Complication of Early Application of One and a Half Hip Spica for Femoral Shaft Fractures in Children below Six Years in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Introduction: Hip spica with or without prior traction has become a standard treatment for closed isolated femoral shaft fracture in children below six years. The time of hip spica application is not uniform in the existing literature. The aim of this study is to find out the prevalence of complic...

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Autores principales:	Poojan Kumar Rokaya, Mangal Rawal, Tufan Singh Kathayat, Abhishek Kumar Thakur, Monika Lama, Ramu Maharjan
Formato:	article
Lenguaje:	EN
Publicado:	Nepal Medical Association 2021
Materias:	children early femur fracture hip sica Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/d65f29783aca47b29d98a550f89d7499
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spelling	oai:doaj.org-article:d65f29783aca47b29d98a550f89d74992021-11-07T19:11:44ZComplication of Early Application of One and a Half Hip Spica for Femoral Shaft Fractures in Children below Six Years in a Tertiary Care Hospital: A Descriptive Cross-sectional Study10.31729/jnma.67790028-27151815-672Xhttps://doaj.org/article/d65f29783aca47b29d98a550f89d74992021-10-01T00:00:00Zhttps://www.jnma.com.np/jnma/index.php/jnma/article/view/6779https://doaj.org/toc/0028-2715https://doaj.org/toc/1815-672X Introduction: Hip spica with or without prior traction has become a standard treatment for closed isolated femoral shaft fracture in children below six years. The time of hip spica application is not uniform in the existing literature. The aim of this study is to find out the prevalence of complication of early application of one and a half hip spica for femoral shaft fractures in children below six years in a tertiary care hospital. Methods: A descriptive cross-sectional study was done among 42 children who were managed with early hip spica application (within 72 hours) for femoral shaft fracture from January 2015 to December 2020 after receiving ethical clearance from Institutional Review Committee. Convenient sampling technique was done. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Complication was seen in nine (21.4%) (95% Confidence Interval= 9.02-33.84) patients. Skin breakdown from local pressure had the highest prevalence in our study which was documented in three (7.14%) patients who resolved with conservative treatment. Conclusions: The prevalence of complication of early application of one and a half hip spica for femoral shaft fractures in children below six years was similar to other studies done in similar setting. Poojan Kumar RokayaMangal RawalTufan Singh KathayatAbhishek Kumar ThakurMonika LamaRamu MaharjanNepal Medical Associationarticlechildrenearlyfemurfracturehip sicaMedicine (General)R5-920ENJournal of Nepal Medical Association, Vol 59, Iss 242 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	children early femur fracture hip sica Medicine (General) R5-920
spellingShingle	children early femur fracture hip sica Medicine (General) R5-920 Poojan Kumar Rokaya Mangal Rawal Tufan Singh Kathayat Abhishek Kumar Thakur Monika Lama Ramu Maharjan Complication of Early Application of One and a Half Hip Spica for Femoral Shaft Fractures in Children below Six Years in a Tertiary Care Hospital: A Descriptive Cross-sectional Study
description	Introduction: Hip spica with or without prior traction has become a standard treatment for closed isolated femoral shaft fracture in children below six years. The time of hip spica application is not uniform in the existing literature. The aim of this study is to find out the prevalence of complication of early application of one and a half hip spica for femoral shaft fractures in children below six years in a tertiary care hospital. Methods: A descriptive cross-sectional study was done among 42 children who were managed with early hip spica application (within 72 hours) for femoral shaft fracture from January 2015 to December 2020 after receiving ethical clearance from Institutional Review Committee. Convenient sampling technique was done. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Complication was seen in nine (21.4%) (95% Confidence Interval= 9.02-33.84) patients. Skin breakdown from local pressure had the highest prevalence in our study which was documented in three (7.14%) patients who resolved with conservative treatment. Conclusions: The prevalence of complication of early application of one and a half hip spica for femoral shaft fractures in children below six years was similar to other studies done in similar setting.
format	article
author	Poojan Kumar Rokaya Mangal Rawal Tufan Singh Kathayat Abhishek Kumar Thakur Monika Lama Ramu Maharjan
author_facet	Poojan Kumar Rokaya Mangal Rawal Tufan Singh Kathayat Abhishek Kumar Thakur Monika Lama Ramu Maharjan
author_sort	Poojan Kumar Rokaya
title	Complication of Early Application of One and a Half Hip Spica for Femoral Shaft Fractures in Children below Six Years in a Tertiary Care Hospital: A Descriptive Cross-sectional Study
title_short	Complication of Early Application of One and a Half Hip Spica for Femoral Shaft Fractures in Children below Six Years in a Tertiary Care Hospital: A Descriptive Cross-sectional Study
title_full	Complication of Early Application of One and a Half Hip Spica for Femoral Shaft Fractures in Children below Six Years in a Tertiary Care Hospital: A Descriptive Cross-sectional Study
title_fullStr	Complication of Early Application of One and a Half Hip Spica for Femoral Shaft Fractures in Children below Six Years in a Tertiary Care Hospital: A Descriptive Cross-sectional Study
title_full_unstemmed	Complication of Early Application of One and a Half Hip Spica for Femoral Shaft Fractures in Children below Six Years in a Tertiary Care Hospital: A Descriptive Cross-sectional Study
title_sort	complication of early application of one and a half hip spica for femoral shaft fractures in children below six years in a tertiary care hospital: a descriptive cross-sectional study
publisher	Nepal Medical Association
publishDate	2021
url	https://doaj.org/article/d65f29783aca47b29d98a550f89d7499
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Complication of Early Application of One and a Half Hip Spica for Femoral Shaft Fractures in Children below Six Years in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

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