SICOT 2023: Flexible Intramedullary Nail Vs Submuscular Locked Plate With Cluster Technique .
Flexible Intramedullary Nail Versus Submuscular Locked Plate with the Cluster Technique in Pediatric Femoral Shaft Fractures Fixation
50 pediatric patients with femoral fractures were randomized to receive either flexible intramedullary nailing (n=25) or a submuscular locked plate with the cluster technique (n=25). Outcomes of interest included operative time, radiation time, blood loss, knee range of motion, weight-bearing, malalignment, length discrepancy, and complication rates. Operative time radiation times were longer in the plating group, with the intramedullary nailing group reporting less blood loss. All other outcomes were better in the plating group after one-year follow-up.
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