Title: Management of Fracture Shaft Femur in 6-14 Years Old Children by Conservative and Titanium Elastic Nailing – A Cross Sectional Comparative Study
Authors: Dr A. H. M. Azgar Ali Chowdhury, Prof. Dr Alak Kanti Biswas, Dr Md Somirul Islam, Dr A. K. M. Harun-Ar-Rashid, Dr Abdur Rahman, Dr Mohammad Shaha Alam, Dr A.T. M. Rezaul Karim, Dr Ayesha Begum, Dr Mohammad Ershad Alam
DOI: https://dx.doi.org/10.18535/jmscr/v9i5.10
Abstract
Objective: In this study our main goal is to compare functional outcome of TENS and conservative management in cases of fracture shaft femur in children ages of 6-14 years.
Method: This comparative cross-sectional study was carried out at Chattogram Medical College Hospital (CMCH), Chattogram and privatehospitals in Chattogram from January 2014 to December 2015. A total of 72 children with fracture shaft femur were included in the study.
Results: During the study, in this study, maximum age incidence was found in 06-09 years age group. Both group had similar mean age distribution with p value 0.625ns. Out of 72 patients, mean and standard deviation hospital stay in group-I was 10.222 ± 4.022 days and in group-II was 16.444 ± 3.783 days with highly significant p value. In both group minor complication is more frequently found with significant p value. According to patient’s satisfaction, 69.44% excellent cases were noted in group-I where as in group-2 it was 38.88%.
Conclusion: Titanium elastic nailing led to better outcomes compared to hip spica casting in terms of earlier union, lower rates of malunion, shorter rehabilitation milestones, and better functional outcome scores.
Keywords: Titanium elastic nailing (TENS), fracture shaft femur, Orthopaedics.
References
- Saseendar S, Menon J, Patro DK. Treatment of femoral fractures in children: is titanium elastic nailing an improvement over hip spica casting? J Child Orthop. 2010; 4(3):245-251.
- Ghosh Soumya, et al. A study of management of fracture shaft femur in children in a rural population. Journal of the Scientific Society. 2013 Sep 1; 40(3):135.
- Jain H K, Dhakar S, Sharma M, Jain M, Sharma H. Comparative Study of Hip Spica Cast versus Titanium Elastic Nail: The Treatment of Diaphyseal Femoral Fracture in Children. Int J Biol Med Res. 2012; 3(2): 1774-1777.
- Canale S. Terry, Beaty James H. Campbell’s Operative Orthopaedics: Femu 12th Edition. Vol. 1. Philadelphia, PA 19103-2899: ELSEVIER MOSBY; 2013.
- Shemshaki HR, Mousavi H, Salehi G, Eshaghi MA. Titanium elastic nailing versus hip spica cast in treatment of femoral-shaft fractures in children. J Orthopaed Traumatol. 2011 Mar 1; 12(1):45–48.
- Shemshaki HR, Mousavi H, Salehi G, Eshaghi MA. Titanium elastic nailing versus hip spica cast in treatment of femoral-shaft fractures in children. J Orthopaed Traumatol. 2011 Mar 1; 12(1):45–48.
- Sarkar S, Bandyopadhyay R, Mukherjee A. Titanium Elastic Nail-Complications in the Treatment of Paediatric Diaphyseal Fracture of Femur. PMC. 2013 Jan 16; 7: 1-17.
- Hamawandi S. Flexible Intramedullary Nails Versus Plaster Cast for Treating Femoral Shaft Fractures In Children: Comparative Study. Medical Journal of Babylon. 2014; 11 (1).