scholarly journals Comparative study of titanium elastic nailing versus hip spica in treatment of femoral shaft fractures in children

2016 ◽  
Vol 2 (3) ◽  
pp. 154 ◽  
Author(s):  
Dharam Pal Verma ◽  
Rahul Kumar Chandan ◽  
R. C. Meena ◽  
S. L. Sharma
Keyword(s):  
Weight Bearing ◽  
Femoral Fractures ◽  
Femoral Shaft ◽  
Delayed Union ◽  
Spica Cast ◽  
Femoral Shaft Fractures ◽  
Titanium Elastic Nailing ◽  
Shaft Fractures ◽  
Fractures In Children ◽  
Hip Spica Cast

<p class="abstract"><strong>Background:</strong> There is no consensus on treatment of closed femoral-shaft fractures in children. We compared hip spica cast with titanium elastic nailing (TEN) in the treatment of femoral-shaft fractures in children.</p><p class="abstract"><strong>Methods:</strong> Study was conducted at SMS Medical College, Jaipur (Rajasthan). Out of 90 Patients of diaphyseal fracture femur, 45were treated conservatively by spica cast and 45 were treated with TEN. Follow up done regularly up to twelve months of injury with taking into account, various parameters.<strong></strong></p><p class="abstract"><strong>Results:</strong> All diaphyseal fractures of femur healed, whether treated conservatively by spica cast or treated operatively with TEN. The time of union and weight bearing was less in operative group as comparative to spica cast group. Ten patients (22.22%) in spica group compared to three patients (6.66%) in operative group had malunion and two patients (4.4%) in spica group compared none in operative group had delayed union.</p><p><strong>Conclusions:</strong> Results of TEN turned out to be far superior to traction and spica cast treatment in paediatric femoral fractures. Rate of complications was far low with operative than conservative Treatment.</p>

scholarly journals Study to determine the Results of Femoral Shaft Fractures among Children managed with Immediate Hip Spica Cast

2021 ◽  
Vol 12 (3) ◽  
pp. 1956-1960
Author(s):  
Muhammad Faraz Jokhio ◽  
Najeeb ur Rehman ◽  
Niaz Hussain Keerio ◽  
Ajmal khan Selro ◽  
Imran khan Maher ◽  
...  
Keyword(s):  
Femoral Fractures ◽  
Femoral Shaft ◽  
Health Science ◽  
Definitive Treatment ◽  
Spica Cast ◽  
Femoral Shaft Fractures ◽  
Orthopedic Department ◽  
Shaft Fractures ◽  
Fractures In Children ◽  
Hip Spica Cast

This prospective descriptive study aims to assess the importance of the immediate hip spica in a fracture of the femoral shaft in children at the Orthopedic Department of Liaqat University of Medica and Health science Jamshoro, Pakistan, for a one-year duration from June 2019 to June 2020. All children 1 to 5 years of age with femoral fractures who were admitted to the Orthopedic department within seven days of injury were included in the study. A total of 35 children, 24 (68.6%) boys and 11 (31.42%) girls, with a mean age of 3.8 years, were treated with an immediate hip spica cast. Their ages ranged from 1 to 5 years. The time of immobilization of the Spica cast ranged from 4 to 6 weeks (mean 5.4 weeks). In the second week, seven (22.85%) children had spica wetting, and breakage and reinforcement of spica was done, and 5 (14.28%) children had a spica wedging, and casting was applied to fix the angulation. No extension or hypertrophy was observed in the fractured limb. We concluded that immediate hip spica casting is a safe, inexpensive and definitive treatment of femoral shaft fractures in children aged 1-5 years.

Immediate hip spica cast application for femoral shaft fractures in children

2003 ◽  
Vol 16 (1) ◽  
pp. 91 ◽  
Author(s):  
Han Yong Lee ◽  
Kee Won Rhyu ◽  
Jin Young Chung ◽  
Mun Ik Sohn ◽  
Chang Ki Kim ◽  
...  
Keyword(s):  
Femoral Shaft ◽  
Spica Cast ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Fractures In Children ◽  
Hip Spica Cast

scholarly journals Titanium elastic nailing for paediatric femoral shaft fractures: a prospective descriptive study

2017 ◽  
Vol 3 (3) ◽  
pp. 501
Author(s):  
Santosha . ◽  
Shams Gulrez
Keyword(s):  
Closed Reduction ◽  
Femoral Fractures ◽  
Femoral Shaft ◽  
Technical Problems ◽  
Femoral Shaft Fractures ◽  
Titanium Elastic Nailing ◽  
Shaft Fractures ◽  
Fractures In Children ◽  
Early Return ◽  
Diaphyseal Fractures

<p class="abstract"><strong>Background:</strong> Femoral shaft fracture is the most common major paediatric orthopaedic fractures. For generations traction and casting was the standard treatment for all femoral shaft fractures in children. Over the past two decades the advantages of fixation and rapid mobilisation have been increasingly recognised. Aim: To assess the functional and clinical outcome after closed reduction and internal fixation with titanium elastic nail in diaphyseal femoral fractures between 5 to 16 years.</p><p class="abstract"><strong>Methods:</strong> The study was conducted in the Department of Orthopaedic Surgery, Regional Institute of Medical Sciences (RIMS), Imphal, Manipur, from September 2013 to April 2015. Thirty children (20 boys and 10 girls) in the age group of 5 to 16 years with recent femoral diaphyseal fractures were stabilised by titanium elastic nails [TENS]. Results were evaluated according to Flynn’s scoring criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> After 25 months of follow up all thirty patients were available for evaluation. Radiological union were achieved in a mean time of 11.5 weeks. Mean duration of hospital stay was 15.23 days. According to Flynn’s criteria of TENS outcome score results were excellent in 66.7% patients, Satisfactory in 30% patients, Poor in 3.3% patient. All patients had early return to school. Per operative technical problems included failure of closed reduction in 2 cases.</p><p><strong>Conclusions:</strong> Titanium elastic nailing is an effective treatment in diaphyseal fractures of femur in properly selected patients. </p>

scholarly journals Poor prognostic factors of femoral shaft fractures in children treated by elastic intramedullary nailing

SICOT-J ◽  
2020 ◽  
Vol 6 ◽  
pp. 34
Author(s):  
Alexandru Ulici ◽  
Elena Odagiu ◽  
Oana Haram ◽  
Adelina Ionescu ◽  
Gabriel Alin Sterian ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Intramedullary Nailing ◽  
Femoral Shaft ◽  
Delayed Union ◽  
Elastic Stable Intramedullary Nailing ◽  
Mechanism Of Injury ◽  
Femoral Shaft Fractures ◽  
Shaft Fractures ◽  
Fractures In Children ◽  
Elastic Intramedullary Nailing

Introduction: Femoral shaft fractures in pediatric patients are treated by elastic intramedullary nailing using titanium or stainless-steel nails. The elastic stable intramedullary nailing behaves as an internal splint, promoting early mobilization. This type of treatment involves a minimally invasive approach, no damage to the growth plates, and no impairment of femoral head blood supply. Purpose: The aim of our study was to identify the negative predicting factors that might lead to an increased complication rate after elastic stable intramedullary nailing of femoral shaft fractures in children. Methods: We conducted a retrospective study on 137 patients with femoral shaft fractures treated by elastic stable intramedullary nailing. Patients’ age ranged between 4 and 17 years. We used data from the medical records of the patients to evaluate postoperative complications. Plain radiographs were analyzed to determine the fracture type, fracture location, and postoperative complications such as delayed union, angular deformities, and limb length discrepancies. Multivariate analysis was conducted to identify predictors for poor outcomes. Results: Complications occurred in 29 patients (21%) and consisted of delayed union, axial deformities, or lower limb length discrepancies. In the group of patients that suffered from complications, mechanism of injury, age, and weight were significant. They were older by an average of 5 years; half of them weighed more than 50 kg and over a half were involved in a road traffic accident. Conclusions: Elastic nailing is a successful tool to treat femoral shaft fractures. Three factors were demonstrated to influence the outcome. The mechanism of injury, age > 11 years, and weight > 50 kg are the most important and are predictors for development of complications such as delayed union or deformity.

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