Femur Fracture
Conditions
Brief summary
We performed a randomized control trial including 84 children aged two to six years who presented with femoral fractures. They were randomized into two groups; the first was managed by single limb cast fixation (42 patients), and the second was managed by double limb cast fixation (42 patients). The primary outcomes were postprocedural functional outcomes and parents' satisfaction, while the secondary outcomes were the rates of complications.
Detailed description
Femoral fractures are frequent in children and compose 1% to 2% of all pediatric fractures. Conservative management is associated with good results, whether by single or double-limb cast fixations. We aim to compare both procedures regarding functional outcomes, complications, and parents' satisfaction. Eighty-four children were eligible to be included in our study; 42 underwent single limb spica casts, and the other 42 patients underwent double limb spica casts. Both groups had similar baseline characteristics like age, gender, fracture side, and fracture classification.
Interventions
PROCEDUREPlacing a hip spica cast for patients with femur fractures
Placing a hip spica cast for patients with femur fractures. These hip spicas are made for each patient to stabilize the fracture in pediatric patients
Sponsors
Kasr El Aini Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
2 Years to 6 Years
Healthy volunteers
No
Inclusion criteria
* children aged 2 to 6 years * Children with femur shaft fractures
Exclusion criteria
* Children younger than 2 years or older than 6 years * Articular fractures or fractures that cant be managed with a cast * Old fractures older than 3 weeks
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Flynn's score | 6 months | The Flynn evaluation system is based on the presence of leg length inequality, malalignment, pain, and minor and major complications. Each of these criteria is either defined as Excellent, successful or poor. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| loss of reduction | 6 months | we do xrays to confirm if there is any loss of reduction of the fracture |
Countries
Egypt
Outcome results
None listed