A study of management of fracture shaft femur in children in a rural population
Background: Femoral shaft fractures account for 1.6% of all bony injuries in children, and the mode of treatment for children between 6 and 16 years of age is still debatable. Objectives: To compare the merits and demerits of operative and conservative managements of fracture shaft femur in children...
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2013-01-01
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doaj-1201db3e1c044f3e9e2695981cc21ffd2020-11-24T23:39:13ZengWolters Kluwer Medknow PublicationsJournal of the Scientific Society0974-50092013-01-0140313513910.4103/0974-5009.120055A study of management of fracture shaft femur in children in a rural populationSoumya GhoshSouvik BagSoma DattaArunima ChaudhuriDebasis Singha RoyAbhijit BiswasBackground: Femoral shaft fractures account for 1.6% of all bony injuries in children, and the mode of treatment for children between 6 and 16 years of age is still debatable. Objectives: To compare the merits and demerits of operative and conservative managements of fracture shaft femur in children in a rural population in a developing country. Materials and Methods: Forty patients in the age group of 6-14 years with transverse fractures of shaft of the femur and two different treatment protocols were selected. The patients treated in skeletal traction or fixed traction in Thomas′ splint were included in one group and patients who were treated operatively with titanium elastic nails comprised the other group. Data was analyzed using Chi-square test. Results: The commonest cause of injury was motor vehicle accident, accounting for 70% of the cases, with left femur (60%) more commonly injured. All fractures in the operative group united clinically by 8 weeks and radiologically by 10 weeks, and, in the conservative group, by 9 weeks clinically and 12 weeks radiologically. The difference was statistically significant. Shortening and angular mal alignments were found more commonly in the conservative group, and the difference was significant. The follow-up for 1 year of all cases were uneventful. Conclusion: Internal fixation with titanium elastic nails provides better results than conservative treatment in traction.http://www.jscisociety.com/article.asp?issn=0974-5009;year=2013;volume=40;issue=3;spage=135;epage=139;aulast=GhoshConservative and operative managementfracture shaft femur |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Soumya Ghosh Souvik Bag Soma Datta Arunima Chaudhuri Debasis Singha Roy Abhijit Biswas |
spellingShingle |
Soumya Ghosh Souvik Bag Soma Datta Arunima Chaudhuri Debasis Singha Roy Abhijit Biswas A study of management of fracture shaft femur in children in a rural population Journal of the Scientific Society Conservative and operative management fracture shaft femur |
author_facet |
Soumya Ghosh Souvik Bag Soma Datta Arunima Chaudhuri Debasis Singha Roy Abhijit Biswas |
author_sort |
Soumya Ghosh |
title |
A study of management of fracture shaft femur in children in a rural population |
title_short |
A study of management of fracture shaft femur in children in a rural population |
title_full |
A study of management of fracture shaft femur in children in a rural population |
title_fullStr |
A study of management of fracture shaft femur in children in a rural population |
title_full_unstemmed |
A study of management of fracture shaft femur in children in a rural population |
title_sort |
study of management of fracture shaft femur in children in a rural population |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of the Scientific Society |
issn |
0974-5009 |
publishDate |
2013-01-01 |
description |
Background: Femoral shaft fractures account for 1.6% of all bony injuries in children, and the mode of treatment for children between 6 and 16 years of age is still debatable. Objectives: To compare the merits and demerits of operative and conservative managements of fracture shaft femur in children in a rural population in a developing country. Materials and Methods: Forty patients in the age group of 6-14 years with transverse fractures of shaft of the femur and two different treatment protocols were selected. The patients treated in skeletal traction or fixed traction in Thomas′ splint were included in one group and patients who were treated operatively with titanium elastic nails comprised the other group. Data was analyzed using Chi-square test. Results: The commonest cause of injury was motor vehicle accident, accounting for 70% of the cases, with left femur (60%) more commonly injured. All fractures in the operative group united clinically by 8 weeks and radiologically by 10 weeks, and, in the conservative group, by 9 weeks clinically and 12 weeks radiologically. The difference was statistically significant. Shortening and angular mal alignments were found more commonly in the conservative group, and the difference was significant. The follow-up for 1 year of all cases were uneventful. Conclusion: Internal fixation with titanium elastic nails provides better results than conservative treatment in traction. |
topic |
Conservative and operative management fracture shaft femur |
url |
http://www.jscisociety.com/article.asp?issn=0974-5009;year=2013;volume=40;issue=3;spage=135;epage=139;aulast=Ghosh |
work_keys_str_mv |
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