A COMPARISON BETWEEN THE OUTCOMES OF TWO METHODS (INTRAMEDULLARY PIN FIXATION AND TRACTION PLUS CASTING) IN THE PEDIATRICS FEMORAL SHAFT FRACTURES

Objective: Treatment of closed femoral shaft fractures in children of ages from 6-12 years is not consented. The current study was aim to assess and associate the interim result of children femoral shaft fractures with surgical treatment by intramedullary pin fixation and skeletal traction followed by a hip spica cast and to identify the best method for quicker unification of fracture. Methodology: This study conducted from 2014 to 2017 in two hospitals for 32 months. Treatment of 66 closed fractures of the femoral shaft children was carry out and monitored till curing of fracture, removal of spica cast and inception of insecure walking in two groups i.e. ‘spica cast after skeletal traction by 90 – 90 procedure (n=30)’, ‘internal fixation open reduction with intramedullary cast and pin (n=36)’. Chi-Squar test used for evaluation and comparison of hospital stay duration, time of casting, fracture’s union, starting walk time and difficulties’ ratio. Results: All patients were averagely 7.4 years old. Follow-up was usually at 6 months. In all cases for both groups, curing of fractures was monitor on 8 and 12 weeks. The duration of un-enlistment in traction was longer as compare to surgery group. From time of admission in hospital to self-walking usual curing time for the traction was 75.3 days and for surgery group was 61.2 days. Conclusion: Femoral shaft fractures (in 6-11 years old children) can be cure with traction plus spica casting and intramedullary pinning. Keeping in view least stay at hospital, less complication rates and quicker walking, the first choice of treatment could be intramedullary pi