Muhammad Khalid Syed, Muhammad Shakil Basit, Syed Faraz-ul Hassan Shah Gillani, Tariq Rasheed, Khurram Aziz Siddiqui, Muhammad Iqbal Mirza.
To compare the functional outcome of locking plate fixation versus external fixation in open fracture of shaft of femur (Gustillo type llla) in 8-12 years old children.
Pak J Med Health Sci Jan ;13(4):928-30.

Aim : To compare the functional outcome of locking plate fixation versus external fixation in open - Gustillo type IIIa femoral shaft fractures in children of eight to twelve years of age. Methods: This randomized controlled trail was done using simple random sampling technique at emergency and indoor of the department of Orthopedic Surgery and Traumatology Unit -I, King Edward Medical University / Mayo Hospital, Lahore from 25th April 2016 to 24th April 2017. We included 60 patients age 8 -12 years of either gender, presented with open Gustillo Anderson type IIIa non-comminuted fracture femur diagnosed on history, clinical examination and radiographs. We recorded wound and fracture healing, infective process and reduction of the fracture were compared in both groups. Results : With locking plate fixation technique, the union rate was 96.67%, while with external technique; the union rate was 90.0%. In Group -A, infection rate was 3.33%, while 10% infection was occurred in Group -B patients. Conclusion: Outcome of fixation of open fractures - Gustillo Type - IIIa of shaft of femur in terms of clinical and radiological evaluation with locking plate is better than external fixation in 8 -12 years old children.

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