الفهرس 
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Abstract
We compare two groups of children with isolated femoral
fractures (Agroup managed with spica casts and another one managed
with intramedullary nailing) . The results of both method has been
studied regarding complicatios ,time of recovery and rehabilitation .
An important difference is that other studies represented all
femoral fractures regardless of associated injuries whereas we limited
our study population to isolated femoral fractures in otherwise healthy
children. We agree that polytrauma is occasionally an indication for
internal fixation, and we attempted to eliminate this as a confounding
variable. However, it is not common practice to perform IMN in two to
three-year-olds, and six-year-olds are generally managed operatively, so
we narrowed the age range for our investigation to 4 to 5.9 years of age.
Spica cast has its advantage over intramedullary nailing in infection, and
nail pain of IMN. But it also has its disadvantages in its bad effect on the child
and his family, slow rehabilitation, refracture and skin problems. So we cant
consider this method as the best one.