Flexible Intramedullary Nails are an Effective Treatment for Femoral Shaft Fractures in Children with Non-Ambulatory Neuromuscular Disorders but Carry Increased Risk of Early Revision Surgery and Angular Deformities

Abstract

Background: There are no reports in the literature on flexible intramedullary nails (FIN) for the treatment of pediatric femoral shaft fractures in children with neuromuscular disorders. The purpose of this study is to investigate the outcomes of FIN for femoral shaft fractures in children with neuromuscular disorders. We hypothesized that FIN would yield favorable outcomes despite technical challenges in this population. Methods: Retrospective review was conducted on all patients with femoral shaft fractures at a tertiary care pediatric hospital from 2004-2018. Inclusion criteria were femoral shaft fracture treated with …