Aims. The aim of this study was to describe the epidemiology of closed
isolated fractures of the femoral shaft in children, and to compare
the treatment and length of stay (LOS) between major trauma centres
(MTCs) and trauma units (TUs) in England. Patients and Methods. National data were obtained from the Trauma and Audit Research
Network for all isolated, closed fractures of the femoral shaft
in children from birth to 15 years of age, between 2012 and 2015.
Age, gender, the season in which the fracture occurred, non-accidental
injury, the mechanism of injury, hospital trauma status, LOS and
type of treatment were recorded. Results. A total of 1852 fractures were identified. The mean annual incidence
was 5.82 per 100 000 children (95% confidence interval (CI) 5.20
to 6.44). The age of peak incidence was two years for both boys
and girls; this decreased with increasing age. Children aged four
to six years treated in MTCs were more likely to be managed with
open reduction and internal fixation compared with those treated
in TUs (odds ratio 3.20; 95% CI 1.12 to 9.14; p = 0.03). The median LOS
was significantly less in MTCs than in TUs for children aged between
18 months and three years treated in both a spica (p = 0.005) and
traction (p = 0.0004). . Conclusion. This study highlights the current national trends in the management
of closed isolated fractures of the femoral shaft in children following
activation of major
The aim of this study is to develop a core set of outcome domains that should be considered and reported in all future trials of childhood limb fractures. A four-phase study was conducted to agree a set of core outcome domains. Identification of candidate outcome domains were identified through systematic review of trials, and outcome domains relevant to families were identified through semi-structured interviews with 20 families (parent-child pairing or group). Outcome domains were prioritized using an international three-round Delphi survey with 205 panellists and then condensed into a core outcome set through a consensus workshop with 30 stakeholders.Aims
Methods
The aim of this study was to report the clinical, functional
and radiological outcomes of children and adolescents with tibial
fractures treated using the Ilizarov method. Between 2013 and 2016 a total of 74 children with 75 tibial fractures
underwent treatment at our major trauma centre using an Ilizarov
frame. Demographic and clinical information from a prospective database
was supplemented by routine functional and psychological assessment
and a retrospective review of the notes and radiographs.Aims
Patients and Methods
