Femoral shaft fracture in children traction and spica casting versus immediate spica casting : (clinical comparative study)
Other Title(s)
كسر عظم الفخد لدى الأطفال بالتجبيس المباشر للكسر أو العلاج بالسحب الابتدائي ثم التجبيس : (دراسة مقارنة)
Joint Authors
al-Zubady, Ihsan A. A.
al-Muhanna, Husayn H.
Source
Issue
Vol. 7, Issue 1-2 (30 Jun. 2010), pp.43-51, 9 p.
Publisher
University of Babylon College of Medicine
Publication Date
2010-06-30
Country of Publication
Iraq
No. of Pages
9
Main Subjects
Topics
Abstract AR
تمت دراسة حالة مائة طفل من الأطفال الذين يعانون من كسر عظم الفخذ و الذين أدخلو إلى مستشفى الديوانية التعليمي للفترة ما بين 2007-2005.
كانت أعمار الأطفال ما بين 10-2 سنة.
تمت معالجة 50 طفل بطريقة التجبيس المباشر للكسر تحت التخدير العام خلال أول يوم من دخولهم إلى المستشفى بينما عولج البقية (50) بالطريقة التقليدية، السحب الابتدائي للكسر بواسطة السحب الجلدي و لفترة تتراوح ما بين 3-2 أسابيع في المستشفى و ثم بعد ذلك التجبيس تحت التخدير العام.
أظهرت النتائج الأولية بعد إزالة الجبس مباشرة (8-6) أسابيع و كذلك النتائج المتأخرة (2 سنة بعد الكسر) بأنه لا توجد فروقات كبيرة بين الطريقتين فيما يخص طول أو اعوجاج العظم.
لذلك فأن طريقة التجبيس لكسر عظم الفخذ لدى الأطفال قد تمثل بديل جيد للطريقة التقليدية لمعالجة هذا الكسر.
Abstract EN
One hundred child with isolated non complicated femoral shaft fracture included in this clinical comparative study, between 2005-2007 in Aldiwania teaching hospital.
50 child treated by immediate application of hip spica cast under general anesthesia and discharge of the child at the same day.
Other 50 child treated by preliminary skin traction in the hospital for a period 2-3 weeks then after application of hip spica under general anesthesia.
After removal of the cast from all the children (6-8 weeks), shorting was seen in all children treated by immediate cast (43 case less than 2 cm, 7 cases more than 2 cm which regarded as a failure) while in other group shorting less than 2 cm was seen in 46 case, and more than 2 cm in 4 cases only.
(p value more than 0.05, non significant).
After 2 years, at the last follow up, limb length discrepancy was found only in 5 cases in children treated by immediate casting and in 4 cases treated by delay casting.
Which is non significant in both group.
there’s no significant angulations in both groups on short or late follow up.
So we concluded that immediate hip spica cast application as definitive treatment for femoral shaft fracture in children between 2-10 years old represent an a good alternative method for the traditional method of preliminary traction in hospital and then hip spica.
In addition its economic, safe, with short hospital stay and rapid return of the child to family.
American Psychological Association (APA)
al-Zubady, Ihsan A. A.& al-Muhanna, Husayn H.. 2010. Femoral shaft fracture in children traction and spica casting versus immediate spica casting : (clinical comparative study). Medical Journal of Babylon،Vol. 7, no. 1-2, pp.43-51.
https://search.emarefa.net/detail/BIM-241963
Modern Language Association (MLA)
al-Zubady, Ihsan A. A.& al-Muhanna, Husayn H.. Femoral shaft fracture in children traction and spica casting versus immediate spica casting : (clinical comparative study). Medical Journal of Babylon Vol. 7, no. 1-2 (2010), pp.43-51.
https://search.emarefa.net/detail/BIM-241963
American Medical Association (AMA)
al-Zubady, Ihsan A. A.& al-Muhanna, Husayn H.. Femoral shaft fracture in children traction and spica casting versus immediate spica casting : (clinical comparative study). Medical Journal of Babylon. 2010. Vol. 7, no. 1-2, pp.43-51.
https://search.emarefa.net/detail/BIM-241963
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 50-51
Record ID
BIM-241963