Comparison of Treatment of Fracture Shaft of Femur in Children with Titanium Elastic Nail VS Hip Spica Casting

Abstract

Objective: Evaluate the validity of titanium elastic nailing technique in treatment of femoral shaft fracture in children and comparison to hip spica casting.

Study Design: Randomized control trial study.

Place and Duration of Study: This study was conducted at the Orthopedics department of QAMC/BV hospital Bahawalpur in one-year duration from January 2019 to January 2020.

Materials and Methods: Fifty children of age 5-15 year presented with femoral shaft fracture at emergency department were included and the study patients were allocated in two groups by lottery method. Supracondylar femur Subtrochanteric fractures were excluded. Data analysis was done by using SPSS version 23. Mean and standard deviation was calculated for numercal data and frequency percentages were calculated for categorical data.

Results: Mean coronal plane angulation, sagittal plane angulation, rotational malalignment, LLD at 1 year
follow-up, union, non-weight-bearing, full weight-bearing and schooling lost, of TEN Group was 2.76±1.64°, 5.41±2.36°, 6.02±1.32°, 0.52±0.11 cm, 6.71±2.28 weeks, 4.66±1.81 weeks, 6.39±3.96 weeks, 7.43±0.99 weeks.

Conclusion: Titanium elastic nailing is the treatment of choice for femoral shaft fracture between ages 5 to 15 years. Titanium elastic nailing reduces the malunion, shortening of length and enhances the union, early recovery and return to school.