@article{ref1,
title="Injuries associated with fracture of the femur secondary to motor vehicle accidents in children",
journal="American journal of orthopedics (Belle Mead NJ)",
year="2003",
author="Jawadi, Ayman H. and Letts, M.",
volume="32",
number="9",
pages="459-62; discussion 462",
abstract="A retrospective review of the medical records of 149 children < 18 years old who sustained femur fractures secondary to a motor vehicle accident found 159 fractured femurs; 89.3% were closed. One hundred seventy-nine associated injuries occurred in 87 patients (58.4%). Associated fractures were common (50.3%), followed by soft-tissue injuries (18.5%) and head injuries (14%; 3 deaths). The lower limbs were most commonly involved with associated fractures (37.8%), 9 had a &quot;floating knee.&quot; The incidence of intra-abdominal injury was 5%, with the liver most commonly lacerated followed by the spleen and intestine. Forty-seven children (43.1%) developed 1 or more complications. The Pediatric Trauma Score ranged from -3 to 11 (73.8% scored > or = 8, while 26.2% scored < 8). Fractures of the femur in children are commonly associated with other injuries, particularly other fractures.<p /> <p>Language: en</p>",
language="en",
issn="1078-4519",
doi="",
url="http://dx.doi.org/"
}