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首页> 外文期刊>The Professional Medical Journal >RETROGRADE ELASTIC INTRAMEDULLARY NAILS VERSUS IMMEDIATE HIP SPICA CAST IN TREATMENT OF PAEDIATRIC FEMUR FRACTURE: A PROSPECTIVE, RANDOMIZED STUDY
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RETROGRADE ELASTIC INTRAMEDULLARY NAILS VERSUS IMMEDIATE HIP SPICA CAST IN TREATMENT OF PAEDIATRIC FEMUR FRACTURE: A PROSPECTIVE, RANDOMIZED STUDY

机译：逆行弹性髓内钉相对于即时髋关节ICA裂治疗小儿股骨骨折：一项前瞻性随机研究

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Objectives: To evaluate the outcome of retrograde flexible intramedullary nails in treatment of paedriatic diaphyseal fractures in comparison with the traditional treatment of immediate hip spica cast. Hypothesis: We hypothesised that in children with femur fracture who are managed with flexible intramedullary nails have better outcome in comparison to those managed with immediate hip spica cast. Study Design: Randomized control trail. Place & Duration of Study: Lady Reading Hospital, Peshawar from June 2016 to October 2017. Methods: A group of forty-eight children aged 6-12 were randomly allocated either elastic intramedullary nail or immediate hip spica casting and were followed up to six months. Fracture alignment (coronal and sagittal angulation, leg length discrepancy), time for fracture union, recovery mile stones (time to start weight bearing with aids, independent walking, knee range of movement) and the presence of complications including surgical site infection were recorded and compared between two groups. Results: Children treated with elastic intramedullary nails in comparison with those treated with immediate hip spica had early union (p0.001), shorter time to start weight bearing with support or independently (p0.001). Leg Length discrepancy (p0.001), coronal and sagittal angulation (p0.001 and p=0.02) was significantly higher in hip spica group. Difference observed between the two groups regarding knee range of movement (p=0.085) and surgical site infection (p=0.076) was not significant. Conclusion: Children aged 6-12 years treated with elastic intramedullary nail for femoral diaphyseal fracture had earlier union, reduced rate of shortening, malunion and allowed earlier rehabilitation.
机译：目的：与传统的即刻髋臼角石膏治疗相比，评价逆行柔性髓内钉治疗小儿骨干骨折的疗效。假设：我们假设在股骨骨折的患儿中，使用柔性髓内钉进行治疗的儿童比直接进行髋臼角膜塑形治疗的儿童具有更好的结局。研究设计：随机对照试验。研究的地点和时间：2016年6月至2017年10月，白沙瓦夫人读书医院。方法：一组48名6-12岁的儿童被随机分配了弹性髓内钉或即刻髋关节角膜塑形术，随访了六个月。记录骨折对准（冠状和矢状角，腿长差异），骨折愈合时间，恢复英里结石（借助辅助装置开始负重的时间，独立行走，膝盖活动范围）以及是否存在包括手术部位感染在内的并发症。两组之间的比较。结果：与使用即刻髋关节角膜钉治疗的儿童相比，使用弹性髓内钉治疗的儿童具有早期愈合（p <0.001），有支撑或独立开始承重的时间更短（p <0.001）。臀部角质层组的腿长差异（p <0.001），冠状和矢状角（p <0.001和p = 0.02）显着更高。两组在膝关节活动范围（p = 0.085）和手术部位感染（p = 0.076）之间观察到的差异不显着。结论：6-12岁的儿童用弹性髓内钉治疗股骨干phy端骨折，可以更早地愈合，缩短骨块缩短，畸形的发生率，并且可以更早地康复。

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