Kashif Raza Khan, Asim Rasool, Muhammad Umair, Majid Rashid, Tallal Ahmad Lodhi, Shahid Iqbal.
Comparison of functional outcome between titanium elastic nailing and hip spica cast in treatment of femoral shaft fractures in children.
Pak Postgrad Med J Jan ;34(3):131-4.

Background: The femur, also known as the thigh bone, holds several notable distinctions within the human body. It is the longest bone, exhibiting considerable strength and durability. Ongoing debate exists regarding the optimal management approach for femoral shaft fractures in children. Objectives: To compare the frequency of functional outcome between titanium elastic nailing versus hip spica cast in treatment of femoral shaft fractures in children. Methods: This randomized control trial was conducted at Sahiwal Teaching Hospital Sahiwal. Total 140(70 in each group) patients were enrolled after fulfilling the predetermined selection criteria. Patients were randomly assigned to two separate groups. Group A patients were managed with Titanium elastic nail (TEN) method and group B patients were managed with hip spica cast method. After 3rd month, functional outcome was noted in both groups. Results: The mean age of the patients was 5.92 +- 2.03 years, 65% patients were male. After 3rd month, in TEN group excellent outcome was seen in 59(84.3%) patients and in Spica Cast group it was seen in 7(10%) patients (p-value=<0.05). Conclusion: This study concluded that titanium elastic nailing offers higher percentage of excellent functional outcomes compared to hip spica cast in treatment of femoral shaft fractures in children Keywords: Femoral Shaft Fractures, Hip Spica Cast, Titanium Elastic Nailing, Functional Outcome

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