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首页> 外文期刊>Open Journal of Urology >Comparative Study between the Elastic Nail versus Hip Spica Cast in Early Treatment of Pediatric Femoral Shaft Fractures
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Comparative Study between the Elastic Nail versus Hip Spica Cast in Early Treatment of Pediatric Femoral Shaft Fractures

机译：弹性钉与髋臼角石膏早期治疗小儿股骨干骨折的比较研究。

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Introduction: Femoral shaft fractures are among the most common pediatric injury, which have the highest incidence among other pediatric fractures, and treatment of them carries a lot of controversies. Aim of the study: To compare the outcome of fixation of femoral shaft fracture by elastic nail with Spica cast. Patient and method: This prospective comparative study was carried out in Sulaimani Teaching Hospital, in the period from the 10th of December 2011 to the 10th of June 2012, for two groups of children whose ages were between 4 - 12 years (average 6.61 years), sustained traumatic femoral shaft fractures with follow-up period of about 6 months. The first group was consisting of 30 children treated by Elastic Intramedullary Nail, while the second group was consisted of 30 children treated by hip Spica. The selection was made on random bases. Results: Age range was between 4 - 12 years and showed male predominance in both groups with ratio of about 2:1 while fracture site showed predominance of the midshaft pattern in both groups. This study showed highly significant deference (P value of 0.001) between the two groups (Spica group of 3 days versus Nail group median of rate 4.5 days) in the admission period. Our sample showed shortening of about 2 cm in 2 case in the Nail group (6.7%) versus 6 cases (20%) in Spica group. We reported 4 cases of wound infection (13.3%) and 4 cases of pin site irritation (13.3%) in nail group. A higher rate of malunion was observed in the Spica group (10 cases more than 10° angulation in coronal plane) while the Nail group reported 2 case more than 10° in coronal plane. The mean operative time for Nail group was 55 minutes while in Spica group was 30 minutes. We reported shorter time to start mobilization and walking with support or independently in the nail group (weight bearing time 7.2 weeks) compared with the Spica casting group (weight bearing time 7.5 weeks). Conclusion: Elastic nail fixation yields better outcome for femoral shaft fracture in form of easier child handling, parent’s satisfaction, and maintaining acceptable fracture alignment.
机译：简介：股骨干骨折是最常见的小儿损伤之一，在其他小儿骨折中发病率最高，对其进行治疗存在很多争议。该研究的目的：比较弹性钉与Spica石膏固定股骨干骨折的效果。患者与方法：这项前瞻性比较研究于2011年12月10日至2012年6月10日在苏莱曼尼教学医院进行，针对年龄在4至12岁（平均6.61岁）的两组儿童，持续的创伤性股骨干骨折，随访期约6个月。第一组包括30例接受弹性髓内钉治疗的儿童，而第二组包括30例接受髋关节Spica治疗的儿童。选择是基于随机基础进行的。结果：年龄范围在4-12岁之间，两组均以男性占优势，比例约为2：1，而骨折部位均以中轴模式为主。这项研究显示，在入院期间，两组之间的差异显着（P值为0.001）（Spica组为3天，Nail组为4.5天）。我们的样本显示，指甲组2例（6.7％）缩短了2 cm，而角宿组6例（20％）缩短了2 cm。我们报告指甲组有4例伤口感染（13.3％）和4例针脚部位刺激（13.3％）。 Spica组中的畸形发生率更高（10个病例在冠状平面上的角度大于10°），而Nail组报告了2个病例在冠状面的角度大于10°。指甲组的平均手术时间为55分钟，而角宿组的平均手术时间为30分钟。我们报告说，与Spica石膏组（负重时间7.5周）相比，指甲组（负重时间7.2周）开始动员和支撑或独立行走的时间更短。结论：采用弹性钉固定技术可以使股骨干骨折获得更好的治疗效果，使孩子更容易处理，父母满意并保持可接受的骨折对齐方式。

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