Abstract:

Abstract Aim: The aim of the treatment of pediatric femoral fractures is to provide union by obtaining an adequate and acceptable alignment with the least invasive intervention. Although the treatment is controversial, especially in the age range of 2-6, pelvipedal casting is the most widely used treatment method in this age group. Although it is safe and less invasive, residual deformity can be seen after healing. The aim of this study is to present the radiological results in terms of residual deformity in pediatric patients under 7 years of age who were treated with early incorperated pelvipedal casting. Material and Method: In this study, a total of 16 patients (10 males and 6 females) who were operated for pediatric femoral shaft fractures, were evaluated and the deformities in the post-recovery follow-up of the patients were measured. Angulation and limb lenght discrepancy were evaluated on radiography and rotational deformities were evaluated by physical examination in the prone position. Results: The mean age of 16 patients with a mean follow-up period of 50,8 ± 16,9 months (24-78) was 33 ± 21,1 months. After recovery, mean coronal plan angulation was 5,2 ± 6,7 degree and saggital plan angulation was 12,3 ± 7,5 degree. While 3,3 ± 2,7 mm shortening was detected in 6 patients, and 8,8 ± 3,9 mm elongation was detected in 5 patients. Conclusion: In conclusion, early incorporated spica casting is an advantageous treatment in terms of hospital stay and cost, besides it also safe in terms of deformity.

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