PEDIATRIC FEMORAL SHAFT FRACTURES

Femoral shaft fractures are among the most common lower extremity fractures in pediatric patients, accounting for approximately 1.6-2% of all pediatric fractures. The treatment approach varies depend-ing on factors such as patient age, fracture type, stability, and associated injuries. This review discusses the classification, clinical evaluation, and treatment strategies for pediatric femoral shaft fractures. Conservative treatment methods, including Pavlik harness application, traction, and pelvipedal cast-ing, are compared with surgical approaches such as elastic and rigid intramedullary nailing, plating, and external fixation. In children under six months, Pavlik harness immobilization is the preferred method due to its effectiveness in fracture stabilization and rapid callus formation. For children aged six months to five years, traction and pelvipedal casting are commonly used. In children older than five years, elastic intramedullary nailing has gained popularity due to its minimally invasive nature, shorter hospital stays, and lower complication rates. Rigid intramedullary nailing and plating are fre-quently used in older children, particularly those over 11 years, but they carry a risk of complications such as avascular necrosis. The management of pediatric femoral shaft fractures requires a multidisci-plinary approach that considers both anatomical and functional recovery. Early diagnosis, appropriate treatment selection, and careful monitoring of complications are crucial for achieving optimal clinical outcomes. Educating families about potential complications and the rehabilitation process plays a vital role in ensuring successful recovery.