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 105
- Downloads 0
A Study to Compare Quality of Life of Healthy children and children with Thalassaemia
Abstract: Thalassaemia is an increasingly serious public health problem especially in developing countries like India.The aim is to compare the quality of life of thalassemic patients with healthy children. This comparat...
An Uncommon Cause of Recurrent Sub-Ileus and Abdominal Pain: Meckel’s Diverticulum Inverted by a Lipoma
Complications of Meckel’s diverticulum are seen rarely in adults. Most common complications are intestinal obstruction and diverticulitis. Obstruction caused by inversion of Meckel’s diverticulum by intestinal tract lipo...
Leukaemia Cutis: An Unusual Presentation of T-cell Acute Lymphoblastic Leukaemia in an Adult Patient
: Leukaemia cutis is coetaneous manifestation of leukemia. Because of wide range of cutaneous manifestations, it is clinically difficult to make distinguish leukemia cutis from other skin lesions. Patients with leukaemia...
Holistic Health Care Delivery: A Community Perspective
Abstract: In the scenario of resource limitation posed as a genuine constraint in holistic health care delivery there is a way of approaching and delivering health to the community. A dedicated team, mobile medical van,...
The efficacy of Air Mattress in bedsore prevention and treatment
Air mattress has been one of the fore-runners in patient care to prevent pressure sores. They work in the principle of distributed pressure over larger areas and providing a better interface to pressure sensitive areas....