الفهرس 
Title : Comparative study between single limb versus double limb hip spica cast in fracture femur in young children /
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Abstract
Femoral fractures are common in children, accounting for 1% to 2% of pediatric fractures the goals of treatment are to facilitate fracture-healing and to restore function, and these goals have been successfully met in most cases, regardless of the treatment method used (1).
In children younger than walking age, child abuse account about 80% of cases while in adolescents more than 90% are due to motor vehicle accidents. Other causes include falls, pedestrian injuries and minimal trauma which cause fracture in abnormal bone(2).
Clinically patients with fracture femur suffer from pain, inability to ambulate, swelling and deformity (shortening and external rotation). Compartment syndrome of the thigh is unlikely, unless there is sever hemorrhage. Diagnosis is usually established clinically together with AP and lateral radiograph of the femur.
Treatment methods vary, depending on patient age and type of fracture. For patients two to six years old, methods include single limb spica casting double full-leg spica casting one and one-half-leg spica casting or traction alone.
Fracture pattern depends on the position of the bone at the time of injury, type of injury and its magnitude when applied to the bone.
This study was done to compare radiological, functional outcome and parents’ satisfaction after using single limb hip spica cast versus double limb hip spica cast in treatment of femoral fractures in young children.
The mean age of patients those treated with single limb hip spica cast was 3.833 years while patients treated with double limb hip spica cast was 4.119 years. Single limb group was 31 male (73.8%) and 11 female (26.2%), while double limb group was 23 male (54.8%) and 19 female (45.2%). There was no statistically difference between sexes.
Double limb hip spica cast fixation provided better result compared with single limb hip spica regarding to loss of reduction, angular deformity, rotational deformity, shortening and leg length discrepancy but with no statistically difference between the two groups.