Evaluation for results of the treatment with diversities of modality in comminuted sub trochanteric fracture of femur in children

Background: The diaphyseal femoral fractures account for around 2% of all pediatric fractures. Treatment includes conservative or surgical methods, but the choice of treatment differs depending on the child's age, fracture pattern, other concomitant fractures and the socioeconomic situation of the family. The study aimed to assess the result of the treatment with a diversity of modality in comminuted sub trochanteric fracture of the femur in paediatric patients. Methods: This was a prospective randomized comparative study with a prospective follow-up that took place at the department of orthopedics at President Abdul Hamid medical college and hospital, Kishoreganj, Bangladesh from May 2022 to May 2024. The 110 patients with diaphyseal femur fracture and were 0-18 years old were included in the study and 48 participated in the outcome follow-up. Results: Out of 110 patients 55 were males and 55 females. Conservative treatment was the most common treatment. The mean age of incurring this type of fracture was 7.45 years. Mainly, injury among all kids who fall from above standing level. The majority of the younger children received conservative treatment. Conclusions: The treatment chosen and the outcomes after a fracture seem to be satisfactory. It is important for future studies to include a large number of patients and to examine not only the clinical outcomes, but also the social and economic aspects.