Publication: 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
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
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.
Description
Poojan Kumar Rokaya
Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal
Mangal Rawal
Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal
Tufan Singh Kathayat
Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal
Abhishek Kumar Thakur
Department of Orthopedics and Trauma Surgery, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal
Monika Lama
School of Nursing, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal
https://orcid.org/0000-0001-6062-602X
Ramu Maharjan
School of Nursing, Karnali Academy of Health Sciences, Jumla, Karnali, Nepal
https://orcid.org/0000-0001-7030-5764
Keywords
children, early, femur, fracture, hip sica