Management of Diaphyseal Lower Limb Fractures in Paediatric Age Group with Elastic stable Intramedullary Nailing
Journal Title: Journal of Chalmeda AnandRao Institute of Medical Sciences - Year 2018, Vol 16, Issue 2
Abstract
Aim : The purpose of this study is to analyze the efficacy of elastic stable intramedullary nailing(ESIN) in the treatment of fracture shaft of femur and tibia in children aged between 4 to 15 years with special emphasis on complications. Materials and Methods: This was a prospective ,observational study conducted in chalmeda anandrao institute of medical sciences, karimnagar. All children and adolescent patients between 4 and 15 years of age with diaphyseal fractures of femur and tibia meeting the inclusion and the exclusion criteria during the study period were the subjects for the study. Totally, 20 cases were studied without any sampling procedure. Patients were followed up at 4 weeks, 8 weeks 12 weeks, 6 months and 1 year after surgery and assessed clinically and radiologically. The final outcome is assessed as per Flynn’s criteria as excellent/satisfactory/ poor. Results: Twenty patients were enrolled into the study out of which 15 (75%) were boys and 5 (25%) were girls. Average age of patient was 9.8 years and average time taken to heal the fractures (both clinical and radiological) was 10.35 weeks. 4 (20%) had developed pain at site of nail insertion during follow up evaluation, all of which resolved by the end of 16 weeks follow up Superficial infection was seen in 1 (5%)case, No patient in our study had major limb length discrepancy (i.e. > ± 2cm). Nail back out was not seen in any of the cases. Conclusions: Titanium elastic nail fixation is a simple, easy, rapid, reliable and effective method for management of pediatric femur and tibial fractures in patients with operative indications. There may be the chances of complication following the TENS but these are avoidable as well as manageable with careful precautions.
Authors and Affiliations
Chokkarapu Ramu, Rajender K, Sravan Kumar
Keywords
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