Elastic stable intramedullary nailing vs. hip spica casting management for postoperative femoral fractures in children with developmental dysplasia of the hip

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The study compared elastic stable intramedullary nailing (ESIN) and hip spica casting for postoperative femoral fractures in children with developmental dysplasia of the hip.
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Eighteen patients with postoperative femur fractures were included, with ten in the ESIN group and eight in the hip spica casting group.
3

The average hospitalization was longer for the hip spica casting group (9.5 days) compared to the ESIN group (6.4 days, P < 0.001).
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Surgical time was shorter in the hip spica casting group (24.8 minutes) than in the ESIN group (34.7 minutes, P < 0.05).
5

The study suggested hip spica casting for undisplaced fractures in children aged 2–5 years and ESIN for displaced fractures in those aged 5–8 years.

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