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Abstract
Diaphyseal femoral shaft fractures represent approximately 1.6% of all body injuries in older children between 6 and 16 years of age. In this age the second peak of fracture femur occurs, the first peak being in early childhood.’’’) These fractures may result in prolonged morbidity and marked disability unless their treatment is appropriate. There is no universally accepted method for treating such fractures.01
Fracture of the femur in this age carries special important characters, as it occurs in growing bone under various physiological principles that control the process of fracture healing and remodelling. Treatment of fracture femur often presents social and surgical problems different from those in adult.(4) Although the power of remodelling is in favour of conservative treatment yet the difficulty to achieve anatomical reduction as well as difficulty to control the activity of these older children make non-surgical treatment a less accepted method than in younger children. Open reduction and internal fixation is — on the other hand —controversial in this age because of the rapid rate of growth and the need to remove the implant as early as possible. Accordingly the use of the external fixator in treatment of femoral fractures in this age may prove to be a reasonable compromise.151