Complications of Elastic Nailing in Pediatric Femoral shaft Fractures
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 4
Abstract
Abstract: Despite several potential complications of elastic intramedullary nailing, it is currently the treatment of choice for femoral diaphyseal fractures in school aged children. The present study aimed to critically evaluate the complications of elastic nailing in femoral shaft fractures of children of age below 12 years. 25 patients up to 12 years of age with a fracture of the diaphysis of femur who had been treated with the intramedullary elastic nails admitted in Adesh Institute of Medical Sciences And Research Bathinda were studied from July 2012 to June 2014. All had been followed up until the fracture had healed or the nails removed. A performa was completed for each patient using information from the central registration records, and by reviewing imaging studies. The complication rate was 32%, and the two main complications were nail prominence caused by long unbent distal ends of nails at the insertion site and fracture instability after surgery. Nail ends should be palpated to exclude nail prominence and to verify free movement of the knee after nail cutting and bending. Fracture instability was caused by inserting elastic nails that were too narrow. To avoid this complication, careful preoperative planning to select the proper-size elastic nails and intraoperative testing of fracture stability under continuous fluoroscopy after the operation is advised.
Authors and Affiliations
Jagseer Singh, Harpreet Kaur
Keywords
Related Articles
- EP ID EP371042
- DOI -
- Views 83
- Downloads 0
Utility of cytological sampling in diagnosing lung masses
Lung masses, as diagnosed clinicoradiologically, include both non-neoplastic and neoplastic lesions, and are a cause of great anxiety to both patient as well as treating physician. The present study based on 40 patients...
Correlation of Age and Perifollicular Vascularity in Success of Intrauterine Insemination Treatment Using Transvaginal Doppler among Infertile Women
Abstract: To study the correlation of age and perifollicular vascularity with success of intrauterine insemination. Sample size-112 patients Women were prescribed 50 mg clomiphene citrate orally from second day of menstr...
Clinical and Aetiological Profile of Anaemia in Geriatric Patients: A hospital Based Study in Assam, India
Abstract: Anaemia is an extremely common problem in geriatric age group and its prevalence increases with age. In various studies, the prevalence is reported as 10 to 44% of elderly population. The aetiology of anaemia i...
Study of Lipid Profile in Non Diabetic Stroke in Young
Stroke is an abrupt onset of a neurological deficit that is attributable to a focal vascular cause. It is encountered quite frequently in clinical practice. The role of circulating lipids and lipoproteins in the pathogen...
Eccrine Porocarcinoma: A Challenging Case Series
Eccrine porocarcinoma (EPC) is a rare malignant tumour of sweat glandorigin representing only 0.005-0.01% of epithelial cutaneous neoplasms. EPC is an unusual tumour to diagnose both clinically and histologically. Severa...