Ali Maratib, Raza Aamir
Department of Orthopaedics, Abbasi Shaheed Hospital, Karachi.
J Coll Physicians Surg Pak. 2005 Dec;15(12):799-801.
To compare the time of union, degree of shortening and angulations in coronal and sagittal plane in children after applying Thomas splint and early hip spica for the treatment of isolated closed femoral shaft fractures.
Interventional quasi-experimental study.
Orthopedic department of Abbasi Shaheed Hospital, Karachi from December 2002 to January 2004.
A 100 patients of either gender selected by non-probability convenience with closed unilateral femoral shaft fracture were equally divided into 2 groups. Group A was treated with Thomas splint and Group B with early hip spica casting. Above mentioned variables were noted in both groups.
In group A, there were 60% (n = 30) males and 40% (n = 20) females. In group B, there were 62% (n = 31) males and 38% (n = 19) females. Mean age was 6.94 + 2.75 years in group A and 5.48 + 2.67 years in group B. Time of union, degree of shortening and angulations in coronal and sagittal plane were not significantly different in two groups. Duration of stay in hospital was 4.82 + 2.4 days in group A and 3.68 + 2.11 days in group B.
Results comparable to early hip spica cast can be obtained with Thomas splint in children with isolated closed femoral shaft fracture.
比较应用托马斯夹板和早期髋人字石膏治疗儿童单纯闭合性股骨干骨折后骨愈合时间、缩短程度以及冠状面和矢状面的成角情况。
干预性半实验研究。
2002年12月至2004年1月在卡拉奇阿巴西·谢赫德医院骨科。
采用非概率方便抽样法选取100例单侧闭合性股骨干骨折患者，男女不限，平均分为2组。A组采用托马斯夹板治疗，B组采用早期髋人字石膏固定。记录两组上述变量。
A组男性占60%（n = 30），女性占40%（n = 20）。B组男性占62%（n = 31），女性占38%（n = 19）。A组平均年龄为6.94 ± 2.75岁，B组为5.48 ± 2.67岁。两组骨愈合时间、缩短程度以及冠状面和矢状面的成角情况无显著差异。A组住院时间为4.82 ± 2.4天，B组为3.68 ± 2.11天。
对于单纯闭合性股骨干骨折的儿童，使用托马斯夹板可获得与早期髋人字石膏固定相当的治疗效果。
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