Title: Management of Fracture Shaft Femur in 6-14 Years Old Children by Conservative and Titanium Elastic Nailing – A Cross Sectional Comparative Study
Authors: Dr A. H. M. Azgar Ali Chowdhury, Prof. Dr Alak Kanti Biswas, Dr Md Somirul Islam, Dr A. K. M. Harun-Ar-Rashid, Dr Abdur Rahman, Dr Mohammad Shaha Alam, Dr A.T. M. Rezaul Karim, Dr Ayesha Begum, Dr Mohammad Ershad Alam
DOI: https://dx.doi.org/10.18535/jmscr/v9i5.10
Abstract
Objective: In this study our main goal is to compare functional outcome of TENS and conservative management in cases of fracture shaft femur in children ages of 6-14 years.
Method: This comparative cross-sectional study was carried out at Chattogram Medical College Hospital (CMCH), Chattogram and privatehospitals in Chattogram from January 2014 to December 2015. A total of 72 children with fracture shaft femur were included in the study.
Results: During the study, in this study, maximum age incidence was found in 06-09 years age group. Both group had similar mean age distribution with p value 0.625ns. Out of 72 patients, mean and standard deviation hospital stay in group-I was 10.222 ± 4.022 days and in group-II was 16.444 ± 3.783 days with highly significant p value. In both group minor complication is more frequently found with significant p value. According to patient’s satisfaction, 69.44% excellent cases were noted in group-I where as in group-2 it was 38.88%.
Conclusion: Titanium elastic nailing led to better outcomes compared to hip spica casting in terms of earlier union, lower rates of malunion, shorter rehabilitation milestones, and better functional outcome scores.
Keywords: Titanium elastic nailing (TENS), fracture shaft femur, Orthopaedics.
