Treatment of femoral shaft fractures in children : Is flexible intramedullary nailing an improvement over hip spica casting? /
دراسة مقارنه : هل استخدام المسمار النخاعى المرن افضل من بنطلون الجبس فى علاج كسور الفخذ عند الأطفال
Mohamed Kotb Mohamed Wahba ; Supervised Mohamed Elsobky , Hassan Elbarbary , Amr Arafa
- Cairo : Mohamed Kotb Mohamed Wahba , 2014
- 116 P. : charts , facsimiles ; 25cm
Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery
Femoral shaft fractures are among the most common fractures of the lower extremity in children. There are several different options for treating femoral-shaft fractures in children, including skeletal or skin traction, early or immediate application of a hip spica cast, closed reduction and minimally invasive plate osteosynthesis, external fixation, plate fixation, and internal fixation with the insertion of intramedullary nails. The aim of this study was to evaluate and compare the outcome of surgical interference with flexible intramedullary nailing and the traditional treatment method, hip spica casting, in treating pediatric femoral shaft fractures. 30 patients with femoral shaft fracture were included in this study; 15 patients were treated with 2 retrograde FIN and 15 patients were treated with early hip spica casting, there was no statistically significant difference between both groups preoperatively in all items, we followed up all patients for a period of 6 months, patients were followed up for coronal and sagittal angulation, malrotation, limb length discrepancy, skin complications, knee range of motion, time of full union and time of full weight bearing