Pediatric Femur Research Project

Study Overview
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Brief Summary
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Current treatment protocol for pediatric femoral shaft fractures is immediate spica casting for patients 6 years and younger and for patients over 6 years and older is percutaneous or open placement of titanium elastic intramedullary nails. The investigators would like to evaluate the current treatment protocol by comparing those patients 6 years and younger treated with closed reduction and spica casting to those 6 years and younger treated with percutaneous pinned with titanium elastic intramedullary nails or submuscular plating. The investigators will be comparing their post-operative functional level, pain management, impact on family and complications through chart and x-ray reviews. The goal is to improve patient care pre and post-operatively for those who have sustained a femoral shaft fracture 6 years old and younger and increase the knowledge of those residents/physicians who care for this patient population.

Official Title
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Pediatric Femur Research Project

Conditions
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Femur Fracture

Intervention / Treatment
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* Procedure: femur fracture repair


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Child diagnosed with femur fracture between the ages of 2-6 years old Patient will undergo surgical intervention for a femur fracture (e.g., submuscular plating, Nancy nailing, casting ) Exclusion Criteria: Parent refusal to participate for any reason Children with neuromuscular disorders having a Gross Motor Function Classification greater than 3 Pathologic fracture

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 6 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| spica casting<br> | Procedure: femur fracture repair<br>* all participants will have undergone surgical intervention to repair a femur fracture, the investigators will simply be collecting data after the procedure; participants will not be consented until after the procedure<br>|
| intramedullary nailing<br> | Procedure: femur fracture repair<br>* all participants will have undergone surgical intervention to repair a femur fracture, the investigators will simply be collecting data after the procedure; participants will not be consented until after the procedure<br>|
| submuscualr plating<br> | Procedure: femur fracture repair<br>* all participants will have undergone surgical intervention to repair a femur fracture, the investigators will simply be collecting data after the procedure; participants will not be consented until after the procedure<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Impact on family |  | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| post-operative functional level |  | 1 year | 
| pain management |  | 6 weeks | 
| complications |  | 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Orthopedic Procedures, Fracture Fixation, Internal, Fracture Fixation, External, femur fracture, pediatrics