Impact of Clinical Practice Guideline on the Treatment of Pediatric Femoral Fractures in a Pediatric Hospital.

摘要: Background: Clinical practice guidelines are being developed for a number of topics in medicine to decrease variability and improve evidenced-based care. Within orthopaedic surgery, the American Academy Orthopaedic Surgeons (AAOS) has dedicated committee that produces these clinical on variety issues. One such issue was treatment pediatric diaphyseal femoral fractures, with guideline published 2009. We performed retrospective review fractures at single institution from 2007 2012 assess impact this condition. Methods: A all patients treated hospital between fracture conducted. The 2009 AAOS condition assessed each patient record analyzed determine if followed, based age-specific recommendations. percentage rendered adhering recommendations compared pre-guideline group (prior June 2009) post-guideline (after 2009). Results: total 361 were during time frame included study. Overall, little change found following publication guideline. only significant noted over period (p = 0.03) ages five eleven years who flexible nails, odds specific recommendation. Conclusions: direct recently fractures. This analysis suggests an important role assessment after identify areas potentially future research utility