Shomatov Kh.Sh. (1), Rustamov Kh.Kh. (2)
A diaphyseal fracture in children is a fracture that occurs in the middle (shaft) of a long tubular bone, such as the humerus, femur, forearm, or tibia. Such fractures are most often caused by falls and blows, especially from car accidents or other traumatic events, and may be accompanied by vascular and nerve damage. Treatment involves immobilization (plaster cast) for uncomplicated cases and surgery for more complex fractures, and the prognosis for bone recovery in children is usually good due to the high regenerative capacity of the child's body. Lately, in order to treat children and teenagers diaphyseal thigh fractures, the approaches that allow to shorten immobilization and the time of hospitalization and to return to customary life as soon as possible are predominantly used. In retrospective investigation, the comparison between the conservative method of diaphyseal thigh fractures therapy and closed elastic method of nails fixation was made. Between 2020 and 2025 In our clinic, 11 diaphyseal hip fractures and 16 lower legs were treated. In all cases, osteosynthesis with elastic nails was used.The conservative therapy resulted in the grater number of complications, because of the limb-length discrepancy and inaccurate reposition. In case of the closed fracture fixation with the help of flexible nails the consolidation and fast mobilization whis small number of complications was achieved.
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