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Corresponding Author

Mohamed El said Basuoni Eldakrany

Document Type

Original Article

Abstract

Background: Femoral shaft fractures are prevalent diaphyseal injuries in childhood, occurring at an estimated incidence of 2–20 fractures per 100,000 kids annually in the United States of America.

Aim: To compare the results of pediatric femoral shaft fracture treatment by Nancy nail versus plate fixation regarding radiological and functional outcomes.

Patients and methods: This prospective research was performed on 20 cases (10 in each group) separated into two groups: Group I: Nails group & Group II: Plates group operated at El Sahel Teaching Hospital and Al Azhar University Hospitals (El Hussein Hospital & Sayed Galal Hospital).

Results: There was no statistically significant variance among both groups regarding follow-up of 6 months, limb length discrepancy (LLD), pain, side and mechanism of injury, correlated injury, type of fracture, intraoperative time (min), blood loss (ml), rotational deformity, rotational deformity and Flynn score. The number of complications requiring re-operation to Non-complications requiring re-operation in the Nails Group was 3:7, while it was 1:9 in the Plates Group, which was statistically insignificant.

Conclusion: Nancy nail and plate fixation can be viable pediatric femoral shaft fracture treatment options. However, some trends favoured the Nancy nail group regarding functional and radiological outcomes, although these variances did not reach statistical significance.

Keywords

Femoral Shaft Fractures; Nancy nail fixation; Plate fixation; Flynn score

Subject Area

Orthopedics

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