{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:47:32Z","timestamp":1785412052439,"version":"3.56.0"},"reference-count":9,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Background<\/jats:title>\n There is relatively little literature into the cost of treating diaphyseal femur fractures in paediatric population. This study aims to determine the cost of managing paediatric diaphyseal femur fractures in a South African Academic Hospital.<\/jats:p>\n <\/jats:sec>\n \n Objective and Methods<\/jats:title>\n We conducted a retrospective study using prospectively collected data on paediatric diaphyseal femoral fracture treatment at our public academic hospital over a four-month duration. The study included patients who were between 2 years and 14 years of age and excluded those with femur fractures caused by pathological or atypical factors. The following costs were reviewed: emergency department, inpatient admission, anaesthesia and theatre, allied department, and radiology department.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Data from 31 patients (80.6% males) with diaphyseal femoral fractures were included in the study; falls accounted for 64.5% of the injuries. The patients who underwent surgery had a mean hospital stay of 7.4 days (range:3 to 22 days), while the group that did not have surgery had a mean hospital stay of 24.1 days (range:17 to 34 days). The factors that had a greater impact on cost were the duration of the hospital stay, the cost of the implant, and the cost of the theatre. There was no statistically significant variation in the cost of emergency unit services among this group.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The data showed that orthopaedic surgeons need to be cognizant of the cost of treating paediatric diaphyseal femoral fractures in the current state of the economy.<\/jats:p>\n <\/jats:sec>","DOI":"10.52965\/001c.141409","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T23:42:37Z","timestamp":1752882157000},"source":"Crossref","is-referenced-by-count":0,"title":["Direct medical costs of paediatric diaphyseal femoral fracture treatment in a public academic hospital in South Africa"],"prefix":"10.52965","volume":"17","author":[{"given":"Charles Petrus","family":"Theron","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Orthopaedic Surgery, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yammesh","family":"Ramguthy","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Orthopaedic Surgery, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Collen Sandile","family":"Nkosi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"Department of Orthopaedic Surgery, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2025,7,18]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1007\/s43465-020-00281-6","article-title":"Pediatric Femoral Shaft Fracture: An Age-Based Treatment Algorithm","volume":"55","author":"G. Z. Q. Liau","year":"2020","journal-title":"Indian J Orthop"},{"issue":"4","key":"ref2","first-page":"23","article-title":"The epidemiology of femur shaft fractures in children","volume":"12","author":"M. Mughal","year":"2013","journal-title":"SA Orthopaedic Journal"},{"issue":"5","key":"ref3","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1097\/BPO.0000000000001435","article-title":"Practice Patterns for Management of Pediatric Femur Fractures in Low- and Middle-Income Countries","volume":"40","author":"P. F. Curran","year":"2020","journal-title":"J Pediatr Orthop"},{"key":"ref4","series-title":"Thoracolumbar Spine And Lower Extremity Fractures","article-title":"Chapter 34. Lovell and Winter\u2019s Pediatric Orthopaedics","author":"S. L. Weinstein","year":"2015"},{"issue":"3","key":"ref5","doi-asserted-by":"publisher","DOI":"10.17159\/2309-8309\/2020\/v19n3a3","article-title":"Short-term outcomes of submuscular bridge plating of length-unstable paediatric femoral shaft fractures in children - Insights from a South African tertiary hospital setting","volume":"19","author":"J. Du Toit","year":"2020","journal-title":"SA Orthopaedic Journal"},{"issue":"154","key":"ref6","first-page":"1","article-title":"Provincial Gazette Extraordinary","volume":"30","author":"Gauteng (South Africa). Department of health","year":"2024","journal-title":"Gauteng provincial gazette"},{"issue":"1","key":"ref7","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1186\/s12891-022-05320-x","article-title":"Epidemiology and associated injuries in paediatric diaphyseal femur fractures treated at a limited resource zonal referral hospital in northern Tanzania","volume":"23","author":"A. P. Macha","year":"2022","journal-title":"BMC Musculoskelet Disord"},{"issue":"1","key":"ref8","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1177\/18632521231217267","article-title":"The incidence, trends, and costs of treatment of femoral shaft fractures among Finnish children aged 2-12 years between 1998 and 2016","volume":"18","author":"E. Laitakari","year":"2024","journal-title":"J Child Orthop"},{"issue":"8","key":"ref9","doi-asserted-by":"publisher","first-page":"110918","DOI":"10.1016\/j.injury.2023.110918","article-title":"Resource implications of managing paediatric femoral fractures in a major trauma centre: Analysis of 98 cases","volume":"54","author":"M. P. Wijesekera","year":"2023","journal-title":"Injury"}],"container-title":["Orthopedic Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/141409-direct-medical-costs-of-paediatric-diaphyseal-femoral-fracture-treatment-in-a-public-academic-hospital-in-south-africa","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:59:46Z","timestamp":1761440386000},"score":1,"resource":{"primary":{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/141409-direct-medical-costs-of-paediatric-diaphyseal-femoral-fracture-treatment-in-a-public-academic-hospital-in-south-africa"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,18]]},"references-count":9,"URL":"https:\/\/doi.org\/10.52965\/001c.141409","relation":{},"ISSN":["2035-8164"],"issn-type":[{"value":"2035-8164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,18]]}}}