{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T01:44:09Z","timestamp":1782956649160,"version":"3.54.5"},"reference-count":31,"publisher":null,"issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,4]]},"abstract":"\n Background:<\/jats:title>\n Elastic stable intramedullary nailing has become the treatment of choice for femur shaft fractures in school-age children in developed world. However, in the sub-Saharan Africa, this management is still challenging because of the lack of fluoroscopy in more hospitals. We performed either primary open reduction and intramedullary K-wire fixation (PORIKF) or conservative treatment. The aim of this study was to compare the clinical and functional outcomes of these two procedures employed.<\/jats:p>\n <\/jats:sec>\n \n Patients and Methods:<\/jats:title>\n \n This retrospective study included 62 children with 64 fractures (10 years on an average; range: 6\u201315 years) treating for femoral shaft fractures either by PORIKF (\n n<\/jats:italic>\n = 21; 23 fractures) or skin traction followed by spica cast (\n n<\/jats:italic>\n = 41) between 2008 and 2017. Outcomes were assessed using Flynn criteria. Comparisons were made by Fisher and Student's\n t<\/jats:italic>\n -test with a significant\n P<\/jats:italic>\n < 5%.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Outcomes were satisfactory in 21 cases (91%) in the PORIKF group compared with 32 (78%) in the conservative group (\n P<\/jats:italic>\n = 0.3012). The average hospital stay was 18.6 days in the PORIKF group, whereas it was 20 in the conservative group (\n P<\/jats:italic>\n = 0.0601). The mean time for bone union was 13.9 weeks in the PORIKF group and 13.2 weeks in the conservative group, (\n P<\/jats:italic>\n = 0.4346). There was a statistically significant difference between the two groups in terms of major complications (\n P<\/jats:italic>\n = 0.0177). One patient had osteomyelitis in the PORIKF group. Unacceptable shortening >2 cm was observed only in the conservative group. The average time to return to daily activities was 30 days shorter in the PORIKF group when compared to conservative group (\n P<\/jats:italic>\n < 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n PORIKF provides better results than conservative treatment. Open reduction did not increase the rate of infectious complication.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/ajps.ajps_35_20","type":"journal-article","created":{"date-parts":[[2021,2,19]],"date-time":"2021-02-19T00:00:17Z","timestamp":1613692817000},"page":"79-84","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Compared Outcomes of Femoral Shaft Fracture Treatment in School-Age Children in Sub-Saharan Africa"],"prefix":"10.67481","volume":"18","author":[{"given":"Jean Baptiste","family":"Yaokreh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moufidath","family":"Sounk\u00e9r\u00e9-Soro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samba","family":"Tembely","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yapo Guy-Serge","family":"Kouam\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey Helen","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierry-Herv\u00e9","family":"Od\u00e9houri-Koudou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertin Dibi","family":"Kouam\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oss\u00e9nou","family":"Ouattara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"reference":[{"key":"R1-2-20240829","first-page":"717","article-title":"Comparison of titanium elastic nailing versus spica cast in treatment of femoral shaft fractures in children between 6-12 years of 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