Management of isolated shaft femur fractures by traction and single-leg spica cast in children

Management of Femoral Shaft Fractures in Children with Skeletal Traction Followed by Hip Spica Cast Versus Flexible Intramedullary Nailing

Background: The treatment of femoral shaft fractures has always been a focus of interest especially in children, but may still remain a clinical problem and a subject of controversy. Objective: To compare the post-operative outcomes of hip spica and flexible intramedullary nails in treatment of femoral shaft fractures in children. Material & Methods: Randomized controlled trial conducted for si...

Traction and spica casting for closed femoral shaft fractures in children.

PURPOSE To evaluate the treatment outcome of skin traction followed by spica casting for closed femoral shaft fractures in children. METHODS Between September 1997 and December 2001 inclusive, outcomes of 63 children aged one month to 15 (mean, 5.3) years with closed femoral shaft fractures managed with skin traction and spica casting were reviewed. Depending on age, patients were kept in tra...

Titanium Elastic Nails Versus Spica Cast in Pediatric Femoral Shaft Fractures: A Systematic Review and Meta-analysis of 1012 Patients

  Background: There is a general consensus on the management of femoral fractures in children younger than two years and adolescents older than sixteen years. The best treatment for patients younger than sixteen years of age is still debatable. Titanium Elastic Nails (TEN), is widely used with some evidence, nonetheless, we undertook a systematic meta-analysis to assess the efficacy of TEN comp...

Surgical treatment of femur-shaft fractures in children.

Domiciliary gallows traction for femoral shaft fractures in young children.

Over 15 years (1967 to 1982) 140 uncomplicated femoral shaft fractures in children under four years of age were successfully treated using Bryant's traction. Forty of these children were treated after the introduction of the domiciliary management policy in 1976; 13 children were managed at hospital and 27 were managed at home. No significant complications occurred. The advantages to the family...