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
Related Articles
- EP ID EP394907
- DOI -
- Views 115
- Downloads 0
Evaluation Of Functional Outcome Following Philos Plate Fixation In Proximal Humeral Fractures: A Prospective Study Of 30 Cases
Introduction: Proximal humeral fractures account for approximately 5% of all fractures & 45% of all humeral fractures.[27,28]Proximal humeral fractures requiring surgical stabilization remain a therapeutic chall...
Functional outcome of rotator cuff tears with conservative treatment – our study
Background In the era of modern advanced surgeries patients from low and middle socio economic status find it difficult to afford the cost of surgical treatment for rotator cuff tear. Hence it might be beneficial to...
Effectiveness Of Transcutaneous Electrical Nerve Stimulation And Interferential Electrotherapy In Adhesive Capsulitis
A total of 50 subjects were randomly allocated to receive (i) trancutaneous electrical nerve stimulation(n=25) (ii) interferentialelectrotherapy (n=25) . Subjects in groups (i) and (ii) received 10 sessions of therespect...
Immediate Versus Delayed Hip Spica For Pediatric Shaft Femur Fractures- A NonRandomised Clinical Trial
Context: Multiple treatment options are available for pediatric femoral shaft fractures. For age of 1- 6 years, treatment is either by immediate hip spica or traction followed by delayed hip spica application. Aims: To c...
Ejaculation Preserving Trans Urethral Resection Of Prostate (epTURP): An Initial Study
A short term prospective study was conducted on 10 patients (age range 55-65 years and sexually active) undergoing the ejaculation preserving Trans Urethral Resection of Prostate (epTURP). They were evaluated for preserv...