Titanium Elastic Nailing Versus Hip Spica Cast in Treatment of Femoral Fractures in Children

• the time to walking with aids [ Time Frame: at 1 months post-operatively ] [ Designated as safety issue: Yes ]
  identification of the time to walking with aids in patients who treated with titanium elastic nailing or casting
• parent's satisfaction [ Time Frame: at 1 months post-operatively ] [ Designated as safety issue: Yes ]
  identification of parent's satisfaction with questionnair in patients who treated with titanium elastic nailing or casting
• the time absent from school [ Time Frame: at 1 months post-operatively ] [ Designated as safety issue: Yes ]
  identification of the time absent from school in patients who treated with titanium elasting nailing or casting

The purpose of this study is to determine which method is better for treatment of femoral fracture in children in outcomes.

There is no consensus on treatment of closed femoral shaft fractures in children 6-12years old. We aimed to compare hip spica cast with titanium elastic nailing (TEN) in the treatment of femoral shaft fractures in children.

• Procedure: titanium elastic nailing
  we inserted titanium nail in femoral fractures retrogradely
  Other Name: TEN
• Device: Hip spica casting
  we applied cast for three weeks in patients with femoral shaft fracture
  Other Name: TEN

• hip spica casting
  Patients in the spica cast group treated with skeletal traction and spica cast applied for them
  Intervention: Device: Hip spica casting
• titanium elasting nailing
  For patients in the Titanium Elasting Nailing group, the nail applied retrogradely in femoral shaft fracture
  Intervention: Procedure: titanium elastic nailing

Inclusion Criteria:

• patients 6-12 years old with femoral shaft fracture without exclusion criteria

Exclusion Criteria:

• Segmental, Winquist type III and IV comminuted fractures, previously diagnosed neuromuscular disease (e.g., cerebral palsy), metabolic bone disorders (e.g. osteomalacia), or pathological fractures.