Clinical and Radiological Outcome of Titanium Elastic Nail Fixation in Diaphyseal Fractures of Tibia in Children
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 5
Abstract
Background: In children, major tibial fractures cases managed by closed reduction and casting. From time to time, surgical intervention is needed due to excessive shortening, angulations, or malrotation at the fracture site. Titanium elastic nailing system (TENS) is a modern technique which allows secure reduction, maintenance of reduction of skeletally immature long bone fractures. To this reason we also evaluated the clinical and radiological outcome of diaphyseal fractures of tibia in children treated with titanium elastic nailing system. Methods: This open label study was conducted at a Tertiary care hospital, Andhra Pradesh during the period of 2008-2010. Children age between 5-16 years with simple, closed; ipsilateral diaphyseal fractures of tibia admitted to orthopedics department were enrolled. Closed reduction and internal fixation with TENS nails was done. Follow-up was done at 3,6,12 and 24 weeks. On every follow-up visit, patients were evaluated clinically, radiologically and complications were noted. Based on these data the final outcome was assessed using Flynn’s criteria. Data was described as actual numbers and percentages using Graph pad Prism Version -5. Results: Most patients were discharged home on postoperative day two or three. 6 weeks after surgery, casts were removed. In our series, the entire the patients achieved complete radiographic healing (evidence of tricortical bridging callus) at a Mean of 11.0 weeks (range 6–18 weeks). As expected, closed fractures healed more quickly (mean 9.7 weeks) than open fractures (mean 13.8 weeks). The common complications noted following nail insertion was irritation at the nail entry site in five patients (26%). Conclusion: Closed pediatric tibial shaft fractures can be successfully treated with titanium elastic nails with satisfactory rate of complications
Authors and Affiliations
Jaya Someswar Narreddy
Keywords
Related Articles
- EP ID EP211620
- DOI -
- Views 72
- Downloads 0
A One Year Audit of Maternal Near Miss and Maternal Death at Tertiary Care Hospital
Objective: The present study aims at to determine various Maternal Near Miss indicators as focus is shifting from maternal mortality to maternal morbidity now a days. Material and Method: The present study was conducted...
APRV: A Ray of Hope Despite all of the Darkness
A 60 year old male, known case of morbid obesity with obstructive sleep apnoea presented with complains of increasing breathlessness for 2 days. He was afebrile, drowsy and dyspnoeic, BMI was 44 Kg/m2 (Obesity class III)...
Study of Association of Modifiable Risk Factors and Hypertension by Community Based Case Control Study
Background: Hypertension is an important public health problem as it is common, asymptomatic, readily detectable and often leading to lethal complications if left untreated. As a consequence, high blood pressure is often...
HIV Serosurveillance Profile in Men Sex Men: Targeted Intervention Group
Background: HIV is the plague of the running century.It has changed the fate of our society.Emergence of HIV threatened the economical, developmental, social welfare and public health progress not only in India but also...
A Rare Presentation of Adams Oliver Syndrome - A Case Report
We are presenting a case of Adams Oliver Syndrome (AOS) in a newborn. This is rare congenital condition which presents with aplasia cutis congenita with transverse terminal limb defects with or without neurological manif...