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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
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Abstract
A COMPARATIVE STUDY OF SHORT OUTCOME RESULTS BETWEEN HIP SPICA CAST AND TITANIUM ELASTIC INTRAMEDULLARY NAIL FOR ISOLATED FEMORAL SHAFT FRACTURES IN CHILDREN AGED BETWEEN 4-6 YEARS
Dr. Rabah Abdulla AL- Ebadi, F.I.C.M.S (Ortho)*, Dr. Yasir Isam Mohammed, M.B.Ch.B, Dr. Nashwan Abdil-Khalik Thannon, M.B.Ch.B, Dr. Firas Abdul Kareem Sabri Al Iblesh M.B.Ch.B
ABSTRACT
Background: Femoral shaft fractures are among the most common fractures that required hospitalization in children. There is no agreement about the best treatment options in preschool aged. Objectives: The aim of the study to compare prospectively between Hip Spica Cast and Titanium Elastic Nails regarding hospital stay, union, recovery period, final functional outcome, family satisfaction and complications for femoral shaft fracture in children aged between 4-6 years. Patients and method: A total of 40 patients, age between 4 to 6 years with isolated femoral shaft fractures were divided equally into two groups, group A treated by spica casting, group B treated by titanium elastic nail during the period from august 2019 to December 2020 at Al-Jumhoori teaching hospitals with follow up period of 6 months scheduled at 2, 6, 12 and 24 weeks. Results: This study showed comparable result in hospital stay (2.3/2.2) days P=0.3) and union time (6.9/6.8 weeks P=0.6) between spica cast and titanium elastic nail respectively. A statistically significant differences were noted in independent walking (8.9/7.1 weeks) and returned to activities (10.6/8.6 weeks) between spica cast and titanium elastic nail respectively. Significant P value of 0.002 and
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