OUTCOME OF DIAPHYSEAL FRACTURE OF TIBIA TREATED WITH FLEXIBLE INTRAMEDULLARY NAILING IN PEDIATRICS
Journal Title: National Journal of Medical and Dental Research - Year 2018, Vol 6, Issue 2
Abstract
Fracture of Tibia is the most common amongst pediatric fractures. Most tibial shaft fractures are treated conservatively with close reduction and above knee cast application. Surgery is indicated only when the fracture is unstable, open fracture and associated with multiple injuries. Flexible intramedullary nailing is commonly used for diaphyseal tibial fracture and is also well used in other long bone fracture. The advantages of flexible intramedullary nailing are minimal invasive surgery, short hospital stay and early weight bearing. The objective of this prospective study was to review the functional outcome of flexible intramedullary nailing in pediatric age group. In the study, the union time, weight bearing time and complications associated with flexible intramedullary nailing were observed. There were 20 children with fracture shaft of tibia treated at the Department of Orthopedics Pacific Medical College &Hospital Udaipur. The protocol consisted in flexible intramedullary nailing of fracture shaft of tibia in children. Angulation, shortening and other complications were checked. In our study the average age of the patient was 8.2 years (range 6–12 years). Out of 20 children with fracture shaft of tibia 15 had close fracture and 5 had open fracture. All fracture cases treated with flexible intramedullary nailing had good alignment post operatively. 15 children had an angulation of less than 5 degrees and 4 children had angulation of 5 to 10 degrees which was acceptable to the age group and one children had angulation more than 10 degrees. The mean time of radiological union was 13.3 weeks with early callus formation of 4.3 weeks. The average time for full weight bearing was 8.8 weeks. Fixation with flexible intramedullary nails in diaphyseal fracture shaft of tibia in pediatric age group is simple, effective, minimally invasive procedure with short hospital stay and having good outcome
Authors and Affiliations
AK Sankhala, D R Galfat
Keywords
Related Articles
- EP ID EP569721
- DOI -
- Views 127
- Downloads 0
Continous Hyper-Frationated Accelerated Radiotherapy (CHART) In Head And Neck Cancers
• Background – head and neck malignancies are moderately radiosensitive. With the aim to increase loco-regional control Continuous Hyper-fractionated Accelerated radiotherapy has been studied in 50 patients with head and...
Clinical Utility Of Non-Invasive Ventilation In Various Indications Of Acute Hypoxic Respiratory Failure At The Tertiary Care Rural Hospital In Western Maharashtra
Background : Non-invasive ventilation (NIV) refers to delivery of mechanical ventilation with techniques that do not need an invasive endotracheal airway. Compared with invasive mechanical ventilation,...
Management Of Intertrochanteric Fractures With Proximal Femoral Nail And Dynamic Hip Screws – Comparison Thereof
The prospective study conducted to manage the intertrochanteric fracture of femur with PFN and DHS. We have interpreted the results and compare the advantages and disadvantages of both the implants. By taki...
Study The Association Between Microalbuminuria And In hospital Complications Of Acute St Segment Elevation Myocardial Infarction (STEMI ) In Nondiabetic Patients
Background: Microalbuminuria occurs in diabetic patients with acute myocardial infarction but it has been reported that microalbuminuria occurs in non diabetic patients with acute myocardial infarctio...
A Retrospective Study Of 16000 Cases Of Laproscopic Female Sterilization By Using Single Infraumblical Midline Incision
The sterilization procedure should not only be safe and readily accessible but also have high efficacy rate, cost-effective, be culturally and personally acceptable.The present study was done to know the trends, incidenc...