Comparison of Frequency of Complications of Paediatric Femoral Shaft Fractures Treated with Hip Spicca Versus Flexible Nails.
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2022, Vol 34, Issue 04
Abstract
Objective: To compare the frequency of complications of Paediatric femoral shaft fractures treated with hip spicca versus flexible nails. Methods: This retrospective cross sectional study was conducted in Orthopedics and Traumatology division of Lady Reading Hospital Peshawar. The medical records of all children with femoral shaft fractures fulfilling the inclusion criteria and who were treated with hip spicca or titanium flexible nails in time period extending from 24th July 2019 to 23rd January 2022 were reviewed. Patients were divided into Spicca group(S) and Flexible nail group(F). Complications in both groups were documented and compared. Results: The record of 480 children was reviewed. The spicca group(S) and Flexible nails group(F) had 240 children each. The mean age of S group was 5.32±2.2 years and F group was 7.77±1.6 years. Both the S group and F group had 180(75%) and 141(58.75%) male children respectively. Right femoral fractures were present in 132(55% ) children in S group and 141(58.75%) in F group. Union was achieved in both groups. The average union time was 6.2±3.2 weeks in S group and 5.32±1 weeks in F group. Overall 64(26.66%)children in the S group and 42(17.5%) children in the F group had complications. The frequency of knee stiffness, malunion and shortening was significantly more in S group than in F group. (p<0.05) Conclusion: Paediatric femoral shaft fractures treated with hip spicca casting had higher complications than flexible nails.
Authors and Affiliations
Muhammad Shakeel1,Sheikh Naeem Ul Haq2,Shahid Ali3,Muhammad Bilal4,Abdullah Jan5,Naeemullah6
Use of Wet or Dry Bandages for Plaster Back-Slabs
To determine whether there was any significant change in length of crepe bandage and simple cotton bandage when wet and any further change when left to dry again. This will simulate the application of a wet bandage to a...
Outcome of Displaced Lateral Condyle Humerus Fractures in Children’s Treated with K-wire Fixation
To assess the outcome of lateral condyle of humerus fractures stabilized with K-wire fixation. Methods: This prospective study was conducted in department of orthopaedics at Chandka Medical College Hospital, Shaheed M...
Evaluation and Reliability of Mangled Extremity Severity Scoring in Traumatic Amputation Versus Limb Salvage
To salvage or amputate a severely injured limb is one of the most difficult decisions an orthopaedic surgeon may face. Several scoring system have been proposed for it. Observing paucity of any Pakistani study, we analyz...
Complex Pelvic Fractures: Emergency Room to Internal Fixation - A Case Series And Literature Review
A complex pelvic fracture is defined as a pelvic fracture that occurs together with an additional organ injury in the pelvic region, and includes urogenital, gastrointestinal, neurological and retroperitineal vessel inju...
COVID-19 and Practice of Orthopaedic Surgery: Pakistan Perspective.
The Global pandemic of COVID-19 has affected the health care system worldwide. Hospitals in Pakistan are getting overcrowded with COVID-19 patients and healthcare workers are getting infected with virus in increased numb...