Comparison of Titanium Elastic Nails (TEN) Vs Traction and Hip Spica Cast for Treatment of Femoral Shaft Fracture in Children Age 6-12 years.
Background : To Compare titanium elastic nails (TEN) Vs traction and hip spica cast for treatment of femoral shaft fracture in children aged 6-12years. Methods: In this descriptive study, children (n=100), age group 6 to 12 years, with femoral fractures, were included. Patients were divided into two...
Ausführliche Beschreibung
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| Autor*in: |
Ghulam Rasool [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2013 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Journal of Rawalpindi Medical College - Rawalpindi Medical University, 2020, 17(2013), 2 |
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| Übergeordnetes Werk: |
volume:17 ; year:2013 ; number:2 |
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DOAJ049601903 |
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| 520 | |a Background : To Compare titanium elastic nails (TEN) Vs traction and hip spica cast for treatment of femoral shaft fracture in children aged 6-12years. Methods: In this descriptive study, children (n=100), age group 6 to 12 years, with femoral fractures, were included. Patients were divided into two equal groups using randomization. Group A patients were treated with Titanium Elastic Nail (TEN) (n=49) and group B patients with traction and hip spica (n=51).Back slab was applied to all patients. For patients in the TEN group, the standard TEN technique was applied Majority of the patients underwent surgery within two days of their injury. Two Titanium Elastic Nails of identical diameter were used. Fractures were reduced using fluoroscopic guidance. Nails were inserted in retrograde/antegrade fashion according to fracture geometry. In retrograde elastic nailing, medial and lateral incisions above the physis were made. The nails were prebent sufficiently so that apex of the bowed nails rested at the same level on the fracture site to ensure a good equal recoil force. The nails were driven proximally so that both were divergent and the tips got anchored. Patients were mobilized without weight bearing on the fifth to seventh day postoperatively. Partial weight bearing was started at three weeks and full weight bearing by six to eight weeks. Patients in the spica cast group were treated with skin traction/ skeletal traction for about 3 weeks and then hip spica was applied. When sufficient callus consolidation had been achieved, one-and-a-half hip spica was applied . The cast was maintained for about 1-2 months depends on the age of patient. After cast removal, patients were referred for physical therapy. Results: Those treated with titanium elastic nail (TEN) had radiological union time 4-6 weeks and took a shorter time, as compared to spica cast group 9-10 weeks. TEN group A had a better out come than group B. Twelve patients in the spica cast group B had malunion. Postoperative superficial infection occurred in five patients and deep wound infection was observed in two patients in the TEN group A. Conclusion:Titanium elastic intramedullary nailing is an effective treatment of femoral shaft fractures in children | ||
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(DE-627)DOAJ049601903 (DE-599)DOAJ2cf2e4be356d4ac69dd2527b939928cd DE-627 ger DE-627 rakwb eng Ghulam Rasool verfasserin aut Comparison of Titanium Elastic Nails (TEN) Vs Traction and Hip Spica Cast for Treatment of Femoral Shaft Fracture in Children Age 6-12 years. 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background : To Compare titanium elastic nails (TEN) Vs traction and hip spica cast for treatment of femoral shaft fracture in children aged 6-12years. Methods: In this descriptive study, children (n=100), age group 6 to 12 years, with femoral fractures, were included. Patients were divided into two equal groups using randomization. Group A patients were treated with Titanium Elastic Nail (TEN) (n=49) and group B patients with traction and hip spica (n=51).Back slab was applied to all patients. For patients in the TEN group, the standard TEN technique was applied Majority of the patients underwent surgery within two days of their injury. Two Titanium Elastic Nails of identical diameter were used. Fractures were reduced using fluoroscopic guidance. Nails were inserted in retrograde/antegrade fashion according to fracture geometry. In retrograde elastic nailing, medial and lateral incisions above the physis were made. The nails were prebent sufficiently so that apex of the bowed nails rested at the same level on the fracture site to ensure a good equal recoil force. The nails were driven proximally so that both were divergent and the tips got anchored. Patients were mobilized without weight bearing on the fifth to seventh day postoperatively. Partial weight bearing was started at three weeks and full weight bearing by six to eight weeks. Patients in the spica cast group were treated with skin traction/ skeletal traction for about 3 weeks and then hip spica was applied. When sufficient callus consolidation had been achieved, one-and-a-half hip spica was applied . The cast was maintained for about 1-2 months depends on the age of patient. After cast removal, patients were referred for physical therapy. Results: Those treated with titanium elastic nail (TEN) had radiological union time 4-6 weeks and took a shorter time, as compared to spica cast group 9-10 weeks. TEN group A had a better out come than group B. Twelve patients in the spica cast group B had malunion. Postoperative superficial infection occurred in five patients and deep wound infection was observed in two patients in the TEN group A. Conclusion:Titanium elastic intramedullary nailing is an effective treatment of femoral shaft fractures in children Hip spica cast Titanium elastic nailing, Medicine R In Journal of Rawalpindi Medical College Rawalpindi Medical University, 2020 17(2013), 2 (DE-627)1735713449 16833570 nnns volume:17 year:2013 number:2 https://doaj.org/article/2cf2e4be356d4ac69dd2527b939928cd kostenfrei https://www.journalrmc.com/index.php/JRMC/article/view/454 kostenfrei https://doaj.org/toc/1683-3562 Journal toc kostenfrei https://doaj.org/toc/1683-3570 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2013 2 |
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(DE-627)DOAJ049601903 (DE-599)DOAJ2cf2e4be356d4ac69dd2527b939928cd DE-627 ger DE-627 rakwb eng Ghulam Rasool verfasserin aut Comparison of Titanium Elastic Nails (TEN) Vs Traction and Hip Spica Cast for Treatment of Femoral Shaft Fracture in Children Age 6-12 years. 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background : To Compare titanium elastic nails (TEN) Vs traction and hip spica cast for treatment of femoral shaft fracture in children aged 6-12years. Methods: In this descriptive study, children (n=100), age group 6 to 12 years, with femoral fractures, were included. Patients were divided into two equal groups using randomization. Group A patients were treated with Titanium Elastic Nail (TEN) (n=49) and group B patients with traction and hip spica (n=51).Back slab was applied to all patients. For patients in the TEN group, the standard TEN technique was applied Majority of the patients underwent surgery within two days of their injury. Two Titanium Elastic Nails of identical diameter were used. Fractures were reduced using fluoroscopic guidance. Nails were inserted in retrograde/antegrade fashion according to fracture geometry. In retrograde elastic nailing, medial and lateral incisions above the physis were made. The nails were prebent sufficiently so that apex of the bowed nails rested at the same level on the fracture site to ensure a good equal recoil force. The nails were driven proximally so that both were divergent and the tips got anchored. Patients were mobilized without weight bearing on the fifth to seventh day postoperatively. Partial weight bearing was started at three weeks and full weight bearing by six to eight weeks. Patients in the spica cast group were treated with skin traction/ skeletal traction for about 3 weeks and then hip spica was applied. When sufficient callus consolidation had been achieved, one-and-a-half hip spica was applied . The cast was maintained for about 1-2 months depends on the age of patient. After cast removal, patients were referred for physical therapy. Results: Those treated with titanium elastic nail (TEN) had radiological union time 4-6 weeks and took a shorter time, as compared to spica cast group 9-10 weeks. TEN group A had a better out come than group B. Twelve patients in the spica cast group B had malunion. Postoperative superficial infection occurred in five patients and deep wound infection was observed in two patients in the TEN group A. Conclusion:Titanium elastic intramedullary nailing is an effective treatment of femoral shaft fractures in children Hip spica cast Titanium elastic nailing, Medicine R In Journal of Rawalpindi Medical College Rawalpindi Medical University, 2020 17(2013), 2 (DE-627)1735713449 16833570 nnns volume:17 year:2013 number:2 https://doaj.org/article/2cf2e4be356d4ac69dd2527b939928cd kostenfrei https://www.journalrmc.com/index.php/JRMC/article/view/454 kostenfrei https://doaj.org/toc/1683-3562 Journal toc kostenfrei https://doaj.org/toc/1683-3570 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2013 2 |
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(DE-627)DOAJ049601903 (DE-599)DOAJ2cf2e4be356d4ac69dd2527b939928cd DE-627 ger DE-627 rakwb eng Ghulam Rasool verfasserin aut Comparison of Titanium Elastic Nails (TEN) Vs Traction and Hip Spica Cast for Treatment of Femoral Shaft Fracture in Children Age 6-12 years. 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background : To Compare titanium elastic nails (TEN) Vs traction and hip spica cast for treatment of femoral shaft fracture in children aged 6-12years. Methods: In this descriptive study, children (n=100), age group 6 to 12 years, with femoral fractures, were included. Patients were divided into two equal groups using randomization. Group A patients were treated with Titanium Elastic Nail (TEN) (n=49) and group B patients with traction and hip spica (n=51).Back slab was applied to all patients. For patients in the TEN group, the standard TEN technique was applied Majority of the patients underwent surgery within two days of their injury. Two Titanium Elastic Nails of identical diameter were used. Fractures were reduced using fluoroscopic guidance. Nails were inserted in retrograde/antegrade fashion according to fracture geometry. In retrograde elastic nailing, medial and lateral incisions above the physis were made. The nails were prebent sufficiently so that apex of the bowed nails rested at the same level on the fracture site to ensure a good equal recoil force. The nails were driven proximally so that both were divergent and the tips got anchored. Patients were mobilized without weight bearing on the fifth to seventh day postoperatively. Partial weight bearing was started at three weeks and full weight bearing by six to eight weeks. Patients in the spica cast group were treated with skin traction/ skeletal traction for about 3 weeks and then hip spica was applied. When sufficient callus consolidation had been achieved, one-and-a-half hip spica was applied . The cast was maintained for about 1-2 months depends on the age of patient. After cast removal, patients were referred for physical therapy. Results: Those treated with titanium elastic nail (TEN) had radiological union time 4-6 weeks and took a shorter time, as compared to spica cast group 9-10 weeks. TEN group A had a better out come than group B. Twelve patients in the spica cast group B had malunion. Postoperative superficial infection occurred in five patients and deep wound infection was observed in two patients in the TEN group A. Conclusion:Titanium elastic intramedullary nailing is an effective treatment of femoral shaft fractures in children Hip spica cast Titanium elastic nailing, Medicine R In Journal of Rawalpindi Medical College Rawalpindi Medical University, 2020 17(2013), 2 (DE-627)1735713449 16833570 nnns volume:17 year:2013 number:2 https://doaj.org/article/2cf2e4be356d4ac69dd2527b939928cd kostenfrei https://www.journalrmc.com/index.php/JRMC/article/view/454 kostenfrei https://doaj.org/toc/1683-3562 Journal toc kostenfrei https://doaj.org/toc/1683-3570 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2013 2 |
| allfieldsGer |
(DE-627)DOAJ049601903 (DE-599)DOAJ2cf2e4be356d4ac69dd2527b939928cd DE-627 ger DE-627 rakwb eng Ghulam Rasool verfasserin aut Comparison of Titanium Elastic Nails (TEN) Vs Traction and Hip Spica Cast for Treatment of Femoral Shaft Fracture in Children Age 6-12 years. 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background : To Compare titanium elastic nails (TEN) Vs traction and hip spica cast for treatment of femoral shaft fracture in children aged 6-12years. Methods: In this descriptive study, children (n=100), age group 6 to 12 years, with femoral fractures, were included. Patients were divided into two equal groups using randomization. Group A patients were treated with Titanium Elastic Nail (TEN) (n=49) and group B patients with traction and hip spica (n=51).Back slab was applied to all patients. For patients in the TEN group, the standard TEN technique was applied Majority of the patients underwent surgery within two days of their injury. Two Titanium Elastic Nails of identical diameter were used. Fractures were reduced using fluoroscopic guidance. Nails were inserted in retrograde/antegrade fashion according to fracture geometry. In retrograde elastic nailing, medial and lateral incisions above the physis were made. The nails were prebent sufficiently so that apex of the bowed nails rested at the same level on the fracture site to ensure a good equal recoil force. The nails were driven proximally so that both were divergent and the tips got anchored. Patients were mobilized without weight bearing on the fifth to seventh day postoperatively. Partial weight bearing was started at three weeks and full weight bearing by six to eight weeks. Patients in the spica cast group were treated with skin traction/ skeletal traction for about 3 weeks and then hip spica was applied. When sufficient callus consolidation had been achieved, one-and-a-half hip spica was applied . The cast was maintained for about 1-2 months depends on the age of patient. After cast removal, patients were referred for physical therapy. Results: Those treated with titanium elastic nail (TEN) had radiological union time 4-6 weeks and took a shorter time, as compared to spica cast group 9-10 weeks. TEN group A had a better out come than group B. Twelve patients in the spica cast group B had malunion. Postoperative superficial infection occurred in five patients and deep wound infection was observed in two patients in the TEN group A. Conclusion:Titanium elastic intramedullary nailing is an effective treatment of femoral shaft fractures in children Hip spica cast Titanium elastic nailing, Medicine R In Journal of Rawalpindi Medical College Rawalpindi Medical University, 2020 17(2013), 2 (DE-627)1735713449 16833570 nnns volume:17 year:2013 number:2 https://doaj.org/article/2cf2e4be356d4ac69dd2527b939928cd kostenfrei https://www.journalrmc.com/index.php/JRMC/article/view/454 kostenfrei https://doaj.org/toc/1683-3562 Journal toc kostenfrei https://doaj.org/toc/1683-3570 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2013 2 |
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(DE-627)DOAJ049601903 (DE-599)DOAJ2cf2e4be356d4ac69dd2527b939928cd DE-627 ger DE-627 rakwb eng Ghulam Rasool verfasserin aut Comparison of Titanium Elastic Nails (TEN) Vs Traction and Hip Spica Cast for Treatment of Femoral Shaft Fracture in Children Age 6-12 years. 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background : To Compare titanium elastic nails (TEN) Vs traction and hip spica cast for treatment of femoral shaft fracture in children aged 6-12years. Methods: In this descriptive study, children (n=100), age group 6 to 12 years, with femoral fractures, were included. Patients were divided into two equal groups using randomization. Group A patients were treated with Titanium Elastic Nail (TEN) (n=49) and group B patients with traction and hip spica (n=51).Back slab was applied to all patients. For patients in the TEN group, the standard TEN technique was applied Majority of the patients underwent surgery within two days of their injury. Two Titanium Elastic Nails of identical diameter were used. Fractures were reduced using fluoroscopic guidance. Nails were inserted in retrograde/antegrade fashion according to fracture geometry. In retrograde elastic nailing, medial and lateral incisions above the physis were made. The nails were prebent sufficiently so that apex of the bowed nails rested at the same level on the fracture site to ensure a good equal recoil force. The nails were driven proximally so that both were divergent and the tips got anchored. Patients were mobilized without weight bearing on the fifth to seventh day postoperatively. Partial weight bearing was started at three weeks and full weight bearing by six to eight weeks. Patients in the spica cast group were treated with skin traction/ skeletal traction for about 3 weeks and then hip spica was applied. When sufficient callus consolidation had been achieved, one-and-a-half hip spica was applied . The cast was maintained for about 1-2 months depends on the age of patient. After cast removal, patients were referred for physical therapy. Results: Those treated with titanium elastic nail (TEN) had radiological union time 4-6 weeks and took a shorter time, as compared to spica cast group 9-10 weeks. TEN group A had a better out come than group B. Twelve patients in the spica cast group B had malunion. Postoperative superficial infection occurred in five patients and deep wound infection was observed in two patients in the TEN group A. Conclusion:Titanium elastic intramedullary nailing is an effective treatment of femoral shaft fractures in children Hip spica cast Titanium elastic nailing, Medicine R In Journal of Rawalpindi Medical College Rawalpindi Medical University, 2020 17(2013), 2 (DE-627)1735713449 16833570 nnns volume:17 year:2013 number:2 https://doaj.org/article/2cf2e4be356d4ac69dd2527b939928cd kostenfrei https://www.journalrmc.com/index.php/JRMC/article/view/454 kostenfrei https://doaj.org/toc/1683-3562 Journal toc kostenfrei https://doaj.org/toc/1683-3570 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 17 2013 2 |
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Methods: In this descriptive study, children (n=100), age group 6 to 12 years, with femoral fractures, were included. Patients were divided into two equal groups using randomization. Group A patients were treated with Titanium Elastic Nail (TEN) (n=49) and group B patients with traction and hip spica (n=51).Back slab was applied to all patients. For patients in the TEN group, the standard TEN technique was applied Majority of the patients underwent surgery within two days of their injury. Two Titanium Elastic Nails of identical diameter were used. Fractures were reduced using fluoroscopic guidance. Nails were inserted in retrograde/antegrade fashion according to fracture geometry. In retrograde elastic nailing, medial and lateral incisions above the physis were made. The nails were prebent sufficiently so that apex of the bowed nails rested at the same level on the fracture site to ensure a good equal recoil force. The nails were driven proximally so that both were divergent and the tips got anchored. Patients were mobilized without weight bearing on the fifth to seventh day postoperatively. Partial weight bearing was started at three weeks and full weight bearing by six to eight weeks. Patients in the spica cast group were treated with skin traction/ skeletal traction for about 3 weeks and then hip spica was applied. When sufficient callus consolidation had been achieved, one-and-a-half hip spica was applied . The cast was maintained for about 1-2 months depends on the age of patient. After cast removal, patients were referred for physical therapy. Results: Those treated with titanium elastic nail (TEN) had radiological union time 4-6 weeks and took a shorter time, as compared to spica cast group 9-10 weeks. TEN group A had a better out come than group B. Twelve patients in the spica cast group B had malunion. Postoperative superficial infection occurred in five patients and deep wound infection was observed in two patients in the TEN group A. 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Ghulam Rasool misc Hip spica cast misc Titanium elastic nailing, misc Medicine misc R Comparison of Titanium Elastic Nails (TEN) Vs Traction and Hip Spica Cast for Treatment of Femoral Shaft Fracture in Children Age 6-12 years. |
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Comparison of Titanium Elastic Nails (TEN) Vs Traction and Hip Spica Cast for Treatment of Femoral Shaft Fracture in Children Age 6-12 years Hip spica cast Titanium elastic nailing |
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Comparison of Titanium Elastic Nails (TEN) Vs Traction and Hip Spica Cast for Treatment of Femoral Shaft Fracture in Children Age 6-12 years. |
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Comparison of Titanium Elastic Nails (TEN) Vs Traction and Hip Spica Cast for Treatment of Femoral Shaft Fracture in Children Age 6-12 years |
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comparison of titanium elastic nails (ten) vs traction and hip spica cast for treatment of femoral shaft fracture in children age 6-12 years |
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Comparison of Titanium Elastic Nails (TEN) Vs Traction and Hip Spica Cast for Treatment of Femoral Shaft Fracture in Children Age 6-12 years. |
| abstract |
Background : To Compare titanium elastic nails (TEN) Vs traction and hip spica cast for treatment of femoral shaft fracture in children aged 6-12years. Methods: In this descriptive study, children (n=100), age group 6 to 12 years, with femoral fractures, were included. Patients were divided into two equal groups using randomization. Group A patients were treated with Titanium Elastic Nail (TEN) (n=49) and group B patients with traction and hip spica (n=51).Back slab was applied to all patients. For patients in the TEN group, the standard TEN technique was applied Majority of the patients underwent surgery within two days of their injury. Two Titanium Elastic Nails of identical diameter were used. Fractures were reduced using fluoroscopic guidance. Nails were inserted in retrograde/antegrade fashion according to fracture geometry. In retrograde elastic nailing, medial and lateral incisions above the physis were made. The nails were prebent sufficiently so that apex of the bowed nails rested at the same level on the fracture site to ensure a good equal recoil force. The nails were driven proximally so that both were divergent and the tips got anchored. Patients were mobilized without weight bearing on the fifth to seventh day postoperatively. Partial weight bearing was started at three weeks and full weight bearing by six to eight weeks. Patients in the spica cast group were treated with skin traction/ skeletal traction for about 3 weeks and then hip spica was applied. When sufficient callus consolidation had been achieved, one-and-a-half hip spica was applied . The cast was maintained for about 1-2 months depends on the age of patient. After cast removal, patients were referred for physical therapy. Results: Those treated with titanium elastic nail (TEN) had radiological union time 4-6 weeks and took a shorter time, as compared to spica cast group 9-10 weeks. TEN group A had a better out come than group B. Twelve patients in the spica cast group B had malunion. Postoperative superficial infection occurred in five patients and deep wound infection was observed in two patients in the TEN group A. Conclusion:Titanium elastic intramedullary nailing is an effective treatment of femoral shaft fractures in children |
| abstractGer |
Background : To Compare titanium elastic nails (TEN) Vs traction and hip spica cast for treatment of femoral shaft fracture in children aged 6-12years. Methods: In this descriptive study, children (n=100), age group 6 to 12 years, with femoral fractures, were included. Patients were divided into two equal groups using randomization. Group A patients were treated with Titanium Elastic Nail (TEN) (n=49) and group B patients with traction and hip spica (n=51).Back slab was applied to all patients. For patients in the TEN group, the standard TEN technique was applied Majority of the patients underwent surgery within two days of their injury. Two Titanium Elastic Nails of identical diameter were used. Fractures were reduced using fluoroscopic guidance. Nails were inserted in retrograde/antegrade fashion according to fracture geometry. In retrograde elastic nailing, medial and lateral incisions above the physis were made. The nails were prebent sufficiently so that apex of the bowed nails rested at the same level on the fracture site to ensure a good equal recoil force. The nails were driven proximally so that both were divergent and the tips got anchored. Patients were mobilized without weight bearing on the fifth to seventh day postoperatively. Partial weight bearing was started at three weeks and full weight bearing by six to eight weeks. Patients in the spica cast group were treated with skin traction/ skeletal traction for about 3 weeks and then hip spica was applied. When sufficient callus consolidation had been achieved, one-and-a-half hip spica was applied . The cast was maintained for about 1-2 months depends on the age of patient. After cast removal, patients were referred for physical therapy. Results: Those treated with titanium elastic nail (TEN) had radiological union time 4-6 weeks and took a shorter time, as compared to spica cast group 9-10 weeks. TEN group A had a better out come than group B. Twelve patients in the spica cast group B had malunion. Postoperative superficial infection occurred in five patients and deep wound infection was observed in two patients in the TEN group A. Conclusion:Titanium elastic intramedullary nailing is an effective treatment of femoral shaft fractures in children |
| abstract_unstemmed |
Background : To Compare titanium elastic nails (TEN) Vs traction and hip spica cast for treatment of femoral shaft fracture in children aged 6-12years. Methods: In this descriptive study, children (n=100), age group 6 to 12 years, with femoral fractures, were included. Patients were divided into two equal groups using randomization. Group A patients were treated with Titanium Elastic Nail (TEN) (n=49) and group B patients with traction and hip spica (n=51).Back slab was applied to all patients. For patients in the TEN group, the standard TEN technique was applied Majority of the patients underwent surgery within two days of their injury. Two Titanium Elastic Nails of identical diameter were used. Fractures were reduced using fluoroscopic guidance. Nails were inserted in retrograde/antegrade fashion according to fracture geometry. In retrograde elastic nailing, medial and lateral incisions above the physis were made. The nails were prebent sufficiently so that apex of the bowed nails rested at the same level on the fracture site to ensure a good equal recoil force. The nails were driven proximally so that both were divergent and the tips got anchored. Patients were mobilized without weight bearing on the fifth to seventh day postoperatively. Partial weight bearing was started at three weeks and full weight bearing by six to eight weeks. Patients in the spica cast group were treated with skin traction/ skeletal traction for about 3 weeks and then hip spica was applied. When sufficient callus consolidation had been achieved, one-and-a-half hip spica was applied . The cast was maintained for about 1-2 months depends on the age of patient. After cast removal, patients were referred for physical therapy. Results: Those treated with titanium elastic nail (TEN) had radiological union time 4-6 weeks and took a shorter time, as compared to spica cast group 9-10 weeks. TEN group A had a better out come than group B. Twelve patients in the spica cast group B had malunion. Postoperative superficial infection occurred in five patients and deep wound infection was observed in two patients in the TEN group A. Conclusion:Titanium elastic intramedullary nailing is an effective treatment of femoral shaft fractures in children |
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Comparison of Titanium Elastic Nails (TEN) Vs Traction and Hip Spica Cast for Treatment of Femoral Shaft Fracture in Children Age 6-12 years. |
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The nails were driven proximally so that both were divergent and the tips got anchored. Patients were mobilized without weight bearing on the fifth to seventh day postoperatively. Partial weight bearing was started at three weeks and full weight bearing by six to eight weeks. Patients in the spica cast group were treated with skin traction/ skeletal traction for about 3 weeks and then hip spica was applied. When sufficient callus consolidation had been achieved, one-and-a-half hip spica was applied . The cast was maintained for about 1-2 months depends on the age of patient. After cast removal, patients were referred for physical therapy. Results: Those treated with titanium elastic nail (TEN) had radiological union time 4-6 weeks and took a shorter time, as compared to spica cast group 9-10 weeks. TEN group A had a better out come than group B. Twelve patients in the spica cast group B had malunion. Postoperative superficial infection occurred in five patients and deep wound infection was observed in two patients in the TEN group A. 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