Comparative Study Between Single and Double Limb Hip Spica Cast in Fracture Femur in Young Children

Kasr El Aini Hospital84 enrolled

Overview

We performed a randomized control trial including 84 children aged two to six years who presented with femoral fractures. They were randomized into two groups; the first was managed by single limb cast fixation (42 patients), and the second was managed by double limb cast fixation (42 patients). The primary outcomes were postprocedural functional outcomes and parents' satisfaction, while the secondary outcomes were the rates of complications.

Femoral fractures are frequent in children and compose 1% to 2% of all pediatric fractures. Conservative management is associated with good results, whether by single or double-limb cast fixations. We aim to compare both procedures regarding functional outcomes, complications, and parents' satisfaction. Eighty-four children were eligible to be included in our study; 42 underwent single limb spica casts, and the other 42 patients underwent double limb spica casts. Both groups had similar baseline characteristics like age, gender, fracture side, and fracture classification.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Femur Fracture

Interventions

Placing a hip spica cast for patients with femur fracturesPROCEDURE

Placing a hip spica cast for patients with femur fractures. These hip spicas are made for each patient to stabilize the fracture in pediatric patients

Eligibility

Sex: ALLMin age: 2 YearsMax age: 6 Years

Medical Language ↔ Plain English

Inclusion Criteria: * children aged 2 to 6 years * Children with femur shaft fractures Exclusion Criteria: * Children younger than 2 years or older than 6 years * Articular fractures or fractures that cant be managed with a cast * Old fractures older than 3 weeks

Locations (1)

Kasr Al Ainy-Cairo University- Faculty of Medicine

Cairo, Manial, Egypt

Outcomes

Primary Outcomes

Flynn's score

The Flynn evaluation system is based on the presence of leg length inequality, malalignment, pain, and minor and major complications. Each of these criteria is either defined as Excellent, successful or poor.

Time frame: 6 months

Secondary Outcomes

loss of reduction

we do xrays to confirm if there is any loss of reduction of the fracture

Time frame: 6 months

Data from ClinicalTrials.gov

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