A Prospective Study of Early Spica Casting Outcomes in the Treatment of Femoral Shaft Fractures in Children

1995 ◽  
Vol 15 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Knute C. Buehler ◽  
J. David Thompson ◽  
Paul D. Sponseller ◽  
Brian E. Black ◽  
Steve L. Buckley ◽  
...  
Keyword(s):  
Prospective Study ◽  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Spica Casting ◽  
Shaft Fractures ◽  
Fractures In Children ◽  
A Prospective Study

The Treatment of Low-Energy Femoral Shaft Fractures: A Prospective Study Comparing the “Walking Spica” with the Traditional Spica Cast

2011 ◽  
Vol 93 (23) ◽  
pp. 2196-2202 ◽  
Author(s):  
John M Flynn ◽  
Matthew R Garner ◽  
Kristofer J Jones ◽  
Joann DʼItalia ◽  
Richard S Davidson ◽  
...  
Keyword(s):  
Prospective Study ◽  
Femoral Shaft ◽  
Low Energy ◽  
Spica Cast ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
A Prospective Study

scholarly journals A comparative study of the management of pediatric femoral shaft fractures treated conservatively with traction or spica casting

2020 ◽  
Vol 6 (4) ◽  
pp. 793
Author(s):  
Akash Shakya ◽  
Ghanshyam Kakadiya ◽  
Yogesh Soni ◽  
Vinayak Garje
Keyword(s):  
Tertiary Care ◽  
Young Patients ◽  
Femoral Shaft ◽  
Care Hospital ◽  
Older Children ◽  
Femoral Shaft Fractures ◽  
Spica Casting ◽  
Orthopedic Surgeons ◽  
Shaft Fractures ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Femoral shaft fractures, though not very common, are of major concern for orthopedic surgeons. the management for infants and older children is generally universal but the young patients still offer a management dilemma.</p><p class="abstract"><strong>Methods:</strong> We present a prospective study conducted at a tertiary care hospital in India of 37 children between 1 year and 6 years to compare the two conservative methods most commonly used i.e. spica casting and traction application.<strong></strong></p><p class="abstract"><strong>Results:</strong> We found that though both the methods are similar in the time for union, shortening was better controlled with traction and angulation with spica casting. The frequency of other complications was also comparable.</p><p class="abstract"><strong>Conclusions:</strong> Both the methods give acceptable results and given the feasibility of such procedures in developing countries, both may be recommended. However, the choice thus depends on the surgeon treating the patient keeping in mind the drawbacks and limitations of each.</p>

scholarly journals Traction and Spica Casting for Closed Femoral Shaft Fractures in Children

2007 ◽  
Vol 15 (1) ◽  
pp. 37-40 ◽  
Author(s):  
YHD Lee ◽  
KBL Lim ◽  
GX Gao ◽  
A Mahadev ◽  
KS Lam ◽  
...  
Keyword(s):  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Spica Casting ◽  
Shaft Fractures ◽  
Fractures In Children

scholarly journals TENS for the surgical management of femoral shaft fractures in 6-14 years age group children

2017 ◽  
Vol 5 (2) ◽  
pp. 13-21
Author(s):  
Mohit Khanna ◽  
Jitendra Wadhwani ◽  
Amit Batra ◽  
Sidharth Yadav ◽  
Sarfraz Iman ◽  
...  
Keyword(s):  
Prospective Study ◽  
Weight Bearing ◽  
Femoral Shaft ◽  
Full Weight Bearing ◽  
External Fixators ◽  
Age Group ◽  
Femoral Shaft Fractures ◽  
Femur Fractures ◽  
Shaft Fractures ◽  
Fractures In Children

Background. Fracture shaft of femur in pediatric age group is one of the most common leading emergencies. Children in the age group of 6-14 years are treated with either traction, hip spica, flexible/elastic stable retrograde intramedullary nail, or external fixators. We conducted a clinical prospective study on the use of Titanium Elastic Nailing System (TENS) for the treatment of femoral shaft fractures in children. Methods. The prospective study included 45 cases of fresh femoral shaft fractures. The Inclusion Criteria were a) Age group of 6-14 years, b) Recent fracture of femur shaft c) Transverse, short oblique, minimally comminuted fractures. Results. The clinical results were evaluated using Flynn’s criteria of scoring as, Excellent in 40 patients (88.89 %), Satisfactory in 5 patients (11.12 %) and poor in none. Radiological criteria for fracture union were assessed by using Anthony et al scale. Nine patients developed bursitis at entry point of the nail. Three patients had superficial infection due to bursitis. Full weight bearing was possible in mean time of 8.7 weeks (range; 7-12 weeks). Conclusion. TENS is very effective in management of paediatric shaft femur fractures in the age group of 6-14 years with advantages of early union, early mobilization and manageable complications.

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