COMPREHENSIVE STUDY OF MANAGEMENT OF DIAPHYSEAL FRACTURES OF LONG BONES IN CHILDREN BY TITANIUM ELASTIC NAILING SYSTEM
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 13
Abstract
BACKGROUND Paediatric fractures are usually treated conservatively with POP casts, as intramedullary nailing is contraindicated in growing bones and plating is associated with wound complications. These fractures heal satisfactorily with conservative treatment but may be associated with malunion and plaster complications sometimes. Titanium Elastic Nailing System (TENS) can be used in the internal fixation of paediatric fractures with satisfactory results and minimal complications. We wanted to study the functional outcome following the use of Titanium Elastic Nailing for the treatment of diaphyseal fractures of long bones in children. METHODS 30 patients were treated with Titanium Elastic Nail System (TENS) for diaphyseal fractures of long bones who were admitted in Osmania General Hospital, Hyderabad during the study period- from October-2014 to October-2016. Patients were assessed clinically, radiologically and the complications were noted. RESULTS We studied 17 (56.7%) femoral, 7 (23.3%) tibial fractures, 1 (3.3%) humeral and 5 (16.6%) forearm bone fractures. Average age of the patients is 10.93. In our study, the final outcome was excellent in 22 (73.33%) cases, satisfactory in 8 (26.67%) cases and there are no poor outcome cases. CONCLUSIONS We conclude that titanium elastic nailing system (TENS) technique is an ideal method for treatment of paediatric diaphyseal fractures of long bones.
Authors and Affiliations
Mirza Shahid Baig, Narasimharao Thutari, Kodandapani K. , Kali Varaprasad Vadlamani, Mahesh Tilak
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