[Growth disorders of the para-articular end of the femur following surgical treatment of pediatric femoral fractures].

In pediatric traumatology, conservative treatment takes precedence over surgery. Since the skeleton is capable of spontaneous correction even after malpositioning, surgical intervention to treat fractures is only justified within very narrowly defined limits. Where osteosynthesis material is used, not only the vascular supply, but also the development and functionality of growth joints must be taken into account. Medullary nailing, which may certainly be indicated to treat fractured femurs in adults, is generally not indicated in children.