WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals
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Indexing

Abstract

A COMPARATIVE STUDY OF SHORT OUTCOME RESULTS BETWEEN HIP SPICA CAST AND TITANIUM ELASTIC INTRAMEDULLARY NAIL FOR ISOLATED FEMORAL SHAFT FRACTURES IN CHILDREN AGED BETWEEN 4-6 YEARS

Dr. Rabah Abdulla AL- Ebadi, F.I.C.M.S (Ortho)*, Dr. Yasir Isam Mohammed, M.B.Ch.B, Dr. Nashwan Abdil-Khalik Thannon, M.B.Ch.B, Dr. Firas Abdul Kareem Sabri Al Iblesh M.B.Ch.B

ABSTRACT

Background: Femoral shaft fractures are among the most common fractures that required hospitalization in children. There is no agreement about the best treatment options in preschool aged. Objectives: The aim of the study to compare prospectively between Hip Spica Cast and Titanium Elastic Nails regarding hospital stay, union, recovery period, final functional outcome, family satisfaction and complications for femoral shaft fracture in children aged between 4-6 years. Patients and method: A total of 40 patients, age between 4 to 6 years with isolated femoral shaft fractures were divided equally into two groups, group A treated by spica casting, group B treated by titanium elastic nail during the period from august 2019 to December 2020 at Al-Jumhoori teaching hospitals with follow up period of 6 months scheduled at 2, 6, 12 and 24 weeks. Results: This study showed comparable result in hospital stay (2.3/2.2) days P=0.3) and union time (6.9/6.8 weeks P=0.6) between spica cast and titanium elastic nail respectively. A statistically significant differences were noted in independent walking (8.9/7.1 weeks) and returned to activities (10.6/8.6 weeks) between spica cast and titanium elastic nail respectively. Significant P value of 0.002 and <0.0001 respectively. According to Flynn,s criteria excellent to satisfactory result (80%) in spica cast patients and (95%) of the patients had excellent to satisfactory results in titanium elastic nail significant P value =0.01. Conclusion: Spica cast and titanium elastic nail are good treatment options for pediatrics femoral fractures. This study revealed that TEN had shorter recovery time, better parents satisfaction and functional outcome scores than spica cast.

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