OUTCOME OF STUDY OF IMMEDIATE HIP SPICA APPLICATION IN FEMORAL DIAPHYSEAL FRACTURES IN CHILDREN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 42
Abstract
BACKGROUND Femoral shaft fractures in the paediatric patients have traditionally been treated non-operatively with either early spica cast or a period of traction followed by application of hip spica cast until the time of fracture union. Surgical treatment invites complications. Immediate hip spica casting indeed leads to significant reductions in weight-bearing delay, hospitalisation duration, complications and costs, while having similar clinical results as traction. Aims- Aim of the study was to assess the final outcome related to the study. MATERIALS AND METHODS We conducted a prospective study over a period of two years on 45 patients with closed shaft femur fractures below 10 years of age, treated by immediate hip spica casting. Under fluoroscopy, fracture was reduced on the same day of presentation to hospital. Patients were discharged after 24 hours of observation. RESULTS The average hospital stay was 1.5 days. The average duration of followup was 6.4 months. The average shortening of the fractured limb at the time of fracture union was 11 mm. The average shortening of limb at the last followup was 7 mm. All fractures united in an acceptable position except one. CONCLUSION Immediate hip spica casting be considered as the gold standard for closed femoral shaft fracture in children < 10 years.
Authors and Affiliations
Tapan Kumar Das, Anupam Debnath, Bhupes Sil
Keywords
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- EP ID EP214151
- DOI 10.14260/Jemds/2017/724
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