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
Keywords
Related Articles
- EP ID EP740936
- DOI -
- Views 55
- Downloads 0
Outcome of Latarjet Procedure forRecurrentAnterior Shoulder Dislocation.
Objective: To determine the functional outcome of open Latarjet procedure for recurrent anterior shoulder dislocation. Methods: This descriptive study was conducted in Department of Orthopaedics, Lahore General Hospit...
Outcome of Dual Nerve Transfer in C5-C6 Brachial Plexus Injuries.
Objective: To determine the outcome of Spinal Accessary nerve to Suprascapular nerve and motor branch of Radial nerve transfer to the Axillary nerve for restoration of shoulder abduction and external rotation in patients...
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...
Functional Outcome of Custom-Built Fixed Hinged Prosthesis for Tumors around the Knee.
Objective: The determine the functional outcome of custom-built fixed hinged prosthesis for tumors around the knee. Methods: This descriptive study was conducted in Department of Orthopedics & Spine Surgery Ghurki Tr...
Pattern of Spine Trauma Presented to Spine Unit of Tertiary Care Hospital
Objective: To present pattern of spine trauma in terms of etiology, age, gender, level of injury, neurological deficit type of treatment given and complications. Methods: This study was performed at Spine Unit, depar...