Outcome of non-operative management of femoral shaft fractures in children
Afr. j. paediatri. surg. (Online)
;
8(1): 34-39, 2011. ilus
Article
Dans Anglais
| AIM
| ID: biblio-1257538
ABSTRACT
Background:
Femoral shaft fractures are common injuries in childhood. There is paucity of information on their presentation and outcome of the available treatment methods in the African population. This study evaluated the outcome of non-operative methods of treatment of femoral shaft fractures in our centre. Patients andMethods:
A retrospective review of the database of children aged 14 years and below with femoral shaft fractures treated non-operatively over a 10-year period.Results:
A total of 134 patients with 138 fractures met the study criteria. This consisted of 71 boys (mean age = 6.1 years ± SD) and 63 girls (mean age = 6.5 years ± SD). Pedestrian vehicular accident was the most common cause of femoral shaft fractures in the study population. The midshaft was the most common site of fractures. There were associated injuries to other parts of the body (especially head injury) in 34.3% of the patients. The commonest mode of treatment was skin traction only (87.7%). The mean time to fracture union was 4.9 weeks ± SD (range = 3-15 weeks). The mean length of hospitalisation was 6.7 weeks ± SD (range = 5 days-11 weeks). There was a fairly strong positive correlation between the length of hospitalisation and the presence of associated injuries, especially head injury, upper limb fractures and bilaterality of the fractures. The mean total cost of treatment was #7685 (Naira) or $51.2 (range = $14.2-$190). At the last follow up, 97.8% of the fractures united without significant angulation or shortening.Conclusion:
The outcome of non-operative treatment of femoral shaft fractures in our setting is comparable to the results of other workers. Methods of treatment that shorten the length of hospitalisation without unduly increasing cost should be encouraged
Texte intégral:
Disponible
Indice:
AIM (Afrique)
Sujet Principal:
Enfant
/
Causalité
/
Résultat thérapeutique
/
Coûts des soins de santé
/
Fractures du fémur
/
Durée du séjour
/
Nigeria
Pays comme sujet:
Afrique
langue:
Anglais
Texte intégral:
Afr. j. paediatri. surg. (Online)
Année:
2011
Type:
Article
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