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40
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Text
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URL Address
<a href="http://doi.org/10.1007/s00264-008-0621-0" target="_blank" rel="noreferrer noopener">http://doi.org/10.1007/s00264-008-0621-0</a>
Rights
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Pages
765-771
Issue
3
Volume
33
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Title
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Dynamic Skeletal Traction Spica Casts For Paediatric Femoral Fractures In A Resource-limited Setting
Publisher
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International Orthopaedics
Date
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2009
2009-06
Subject
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adolescents; children; femur fractures; flexible intramedullary nails; internal-fixation; operative stabilization; Orthopedics; shaft fractures
Creator
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Hsu A R; Diaz H M; Penaranda N R P; Cui H D; Evangelista R H A; Rinsky L; Gracilla R V
Description
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The objective of this study was to compare elastic intramedullary nailing (EIN) with dynamic skeletal traction spica casting (DSTSC) in terms of postoperative radiographic angulations, length of hospital stay, and cost in a resource-limited setting. We prospectively studied 51 children, five to twelve years of age, with femoral fractures treated with either EIN (n = 26) or DSTSC (n = 25). Children treated with EIN had significantly longer hospital stays (17 +/- 8.0 days) than those treated with DSTSC (6.0 +/- 2.5 days). Financial constraints in acquiring supplies caused a significant increase in time from admission to surgery (EIN 9.5 +/- 2.3 days; DSTSC 1.1 +/- 0.3 days), and cost was about 400% higher for EIN compared with DSTSC. At twelve weeks follow-up, all patients in both groups had acceptable radiographic angulations. In resource-limited healthcare settings, DSTSC is an effective alternative to EIN with comparable post-op radiographic angulations, decreased hospital stays, and lower cost.
Identifier
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<a href="http://doi.org/10.1007/s00264-008-0621-0" target="_blank" rel="noreferrer noopener">10.1007/s00264-008-0621-0</a>
Format
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Journal Article or Conference Abstract Publication
2009
adolescents
Children
Cui H D
Diaz H M
Evangelista R H A
femur fractures
flexible intramedullary nails
Gracilla R V
Hsu A R
internal-fixation
International Orthopaedics
Journal Article or Conference Abstract Publication
operative stabilization
Orthopedics
Penaranda N R P
Rinsky L
shaft fractures