Titanium Elastic Nailing for Paediatric Femoral Shaft Fractures: A Prospective Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Background: Management of femoral diaphyseal fractures in the age group of 6-16 years is controversial. There has been a resurgence worldwideforoperativefixation. Methods : Thirty pediatric patients in age group 6-16years with diaphyseal femoral fractures were stabilised with two titanium nails. Patients were followed up clinically and radiologically for 24 weeks. The final results were evaluated using the criteria of Flynn et al. Results : Overall results observed were excellent in 20, satisfactory in 9 and poor in 1 patients. Hospital time averaged 13 days days in our study. All the fractures healed with an average time to union of 10 (7-14) weeks. The soft tissue discomfort near the knee produced by the nails ends was the most common problem encountered. Shortening was observed in one case and none of the cases hadsevere restriction of knee movements at the final followup. There was no delayed union, infection or refractures. Conclusion : Titanium elastic Intramedullary nailing technique is an ideal method of definitive stabilization for diaphyseal fracture in paediatric population,It is an simple, easy, rapid, reliable and effective method of fixation with advantages like shorter operative time,minimally invasive and lesser blood loss ,reasonable time to bone healing and physeal-protective treatment method .
Authors and Affiliations
B. Punithavasanthan, Prabhat rai, A Mahendra singh, S Nongthon singh, prabhu shrinivas prashant, Rajkumar debbarma, shams gulrez, Temjen sunep, Dilip soring
Keywords
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- EP ID EP369643
- DOI 10.9790/0853-1703104650.
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