Two hundred fifty-three femoral-shaft fractures in 246 pediatric patients treated between 1976 and 1986 were retrospectively reviewed, and 186 fractures in 181 patients were available for demographic review.
Fifty-nine patients underwent spica casting within 48 h of injury, whereas 127 were placed in traction and underwent delayed casting (>48 h from injury).
Fifty-five patients in the traction group and 33 in the immediate-casting group were locatable for long-term follow-up of 8.9 years average (range, 4-20 years) There was no clinically significant difference in limb-length inequalities, or rotational or angular deformities between the two groups at initial casting or at final follow-up.
Hospital stay averaged 17.3 days in the traction group and 2.2 days in the immediate-casting group (p<0.001).
Total estimated charges, at current rates, demonstrated an 83% greater patient charge in the traction group than in the immediate-casting group.
Mots-clés Pascal : Fracture, Fémur, Pronostic, Long terme, Traction, Plâtre moulage, Etude comparative, Etude statistique, Etats Unis, Amérique du Nord, Amérique, Analyse coût efficacité, Traitement orthopédique, Enfant, Homme, Système ostéoarticulaire pathologie, Traitement
Mots-clés Pascal anglais : Fracture, Femur, Prognosis, Long term, Traction, Plaster of Paris, Comparative study, Statistical study, United States, North America, America, Cost efficiency analysis, Orthopedic treatment, Child, Human, Diseases of the osteoarticular system, Treatment
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0071943
Code Inist : 002B15I. Création : 31/05/1999.