Muhammad Imran Khan, Muhammad Saqib.
Treatment of Femoral Fractures with early Hip Spica in Children.
Ophthalmol Update Jan ;12(3):214-6.

Objective: To find out the advantages of early spica cast as a treatment for isolated, uncomplicated femoral shaft fracture in children. Study design: Prospective study. Materials and methods: The study was conducted in orthopaedic unit of Agency Headquarter Hospital Landikotal from May 2012 to November 2013. Twenty five patients were included in the study. All the children of both sexes from 1 to 6 years of age with fracture shaft of femur presented within 72 hours of injury were included in this study. Results: Twenty five patients with femur shaft fractures who met inclusion criteria were enrolled for this study. There were 18 males and 7 females. Commonest problems with spica cast were soakage and breakage and reinforcement. Shortening of fractured limb was seen in 17 out of 25 children. Angulation of femur was seen in 4 children at the time of removal of spica cast. At 6 months follow up no non-union or mal-union or rotational deformity was noted. Conclusions: Early spica cast is simple, effective and definite method of treatment in children up to 6 years of age. Early spica cast allows rapid return of child to family environment and it also avoids complications related to traction and operative treatment methods.

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