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August 2020 -
Volume 18, Issue 8

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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original Contribution

Pattern and Frequency of Hospital Acquired Infections in Pediatric Intensive Care Unit at Abha Maternity and Children Hospital, Saudi Arabia
[Abstract]
[pdf]
Mohamad M. Almasadi, Saleh M. Al-Qahtani, Ibrahim Alhelali, Njood Alwadei, Asmahan Aasiri, Maryam Alnabhan, Fatmah Alassiri, Kholoud Alomar
DOI: 10.5742MEWFM.2020.93839

Emergency Physician Practice of laboratory tests requesting at King Faisal Hospital Taif, KSA, 2020
[Abstract]
[pdf]
Abdulsalam Alshehri , Maryam A. Alzaylaee, Afnan S. ALgethami, Amjad W. Alotaibi, Hessa A. Alshahrani, Shumukh K, Aburukbah
DOI: 10.5742MEWFM.2020.93840

The most desired values of high and low density lipoproteins and triglycerides in the plasma
[Abstract]
[pdf]
Mehmet Rami Helvaci, Mustafa Yaprak, Necmetin Tasci, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2020.93842

Quality of life of older patients attending a general hospital in Baghdad/Iraq
[Abstract]
[pdf]
Maha Sulaiman Younis
DOI: 10.5742MEWFM.2020.93841

Physical activity profile among Saudi adults in Abha City, Saudi Arabia
[Abstract]
[pdf]
Yousef Hussain Al Zahib, Hammam Baarimah
DOI: 10.5742MEWFM.2020.93843

Coronavirus Environment vs Socio-Economic and Demographic Problems Followed: A Sociological Appraisal
[Abstract]
[pdf]
Mohammad Taghi Sheykhi
DOI: 10.5742MEWFM.2020.93844

Flexible intramedullary nails for treatment of femoral shaft fracture in children, Aden, Yemen
[Abstract]
[pdf]
Abdulsalam Abdullah Hadi Mohsen
DOI: 10.5742MEWFM.2020.93845

Sodium-Glucose Cotransporter 2 Inhibitors and its Renal benefits in type 2 diabetes. A Systematic Review
[Abstract]
[pdf]
Saad Ur Rehman, Faiqa Rahman
DOI: 10.5742MEWFM.2020.93846

Parkinson's Disease: An update on Pathophysiology, Epidemiology, Diagnosis and Management. Part 4 : Differential Diagnosis and Patient Assessment
[Abstract]
[pdf]
Abdulrazak Abyad
DOI: 10.5742MEWFM.2020.93847

Bloodstream infection with Kocuria rhizophila: A case report and review of literature
[Abstract]
[pdf]
Njood M. Alwadei, Ibrahim Alhelali, Moustafa S Mohame
DOI: 10.5742MEWFM.2020.93848

Knowledge, attitudes and awareness of women about the long and short-term effects of a caesarean section for mothers and children in Taif, KSA, 2020
[Abstract]
[pdf]
Ashwaq K. Al-Harthi, Shumukh K. Aburukbah , Afnan S. Algethami , Faten A. Kaabi ,
Abdullah M. Altalhi, Maryam A. Alzaylaee
DOI: 10.5742MEWFM.2020.93849


Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Email: aabyad@cyberia.net.lb
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medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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August 2020 - Volume 18, Issue 8

Flexible intramedullary nails for treatment of femoral shaft fracture in children, Aden, Yemen

Abdulsalam Abdullah Hadi Mohsen

Assistant Professor of Orthopedic Surgery

Correspondence:
Abdulsalam Abdullah Hadi Mohsen;
Assistant Professor of Orthopedic Surgery
Department of Special Surgery, Faculty of Medicine,
University of Aden Yemen
Email: al.ezz2007@yahoo.com

Received: June 2020; Accepted: July 2020; Published: August 1, 2020. Citation: Abdulsalam Abdullah Hadi Mohsen. Flexible intramedullary nails for treatment of femoral shaft fracture in children, Aden, Yemen. World Family Medicine. 2020; 18(8): 51-56 DOI: 10.5742MEWFM.2020.93845

Abstract


Background: Femoral shaft fractures in children constitute less than 2% of all fractures in children.

Objective: To describe the characteristics variables of children with femoral shaft fracture and to assess the results following treatment by flexible intramedullary nail.

Patients and method: It was a retrospective study conducted in the orthopedic section at Algamhoria Teaching Hospital and 2 private hospitals in Aden.
We retrieved the patients’ records of children with femoral shaft fracture and we found 37 cases (6 – 12 years old) who were treated with flexible intramedullary nails during a period of three years, from January 2014 to December 2016.

Results: Total patients were 37 and they were 22 [59.5%] males and 15 [40.5%] females.
The mean age was 8.51 years. The mean age of males was 9.09 years and the females 7.67 years (p < 0.05). In nineteen (51.4%) cases, the fracture occurred at the middle third. Types of fracture were oblique 19 (51.4%) and transverse fracture 18 (48.6%). Motor vehicle accidents were responsible for the majority of cases (56.8%).

Mean of fracture union was 12.14 weeks, the mean time of weight bearing was 4.65 weeks, also the mean duration of knee flexion was 2.46 weeks. The mean time of removal nails was 7.26 months. Twenty seven (73.0%) cases were closed and 10 (27.0%) cases were opened.

We found bursa over the site of nail entry in 6 (16.2%) cases, limb lengthening of 2 cm in 2 cases and 1.5 cm in another 2 cases. The rest 33 (89.2%) had no limb length discrepancy.

There were 3 (8.1%) cases of entrance pin infection and malalignment in 2 (5.4%) cases.

Conclusions: Flexible intramedullary nail is a great choice for the treatment of pediatric patients (6–12 years old) with closed and opened femoral shaft fracture. It can provide a rapid recovery.

Key words: Femoral shaft fracture, children, treatment, flexible intramedullary nail, Aden

 







 


 
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