Niaz Hussain Keerio et al., Int. J. Res. Pharm. Sci., 2021, 12(3), 1956-1960 OėĎČĎēĆđ AėęĎĈđĊ IēęĊėēĆęĎĔēĆđ JĔĚėēĆđ Ĕċ RĊĘĊĆėĈč Ďē PčĆėĒĆĈĊĚęĎĈĆđ SĈĎĊēĈĊĘ Published by JK Welfare & Pharmascope Foundation Journal Home Page: www.pharmascope.org/ijrps Study to determine the Results of Femoral Shaft Fractures among Children managed with Immediate Hip Spica Cast Muhammad Faraz Jokhio 1 , Najeeb ur Rehman 2 , Niaz Hussain Keerio *3 , Ajmal khan Selro 4 , Imran khan Maher 5 , Raheel Akber Baloch 1 , Syed Shahid Noor 6 1 Department of Orthopedic, Liaquat University of Medical and Health Science Jamshoro Pakistan 2 Department of Orthopedic, Peoples University of health and Sciences for Women Nawabshah Pakistan 3 Muhammad Medical College and Hospital Mirpurkhas, Pakistan 4 Department of Orthopedic, Liaquat University Hospital Hyderabad Pakistan 5 Department of Orthopedic, Dibba Hospital Fujairah, United Arab Emirates 6 Department of Orthopaedics, Liaquat National Hospital and Medical College Karachi, Pakistan Article History: Received on: 16 May 2021 Revised on: 21 Jun 2021 Accepted on: 28 Jun 2021 Keywords: hip spica, femur fracture, children AćĘęėĆĈę This prospective descriptive study aims to assess the importance of the imme- diate hip spica in a fracture of the femoral shaft in children at the Orthopedic Department of Liaqat University of Medica and Health science Jamshoro, Pak- istan, for a one-year duration from June 2019 to June 2020. All children 1 to 5 years of age with femoral fractures who were admitted to the Orthopedic department within seven days of injury were included in the study. A total of 35 children, 24 (68.6%) boys and 11 (31.42%) girls, with a mean age of 3.8 years, were treated with an immediate hip spica cast. Their ages ranged from 1 to 5 years. The time of immobilization of the Spica cast ranged from 4 to 6 weeks (mean 5.4 weeks). In the second week, seven (22.85%) chil- dren had spica wetting, and breakage and reinforcement of spica was done, and 5 (14.28%) children had a spica wedging, and casting was applied to ϐix the angulation. No extension or hypertrophy was observed in the fractured limb. We concluded that immediate hip spica casting is a safe, inexpensive and deϐinitive treatment of femoral shaft fractures in children aged 1-5 years. * Corresponding Author Name: Niaz Hussain Keerio Phone: 00923333008501 Email: niaz_h@hotmail.com ISSN: 0975-7538 DOI: https://doi.org/10.26452/ijrps.v12i3.4799 Production and Hosted by Pharmascope.org © 2021 | All rights reserved. INTRODUCTION The frequency of hip fractures in children in the Europe and United States is 20 per 100,000 per year. Diaphyseal fractures are the maximum com- munal femoral fractures in children, accounting for 62 per cent of all femoral fractures (Das et al., 2020; Alam et al., 2019). Common mechanisms include falls, car accidents, and sports injuries, especially from playground equipment. The femoral shaft frac- tures treatment varies according to the size and age of the children, the associated injuries and local practice (Prajapati et al., 2019; Mehmood et al., 2019). Contemporary methods of treating femoral shaft fractures comprise many forms of traction, prompt and delayed spica casting, ϐlexible nail- ing, plate ϐixation, external ϐixation and traditional intramedullary nailing for adolescents and older children (Liau et al., 2020; Saeed, 2019). The use of surgical methods is limited by complications such as infections and joint injuries. Historically, trac- 1956 © International Journal of Research in Pharmaceutical Sciences