Evaluation of Functional Outcome of Titanium Elastic Nail System in Children with Diaphyseal Femoral Fractures
Journal Title: Journal of Bone and Joint Diseases - Year 2018, Vol 0, Issue 0
Abstract
Introduction: Femoral shaft fractures are common childhood injuries and are among common causes for hospitalization. Treatment varies with child’s age. There is little room for question in treatment guidelines in children below the age of 3 years, but in the age group of 4–14 years, it is still a matter of debate. There is a trend toward surgical intervention with advent of newer surgical techniques. This study aims to evaluate the functional outcome of titanium elastic nail system (TENS) for the treatment of femoral diaphyseal fractures in 4–14 years of age group. Materials and Methods: is study included 21 children between 4 and 14 years of age who sustained femoral diaphyseal fractures and was treated by TENS nailing. e period of the study was 2 years, i.e., between August 2014 and September 2016 and was conducted in the Department of Orthopedics, Subharti Medical College, Meerut. Results: All patients showed union; there were no cases of non-union or delayed union or implant failure. One patient had exposed implant and 5 suffered from superficial infection which subsided with antibiotic treatment. 16 patients had excellent Flynn score and 5 had a satisfactory score. Conclusion: In our series of patients, we concluded that TENS nailing in 4–14 years of age group was easy and reliable. As it is a load sharing device and does not violate the physis, it allows early mobilization and maintenance of alignment. Other notable advantages were less risk of infection and undisturbed fracture hematoma. Supercial infection was one of the commonly observed complications which was easily treatable with oral antibiotics.
Authors and Affiliations
Karan Siwach, Rajat Kapoor, Mayank Dua, Manoj Yadav, Manish Swami, Aman Siwach
Keywords
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