Closed Displaced tibial Shaft Fractures in Children : Comparison between Casting and Operative Treatment With Flexible Intramedullary Nails

Authors

  • Allam Alasmar Tishreen University
  • Safwan Yousef Tishreen University
  • Ahmad Jouni جامعة تشرين

Abstract

Objective: evaluate the functional outcomes and union for tibial shaft fractures in children between casting and operative treatment using flexible intramedullary nails.

Patients and methods: A retrospective-prospective study included 43 children between 4-14 years old. The children was divided ​​into 2 groups (conservative and operative). Flynn score was performed after one year. The duration of the research was three years, from February 2019 to February 2022.

Results: there was no statistically difference between the two groups of overall results according to Flynn`s score , and the results were excellent in the vast majority of patients. Excellent results were higher in males. the results of proximal third were better than the middle and distal third. Healing was better in the younger group, spiral and oblique fractures, also when there is an accompanying fibula fracture .

Conclusion: since the incidences of delayed union and infection were higher in patients treated surgically. We recommend to use the conservative treatment as the first line in the treatment of closed displaced tibial shaft fractures in children , and not to delay of using surgical treatment in cases of failure of closed treatment or when there is an indication for surgery.

Downloads

Published

2022-07-31

How to Cite

1.
الاسمر ع, يوسف ص, جوني أ. Closed Displaced tibial Shaft Fractures in Children : Comparison between Casting and Operative Treatment With Flexible Intramedullary Nails. Tuj-hlth [Internet]. 2022Jul.31 [cited 2024Nov.24];44(3):249-64. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/12299

Issue

Vol. 44 No. 3 (2022): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Master student researches

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Most read articles by the same author(s)

<< < 1 2 3 4