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 Frequency of limb shortening in femoral shaft fractures treated by hip spica casting in children in Tertiary Care Hospital.

2019 ◽  
Vol 26 (11) ◽  
pp. 1873-1877
Author(s):  
Muhammad Sajid Mehmood ◽  
Sultan Shah ◽  
Sajid Razzaq
Keyword(s):  
Femoral Shaft Fracture ◽  
Femoral Shaft ◽  
Shaft Fracture ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Femoral Shaft Fractures ◽  
Spica Casting ◽  
Shaft Fractures

Objectives: In non-operative methods, hip spica casting is a gold standard for children under six years of age because of excellent bone union and remodeling qualities. The study was conducted to determine the frequency of limb shortening in femur shaft fractures in children treated by hip spica casting. Study Design: Descriptive cross sectional study. Setting: Orthopedics Department of Combined Military Hospital, Rawalakot, Pakistan. Period: One year from July, 2016 to June, 2017. Material and Methods: After approval of the study from institution’s ethical committee, all patients fulfilling the inclusion criteria were admitted through emergency or outpatient department for hip spica casting. It was descriptive cross sectional study and sampling was done by non-probability convenience sampling in 107 femur fracture patients treated by hip spica casting. Diagnosis of the fracture was based upon history of trauma with break in the continuity of shaft as seen by X-ray. Informed consent was obtained from parents/guardian to be included in the study. Results: The mean age was 5(± 2.04) years. Sixty eight percent patients were male and 32% were female. Sixty three percent patients had proximal femoral shaft fracture, 32% had middle femoral shaft fracture and 4% patients had distal femoral shaft fracture. The shortening of limb length was found in14% of patients. Conclusion: In closed femoral shaft fractures, hip spica casting is a safe treatment in children. It has a low risk of complications. We recommend its use except for open fractures, multiple fractures, or fractures in older children.

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

Early versus late hip spica casting for paediatric femoral shaft fractures

2019 ◽  
Vol 28 (2) ◽  
pp. 122-126 ◽  
Author(s):  
Manaf H. Younis ◽  
Karim Mahmoud ◽  
Alaa Kawas ◽  
Talal Ibrahim
Keyword(s):  
Femoral Shaft ◽  
Femoral Shaft Fractures ◽  
Spica Casting ◽  
Shaft Fractures

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 Prospective Study of Closed Comminuted Osteoporotic Metacarpal Shaft Fractures Treated with Locking Mini Plates in a Tertiary Care Hospital

2021 ◽  
Vol 4 (3) ◽  
pp. 67-71
Author(s):  
Venkataramana Rao M ◽  
Manjunath J ◽  
Kore Aditya Basawaraj ◽  
Sachin S Nimbargi ◽  
Pavan Patil ◽  
...  
Keyword(s):  
Prospective Study ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Shaft Fractures ◽  
Metacarpal Shaft ◽  
A Prospective Study

scholarly journals A study on role of intramedullary interlocking nailing in the complex femoral shaft fractures

2019 ◽  
Vol 5 (5) ◽  
pp. 843
Author(s):  
Veera Kumaran ◽  
Sachidhanandham .
Keyword(s):  
Weight Bearing ◽  
Femoral Fractures ◽  
Femoral Shaft ◽  
High Energy ◽  
Rotational Stability ◽  
Full Weight Bearing ◽  
Care Hospital ◽  
Femoral Shaft Fractures ◽  
Interlocking Nailing ◽  
Shaft Fractures

<p class="abstract"><strong>Background:</strong> Fractures of the shaft of the femur are a major cause of morbidity and mortality in patients who sustain high energy trauma. Morbidity arises from limb shortening, malalignment, knee contractures and other complications of fracture.</p><p class="abstract"><strong>Methods:</strong> The aim of our study is to analyze the results of complex femoral shaft fractures treated by intramedullary interlocking nailing in our institution. Totally 20 cases of complex femoral fractures from 2007-2009 were treated with intramedullary interlocking at Krishanakumar Orthopedic Care Hospital, Nagercoil were included in our study.<strong></strong></p><p class="abstract"><strong>Results:</strong> We found that fracture of femur is most common in 2nd, 3rd and 4th decade of life, with mean age of 35.85 years. Vehicular accident in 17 patients was observed to be the main cause of fracture in our series (85%). 4 patients started full weight bearing at 10th week, 9 patients were able to bear full weight at 12th week, 4 patients at 14th week and 2 at 16th week. Average time of full weight bearing was 12.4 weeks. One patient developed deep infection (osteomyelitis) at 12 weeks and later non union was seen and unable to bear full weight.</p><p class="abstract"><strong>Conclusions:</strong> Intramedullary interlocking nailing for complex femoral fractures has been established worldwide as the gold standard treatment because of its load sharing property, internal splinting, and rotational stability. These contribute the stable osteosynthesis.</p><p class="abstract"> </p>

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