Efficacy of elastic stable intramedullary nailing (esin) v/s submuscular plating in paediatric femoral diaphyseal fractures
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 2
Abstract
Diaphyseal femur fractures account for 1.7%1of all paediatric fractures. Common options for surgical stabilization include open or sub muscular plate fixation, flexible intra medullary nailing Plate fixation is stable and addresses the entire length of the femur but flexible nailing is minimally invasive and well suited to fractures of the central 2/3 of the diaphysis. Recent publications have suggested that submuscular plates achieve an earlier union than intra medullary titanium elastic nails. The present study consisted of 50 cases with diaphyseal femoral fracture of either sex within age group 5-16 years, treated with elastic stable intramedullary nail (ESIN) & submuscular plating (25 cases in each group). Average time of union was 10.2 weeks for submuscular plating &10.9 weeks for titanium nailing. The final outcome was excellent in 76% (40% cases in plating, 36% in ESIN), satisfactory in 20% cases and had 4% poor outcome. The main complication with nailing was mal union and pain with irritation at the site of nail insertion.
Authors and Affiliations
Kamal Kumar Arora, simranjit Singh, Priti Chaudhary, Rajesh Kapila, Dhalwinder Singh
Keywords
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