Treatment of subtrochanteric fracture in children:Titanium elastic nails versus plate and screws | ||
| Minia Journal of Medical Research | ||
| Volume 31, Issue 3, July 2020, Pages 230-235 PDF (362.65 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2022.220270 | ||
| Authors | ||
| Ahmed M. Othman1; Khaled O. Thabet1; Karem M. Zekry1; Ahmed. A Abdrabo2 | ||
| 1Department of Orthopedic Surgery and Traumatology, Faculty of Medicine – Minia University | ||
| 2Department of Orthopedic and Trauma Surgery Faculty of Medicine Minia University | ||
| Abstract | ||
| The treatment of subtrochanteric femoral fracture in children between 4and 12 years of age is challenging. The optimal choice of internal fixation for these patients is controversial. The purpose of this study is to compare the outcomes and complications of titanium elastic nail and open reduction with plate fixation of subtrochanteric femur fractures in school-aged children. A total of 40 children aged 4 to 14 years with subtrochanteric femur fractures were treated at our hospital from January 2018 to January 2020. We prospectively compared 20 children treated with titanium elastic nails with 20 children treated with open reduction and plate fixation. The data included age, sex, body weight, fracture pattern, operation time, blood loss, and length of hospitalization. The outcomes were classified according to Flynn classification as excellent, satisfactory, or poor. All the demographic characteristics were compared with statistical analyses. All 40 fractures united properly. No major postoperative complications were noted in both groups. No significant difference was found between the titanium elastic nail and open plating groups in terms of age, sex, fracture pattern, and length of hospitalization. We noted a significant difference between 2 groups in terms of operation time, hospital stay and blood loss. In total, we observed 11 excellent and 9 satisfactory results in the titanium elastic nail group, and 14 excellent results and 6 satisfactory results in the open plating group. Titanium elastic nail and pediatric hip plate fixation represent safe and effective methods in the treatment of subtrochanteric fractures in school-aged children. | ||
| Keywords | ||
| subtrochanteric; fracture in children; titanium elastic nail | ||
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