Background: The management of pediatric femoral shaft fractures in skeletally immature, school-aged children have markedly evolved over time to increasingly favor surgical intervention. Historically predominant techniques of nonoperative immobilization have been replaced with operative fixation as the present standard of care for these injuries,
Objectives: To investigate the outcomes of skeletally immature children with length unstable femoral shaft fractures treated with elastic nails.
Patients and methods: This prospective study was conducted at the Orthopedic surgery Department of Qena University Hospital and Horus Hospital in luxor . The study included 100 patients with femoral shaft fractures treated with elastic nails that had a minimum of 6 months follow-up.
Results: The mean follow-up period was 9.5 ± 1.5 months. No statistically significant difference was found between groups regarding major or minor postoperative complications, including loss of reduction, nonunion, refracture, symptomatic hardware, and malunion.
Conclusion: Elastic nails are a safe and effective choice for operative fixation of length unstable femoral shaft fractures in children.