{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T23:06:40Z","timestamp":1778540800231,"version":"3.51.4"},"reference-count":6,"publisher":"National Library of Serbia","issue":"1","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VSP","VOJNOSANIT PREGL","VOJNOSANITETSKI PREG"],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:p>Background\/Aim. Femur fractures in children most often occur as a consequence\n   of traffic accidents, during play and sport activities, and due to different\n   pathological states. Diagnosis is rather simple and it includes physical and\n   radiographycal examination. Femur fractures treatment in children can be\n   operative and unoperative, depending on several facts: age, localisation and\n   type of fracture, joint injuries of soft tissues, the presence of other\n   injuries (in polytrauma), economical and social aspects, ect. The aim of this\n   study was to present epidemiological characteristics of pediatric femur\n   fractures, that is in the stage of development, including a special analysis\n   of the used treatment techniques, as well as the comparison of the obtained\n   data with those from the literature. Methods. The evaluation included\n   following parameters: age, gender, cause, localisation and type of femur\n   fracture, applied treatment and hospitalisation duration. Results. Among the\n   presented 143 patients with femur fracture, 109 were boys and 34 were girls\n   (3.2 : 1 ratio; p = 0.0001). Average age for both genders was 8.6 years, and\n   no difference between boys and girls were found for the age (p = 0.758). In\n   total, the most common fracture was diaphyseal fracture of femur in 93\n   (65.03%) patients. The second was proximal fracture in 30 (20.98%) patients,\n   and the last distal fracture of the femur in 20 (13.99%) patients (p =\n   0.0001). Three main causes of femur fracture can be distinguished: during\n   play and sport activities in 67 (46.8%) children, in traffic accidents in 64\n   (44.8%) children, and pathological fractures in 12 (8.4%) children.\n   Inoperative treatment was applied in 82 (57.3%) patients, and operative one\n   in 61 (42.7%) patients. The most common tretament was traction, in 71 (49.6%)\n   patients, followed by immobilization by hip spica cast mostly in young\n   children. Intramedullar elastic nailing was applied in 16 (11.2%) cases, and\n   intramedullar rigid nailing (K?ntscher) in 19 (13.3%) cases. Significantlly\n   longer hospitalization period was detected after traction (21 days) comparing\n   to other ways of treatment, mainly operative or hip spica cast (5 to 10\n   days). Conclusion. In young children the standard treatment was hip spica\n   cast after traction. Intramedullar elastic nailing is a modern trend accepted\n   as standard in our approach to femur fracture treatment in children.<\/jats:p>","DOI":"10.2298\/vsp1101009p","type":"journal-article","created":{"date-parts":[[2011,1,17]],"date-time":"2011-01-17T10:37:58Z","timestamp":1295260678000},"page":"9-14","source":"Crossref","is-referenced-by-count":5,"title":["Pediatric femur fractures, epidemiology and treatment"],"prefix":"10.2298","volume":"68","author":[{"given":"Lazar","family":"Petkovic","sequence":"first","affiliation":[{"name":"Medicinski fakultet, Institut za zdravstvenu za\u0161titu dece i omladine Vojvodine, Klinika za de\u010dju hirurgiju - Odeljenje ortopedije i traumatologije, Novi Sad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor","family":"Djan","sequence":"additional","affiliation":[{"name":"Medicinski fakultet, Institut za zdravstvenu za\u0161titu dece i omladine Vojvodine, Klinika za de\u010dju hirurgiju - Odeljenje ortopedije i traumatologije, Novi Sad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Djordje","family":"Gajdobranski","sequence":"additional","affiliation":[{"name":"Medicinski fakultet, Institut za zdravstvenu za\u0161titu dece i omladine Vojvodine, Klinika za de\u010dju hirurgiju - Odeljenje ortopedije i traumatologije, Novi Sad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dusan","family":"Maric","sequence":"additional","affiliation":[{"name":"Medicinski fakultet, Institut za zdravstvenu za\u0161titu dece i omladine Vojvodine, Klinika za de\u010dju hirurgiju - Odeljenje ortopedije i traumatologije, Novi Sad"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirjana","family":"Petkovic","sequence":"additional","affiliation":[{"name":"Medicinski fakultet, Institut za zdravstvenu za\u0161titu dece i omladine Vojvodine, Klinika za de\u010dju hirurgiju - Odeljenje ortopedije i traumatologije, Novi Sad"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/00008480-200402000-00010"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199705000-00009"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1097\/00004694-199909000-00005"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199901000-00010"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.3109\/17453678609014762"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1097\/00004694-199909000-00004"}],"container-title":["Vojnosanitetski pregled","Military Medical and Pharmaceutical Journal of Serbia"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T11:09:29Z","timestamp":1685358569000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0042-84501101009P"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011]]}},"URL":"https:\/\/doi.org\/10.2298\/vsp1101009p","relation":{},"ISSN":["0042-8450","2406-0720"],"issn-type":[{"value":"0042-8450","type":"print"},{"value":"2406-0720","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011]]}}}