000			03290cam a2200337 a 4500
003			EG-GiCUC
005			20250223032732.0
008			210425s2021 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.25.M.Sc.2021.Es.M
100	0		_aEslam Gamal Abdelsalam Aboelkheir
245	1	0	_aManagement of pediatric femoral shaft fractures : _bNancy nail versus skin traction and spica cast / _cEslam Gamal Abdelsalam Aboelkheir ; Supervied Alaa Mohy Eldin Solyman , Fady Kamal Bedeir
246	1	5	_aعلاج كسورالفخذ بالأطفال بواسطة مسامير نخاعية مرنة مقارنة بالعلاج بواسطة الشدة الجلدية والجبس
260			_aCairo : _bEslam Gamal Abdelsalam Aboelkheir , _c2021
300			_a103 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery
520			_aBackground :Pediatric femoral shaft fractures are common orthopaedic injuries. Although many approaches and options are available for their treatment ,the most appropriate treatment option for school going children is still debatable.This study investigated the radiological and functional outcome of surgical intervention with Nancy nails in 3-8 year old children with diaphyseal femoral fractures and compared them with those of conservative management.Patients and Methods Between March 2020 and December 2020, a prospective randomized controlled study was conducted on 26 patients with unilateral pediatric femoral shaft fractures. The subjects were divided into 2 groups; a group managed with Nancy nails, the other was treated conservatively. In the Nancy group there was 13patients, with a mean age of 5.15 years . In the conservative group we treated 13 patients. Their mean age was 3.69 years.In the Nancy group, Nancy nails were introduced in a retrograde fashion. Nail size was chosen that both nails occupied 80% of the narrowest canal diameter (NCD). For patients treated conservatively, skin traction was applied for 2-3 weeks. Weekly follow-up x-rays were done waiting for soft callus, then the patient was put in one and half hip spica for mean of 5.6 weeks.Results Our 26 patients were followed-up and assessed for a mean of 6 months; 13 in each group. At the last follow-up, patients in the operative group were 13 (100%) excellent according to Flynn{u2019}s scoring criteria. In the conservative group, 9(69.2%) were excellent, 4(30.8%) were satisfactory. We found no statistically significant difference between both groups regarding deformities (p-value 0.096) , knee range of motion at 6 months follow-up (p-values 0.005), and total Flynn{u2019}s score (p-value 0.096). There was no statistically significant difference between both groups; regarding age (p-value 0.005). time to union (p-value 0.149).and LLD (p-0.096)
530			_aIssued also as CD
653		4	_aFemur
653		4	_aNails
653		4	_aNancy
700	0		_aAlaa Mohy Eldin Solyman , _eSupervisor
700	0		_aFady Kamal Bedeir , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c80765 _d80765