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Abstract We compare two groups of children with isolated femoral fractures (Agroup managed with spica casts and another one managed with intramedullary nailing) . The results of both method has been studied regarding complicatios ,time of recovery and rehabilitation . An important difference is that other studies represented all femoral fractures regardless of associated injuries whereas we limited our study population to isolated femoral fractures in otherwise healthy children. We agree that polytrauma is occasionally an indication for internal fixation, and we attempted to eliminate this as a confounding variable. However, it is not common practice to perform IMN in two to three-year-olds, and six-year-olds are generally managed operatively, so we narrowed the age range for our investigation to 4 to 5.9 years of age. Spica cast has its advantage over intramedullary nailing in infection, and nail pain of IMN. But it also has its disadvantages in its bad effect on the child and his family, slow rehabilitation, refracture and skin problems. So we cant consider this method as the best one. |