10. Pediatric Femoral Shaft Fractures Treatment According Titanium Elastic Nailing Vs Traction and Hip Spica Cast in Children Between Age 6-12 Years
Muhammad Imran and Haider Ali Bhatti
Objective: Comparison of Titanium elastic nailing with Skeletal Traction and Hip Spica Cast for the treatment of femoral shaft fracture in children having age between 6-12 Years in our setup. Study Design: Randomized control trials study
Place and Duration of Study: This study was conducted at the MMDC/Ibn-E-Siena Hospital/ Research Institute, Multan from 1st June 2016 to 31st December 2016.
Materials and Methods: In this study we included 60 patients with femoral shaft fracture. Patient coming in first 03 months were managed by traction and Hip spica cast while next 03 months by TENs. Patient age 6-12 years with close fracture shaft Of femur reported within one week of injury from both sexes were included in study.
Results: In this study, 31 out of 60 patients were male and 29 females. Mean age of the patients was recorded as 8.90+2.00 years. In Fractures managed by TEN, average heaing time was (08 weeks) compare to spica group in which healing time was (10 weeks) (p = 0.001) , Similarly fractor angulation is higher in spica group (p = 0.001). Rotational deformity is less in TEN (P < 0.005) while lime length discepency was more in spica group (P < 0.001) . duration of non weight bearing is longer in spica group P < 0.005. Flynn outcome scores were found better in TEN as compared to spica group.
Conclusion: We concluded that outcome is significantly better in TEN group as compared to those undergoing traction followed by spica cast.
Key Words: Fermur, Hip spica, Titanium elastic nailing, Femoral shaft.
Citation of articles: Imran M, Bhatti HA. Pediatric Femoral Shaft Fractures Treatment According Titanium Elastic Nailing Vs Traction and Hip Spica Cast in Children Between Age 6-12 Years. Med Forum 2017;28(9):