COMPARISON OF FUNCTIONAL OUTCOME BETWEEN TITANIUM ELASTIC NAILING AND HIP SPICA CAST IN TREATMENT OF FEMORAL SHAFT FRACTURES IN CHILDREN

Kashif Raza Khan, None Asim Rasool, None Muhammad Umair, None Majid Rashid, None Tallal Ahmad Lodhi, None Shahid Iqbal
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Abstract

Background: The femur, also known as the thigh bone, holds several notable distinctions within the human body. It is the longest bone, exhibiting considerable strength and durability. Ongoing debate exists regarding the optimal management approach for femoral shaft fractures in children. Objectives: To compare the frequency of functional outcome between titanium elastic nailing versus hip spica cast in treatment of femoral shaft fractures in children. Methods: This randomized control trial was conducted at Sahiwal Teaching Hospital Sahiwal. Total 140(70 in each group) patients were enrolled after fulfilling the predetermined selection criteria. Patients were randomly assigned to two separate groups. Group A patients were managed with Titanium elastic nail (TEN) method and group B patients were managed with hip spica cast method. After 3rd month, functional outcome was noted in both groups. Results: The mean age of the patients was 5.92±2.03 years, 65% patients were male. After 3rd month, in TEN group excellent outcome was seen in 59(84.3%) patients and in Spica Cast group it was seen in 7(10%) patients (p-value=<0.05). Conclusion: This study concluded that titanium elastic nailing offers higher percentage of excellent functional outcomes compared to hip spica cast in treatment of femoral shaft fractures in children Keywords: Femoral Shaft Fractures, Hip Spica Cast, Titanium Elastic Nailing, Functional Outcome
钛弹性钉与髋关节石膏治疗儿童股骨干骨折的功能效果比较
背景:股骨,也被称为大腿骨,在人体中有几个显著的区别。它是最长的骨头,表现出相当的强度和耐久性。关于儿童股骨干骨折的最佳治疗方法仍存在争议。 目的:比较钛弹性钉治疗儿童股骨干骨折与髋关节石膏治疗的功能预后频率。 方法:随机对照试验在Sahiwal教学医院进行。在满足预定的选择标准后,共入组140例患者(每组70例)。患者被随机分为两组。A组采用钛弹性钉(TEN)法治疗,B组采用髋关节石膏法治疗。3个月后,两组均观察到功能结果。& # x0D;结果:患者平均年龄5.92±2.03岁,男性占65%。3个月后,TEN组59例(84.3%)患者预后良好,Spica Cast组7例(10%)患者预后良好(p值=<0.05)。结论:本研究得出钛弹性钉治疗儿童股骨干骨折的良好功能预后百分比高于髋关节石膏;关键词:股骨干骨折,髋关节Spica石膏,钛弹性钉,功能预后
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