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- Title
Diaphyseal Femoral Fracture in Skeletally Immature Patients Comparative Study between Elastic Nails and Plating.
- Authors
Shehata, Ehab Mohamed; Al-alfy, Ali Tawfeek; Abdelfattah, Islam Sameeh; Alshuhoumi, Mohammed Ali
- Abstract
Background: Diaphyseal femoral fractures account for 7.6 percent of long bone fractures and 1.4–1.7 percent of total fractures in skeletally immature patients. This study aimed to compare the outcome of operative fixation of femoral shaft fracture, between Titanium elastic intramedullary nails (TEINs) and Plating in skeletally immature patients. Methods: From June 2021 to November 2021, a prospective clinical research was undertaken on 24 patients with diaphyseal femoral fracture at Zagazig University Hospitals (ZUH) in Egypt and Tripoli Central Hospital in Libya. Patients were divided into 2 groups, 12 cases in each group, first group underwent fixation with Titanium elastic intramedullary nails (TEINs), 2nd group underwent open reduction and internal fixation by plate and screws. All patients had Radiological evaluation to affected whole limb after exclude any serious injury with six months follow-up. Results: There was statistically significant difference (p value<0.001) regarding operative blood loss between the two groups with mean blood loss was (75.0±24.36) ml for Titanium nail group and (175.0±58.69) ml for plate group. In the Titanium nail group, the mean time to fracture consolidation was (13.08±1.97) weeks while in plate group was (10.16±1.85) weeks with significant difference (p< 0.001). Complications were relatively higher in Titanium nail group. Conclusions: In our series nail showed more favorable outcome, less surgical morbidities and better rehabilitation as evident by - Less blood loss during surgery; Shorter operative time; Accepted time required for union.
- Subjects
EGYPT; LIBYA; FEMORAL fractures; INTRAMEDULLARY fracture fixation; SURGICAL blood loss; INTRAMEDULLARY rods; OPEN reduction internal fixation; ELASTIC plates &; shells; TITANIUM group
- Publication
Zagazig University Medical Journal, 2024, Vol 30, p1
- ISSN
1110-1431
- Publication type
Article
- DOI
10.21608/zumj.2022.126755.2522V