed conservatively, in the form of traction or hip spica immobilization, It had been the treatment of choice in the past and is still being used at many centers worldwide.[ 14 ] Conventional treatment exposes to the problems of malunion, pressure sores, redisplacement of fragments, prolonged immobilization and psychological problems.[ 3 ] To combat them, there has been an increasing trend towards surgical management of these fractures in older children.[ 3 7 9 15 16 ] Compression plating is recommended[ 6 ] it does provide anatomical reduction and rigid immobilization, but has the disadvantages of larger soft tissue dissection, a large scar and a second major operation for removal of the plate.

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