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Year : 1997  |  Volume : 31  |  Issue : 1  |  Page : 36-40

Conservative Management Of Femoral Shaft Fracture By 90-90 Traction In Children - A Review

Correspondence Address:
B. N Pati

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Source of Support: None, Conflict of Interest: None

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Twenty one children aged 3 to 12 years (12 males, 9 females) with femoral shaft fractures were treated over a period of 3 years by applying 90o-90o lower femoral skeletal traction for 3 to 4 weeks till the fracture was sticky in good position, followed by one and a half spica immobilisation for the next 3 to 6 weeks, till fracture consolidation as evidenced by X-ray. The results were assessed in terms of the limb length discrepancy, angulation at the fracture site at the final followup, time period for union and complications. Nine (43%) patients had 'excellent results and Twelve (57%) had good results. No poor results were seen in this series. Complications included pressure sore in the heel in 2 patients, pin tract infection in 2 patients, placement of wire through lower femoral physis in one patient. We conclude that 90o-90o traction rnethod provides a reliable and excellent method of treating femoral shaft fracutes in children with good control of reduction and alignment of fracture fragments and union with negligible complications. This is a simple and proved methood that can be used at PIIC and Subdivisional level hospitals also, with safety.

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