The pattern of femoral diaphyseal fractures in children admitted in Sarawak General Hospital.
Trend towards changing the face of management for pediatric femoral fractures tends to advocate operative treatment. This study was undertaken to review our current practice in the wake of recent progress in the management of pediatric femoral fractures. Fifty patients with femoral diaphyseal fractu...
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| Format: | Article |
| Language: | English |
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Malaysian Medical Association
2006
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| Online Access: | http://ir.unimas.my/id/eprint/7463/ http://ir.unimas.my/id/eprint/7463/1/Femoral%20Diaphyseal.pdf |
| _version_ | 1848836136774926336 |
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| author | Ahmad Hata, Rasit |
| author_facet | Ahmad Hata, Rasit |
| author_sort | Ahmad Hata, Rasit |
| building | UNIMAS Institutional Repository |
| collection | Online Access |
| description | Trend towards changing the face of management for pediatric femoral fractures tends to advocate operative treatment. This study was undertaken to review our current practice in the wake of recent progress in the management of pediatric femoral fractures. Fifty patients with femoral diaphyseal fracture treated in Sarawak General Hospital were reviewed retrospectively after an average follow-up of 2.6 years. There were 36 boys and 14 girls, with a mean age of 6.2 years (range five months to 14 years). Children under six years of age constituted the majority of the patients. Half of the fractures were caused by road traffic accident. Nine patients had associated injuries. The most common site of fracture was at the middle third (N=31). The treatment regimens were delayed hip spica (DHS) in 16, immediate hip spica (IHS) in 24, plate osteosynthesis (PO) in five, titanium elastic nailing (TEN) in five, and external fixation (EF) in one. The minimum hospital stay was two days, and the maximum 33 days (mean, 9.7 days). Malunion was the commonest complication. Conservative treatment is the preferred option for children under six years of age. It is cost-effective with minimal complication. The other treatment options are reserved for specific indication in older children. Diaphyseal fractures of the femur in children can be adequately managed non-operatively. |
| first_indexed | 2025-11-15T06:18:58Z |
| format | Article |
| id | unimas-7463 |
| institution | Universiti Malaysia Sarawak |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T06:18:58Z |
| publishDate | 2006 |
| publisher | Malaysian Medical Association |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | unimas-74632017-03-06T07:00:31Z http://ir.unimas.my/id/eprint/7463/ The pattern of femoral diaphyseal fractures in children admitted in Sarawak General Hospital. Ahmad Hata, Rasit RD Surgery Trend towards changing the face of management for pediatric femoral fractures tends to advocate operative treatment. This study was undertaken to review our current practice in the wake of recent progress in the management of pediatric femoral fractures. Fifty patients with femoral diaphyseal fracture treated in Sarawak General Hospital were reviewed retrospectively after an average follow-up of 2.6 years. There were 36 boys and 14 girls, with a mean age of 6.2 years (range five months to 14 years). Children under six years of age constituted the majority of the patients. Half of the fractures were caused by road traffic accident. Nine patients had associated injuries. The most common site of fracture was at the middle third (N=31). The treatment regimens were delayed hip spica (DHS) in 16, immediate hip spica (IHS) in 24, plate osteosynthesis (PO) in five, titanium elastic nailing (TEN) in five, and external fixation (EF) in one. The minimum hospital stay was two days, and the maximum 33 days (mean, 9.7 days). Malunion was the commonest complication. Conservative treatment is the preferred option for children under six years of age. It is cost-effective with minimal complication. The other treatment options are reserved for specific indication in older children. Diaphyseal fractures of the femur in children can be adequately managed non-operatively. Malaysian Medical Association 2006-02-01 Article PeerReviewed text en http://ir.unimas.my/id/eprint/7463/1/Femoral%20Diaphyseal.pdf Ahmad Hata, Rasit (2006) The pattern of femoral diaphyseal fractures in children admitted in Sarawak General Hospital. Medical Journal of Malaysia, 61. pp. 79-82. ISSN 0300-5283 http://www.ncbi.nlm.nih.gov/pubmed/17042236 PMID : 17042236 |
| spellingShingle | RD Surgery Ahmad Hata, Rasit The pattern of femoral diaphyseal fractures in children admitted in Sarawak General Hospital. |
| title | The pattern of femoral diaphyseal fractures in children admitted in Sarawak General Hospital. |
| title_full | The pattern of femoral diaphyseal fractures in children admitted in Sarawak General Hospital. |
| title_fullStr | The pattern of femoral diaphyseal fractures in children admitted in Sarawak General Hospital. |
| title_full_unstemmed | The pattern of femoral diaphyseal fractures in children admitted in Sarawak General Hospital. |
| title_short | The pattern of femoral diaphyseal fractures in children admitted in Sarawak General Hospital. |
| title_sort | pattern of femoral diaphyseal fractures in children admitted in sarawak general hospital. |
| topic | RD Surgery |
| url | http://ir.unimas.my/id/eprint/7463/ http://ir.unimas.my/id/eprint/7463/ http://ir.unimas.my/id/eprint/7463/ http://ir.unimas.my/id/eprint/7463/1/Femoral%20Diaphyseal.pdf |