Resource implications of managing paediatric femoral fractures in a major trauma centre: Analysis of 98 cases.

We read with interest the publication by Wijesekera and colleagues [1]. Wijesekera et al [1] stated that they have discontinued using flexible intramedullary nailing (FIN) because of its complication profile and poor cost effectiveness, incurring additional costs of 23.7% compared to subcutaneous plating and rigid intramedullary nailing. The authors [1] admitted that some of the surgeons were probably not familiar with FINs, which is reflected in the provided radiographic images, showing multiple surgical technique failures.
Source: Injury - Category: Orthopaedics Authors: Source Type: research