Treatment of femoral shaft fractures in children using the "Tobruk" method.
Am J Orthop (Belle Mead NJ)
; 35(8): 356-61; discussion 361, 2006 Aug.
Article
en En
| MEDLINE
| ID: mdl-16983865
ABSTRACT
The "Tobruk" technique of plaster augmentation of a Thomas' splint can be used for the treatment of femoral shaft fractures in children. The radiological and clinical data of 118 patients treated using this method were reviewed over a consecutive 3-year period. The mean age of the patients was 4.25 years. Mean hospital stay was 14.11 days. Mean time spent in the "Tobruk" splint was 44.77 days. Loss of reduction during splintage occurred in 9.32% of patients. Skin complications occurred in 5 patients (4.2%), and cast repairs were necessary in 3 patients. "Tobruk" splinting is a relatively safe and effective way of treating femoral shaft fractures in children. Although its use is not widespread, especially in the United States, until better results are achieved with spica casting and elastic stable intramedullary nails, it does provide a valid option in the treatment of these fractures. A controlled randomized prospective trial with long-term follow-up is needed to fully elucidate its value.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Férulas (Fijadores)
/
Procedimientos Ortopédicos
/
Fracturas del Fémur
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
/
Etiology_studies
Límite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
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Infant
/
Male
Idioma:
En
Revista:
Am J Orthop (Belle Mead NJ)
Asunto de la revista:
ORTOPEDIA
Año:
2006
Tipo del documento:
Article
País de afiliación:
Irlanda