Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal.
School of Nursing, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal.
JNMA J Nepal Med Assoc. 2021 Oct 15;59(242):1035-1039. doi: 10.31729/jnma.6779.
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.
对于 6 岁以下儿童的闭合性单纯股骨干骨折，髋关节石膏固定或联合牵引已成为标准治疗方法。目前文献中髋关节石膏固定的时间并不统一。本研究旨在探讨在一家三级护理医院中，6 岁以下儿童早期应用 1.5 髋石膏治疗股骨干骨折的并发症发生率。
本研究为回顾性描述性研究，共纳入 42 例于 2015 年 1 月至 2020 年 12 月期间接受早期髋关节石膏固定（72 小时内）治疗的股骨干骨折患儿，均获得机构审查委员会的伦理批准。采用便利抽样法。同时计算了 95%置信区间的点估计值以及二项数据的频率和比例。
9 例（21.4%）（95%置信区间=9.02-33.84）患儿出现并发症。本研究中，局部压力导致皮肤破裂的发生率最高，有 3 例（7.14%）患儿经保守治疗后痊愈。
在 6 岁以下儿童中，早期应用 1.5 髋石膏治疗股骨干骨折的并发症发生率与类似环境下的其他研究相似。
