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Injuries of the femur and patella in children 

Injuries of the femur and patella in children
Injuries of the femur and patella in children

David Hollinghurst

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date: 16 May 2022

There is considerable scope for remodelling in the child’s femur

Significant overgrowth may correct shortening after a fracture

Below the age of 5 years femoral fractures may be treated non-operatively in a spica or with traction; above the age of 11 years surgical stabilization of the fracture will normally be needed

Flexible intramedullary nails have largely replaced external fixators

Fractures involving the distal femoral physis need careful treatment and follow-up as they may lead to significant growth arrest

Osteochondral fractures accompany a proportion of acute patella dislocations.

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