Femoral Shaft Fractures in Children: A Comparative Study in Treatment with Spica and Tens

Sekhar, D. R.; Prasad, Jagannath

doi:10.9790/0853-1606011114

Cited by 1 publication

(3 citation statements)

References 10 publications

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“…Common causes of poor Flynn score in spica group may be malunion and limb length discrepancy. These findings are comparable with other studies [17,18,20] . All these studies showed better Flynn score in TEN group.…”

Section: Final Outcome (Based On Flynn Criteria)supporting

confidence: 93%

“…Mean union time was less in TEN group (8.80 ± 1.76 week in TEN group versus 10. 20 2.33 week in spica group) which is statistically significant (p value = 0.039). It is probably because of better contact of the fracture surfaces and anatomical reduction in patients who underwent TEN surgery.…”

Section: Graph 1: Showing Mode Of Injury In Our Studymentioning

confidence: 77%

“…This minimal difference between groups could be explained by measurement error. In R. Chandra Sekhar et al [20] study, knee range of motion of the spica cast group was 137.4 ± 5.4 and of elastic nailing group was 127.3 ± 9.6 ).…”

Section: Range Of Motion Of Kneementioning

confidence: 90%

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Evaluation of outcome of titanium elastic nailing (TEN) versus hip spica cast in the treatment of femoral shaft fractures in children

Kumar¹,

Kumari²,

Pandit³

2018

Int. J. Orthop. Sci.

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Femoral shaft fractures are among the most common pediatric injury and treatment of them carries a lot of controversies. The aim of this study was to compare the outcome of titanium elastic nailing versus hip spica cast in femoral shaft fractures in children. This prospective study was conducted on 40 children of 5 to 15 years of age treated with titanium elastic nail or early hip spica cast for the fracture shaft of femur during July 2016 to October 2017 in the Department of Orthopaedics, R.I.M.S., Ranchi, Jharkhand. Majority of patients in both treatment group were male child with overall boy to girl ratio was 1.85:1. Mean age in titanium elastic nailing group was 9.82 ± 2.99 years and in spica group was 8.35 ± 2.53 years. RTA was most common mechanism of injury and right limb was more commonly involved in both groups. Union time was less in titanium elastic nailing group (8.80 1.76 week) than spica group (10.20 2.33 week) (p = 0.039). Patients in titanium elastic nailing group walked with and without support earlier than the spica cast group (p = 0.000). Most common complication in titanium elastic nailing group was limb lengthening (50%) followed by mal alignment (40%) while in spica group it was limb shortening (65%) followed by mal alignment (55%). Overall complication was higher in spica group. At final analysis, Flynn score was better in titanium elastic nailing group than in hip spica group (p = 0.365). Titanium elastic nailing is better method for the management of femoral shaft fractures in children as it results in higher rate of excellent functional outcome with lower incidence of complications.

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Section: Final Outcome (Based On Flynn Criteria)supporting

confidence: 93%

Section: Graph 1: Showing Mode Of Injury In Our Studymentioning

confidence: 77%