Guest guest Posted January 2, 2002 Report Share Posted January 2, 2002 Hi y'all and Happy New Year: I'm typing an orthopedics consult on a 10-year-old boy with a fractured femur. I did just fine, right down to the recommendations, and I've got THREE blanks. Any suggestions will be very much appreciated: At this point, for the femur fracture I would recommend closed flexible nailing. The other options would be external fixation and closed management with traction and conversion to a spica cast. Due to the significant amount of shortening of the fracture, I would not recommend cast treatment. ___________ [s/l X-trake] is a second option, but this is a little more difficult because of _________ [s/l skin tract] care. The risks of closed ___________ [s/l in-tu-ated???] nailing include bleeding or vascular injury, leg length discrepancy, and malrotation. These risks, as well as anesthetic risks, were discussed with the patient and family. They understand this completely and have signed a surgical consent. The patient will be taken to the operating room today for the above procedure. Also of note is that the closed nailing will require hardware removal in 4 to 6 months. Thanks in advance. Jayni Quote Link to comment Share on other sites More sharing options...
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