<p class="abstract"><strong>Background:</strong> Distal end radius (DER) fractures represents one of the common fractures in the paediatric age group. Most of this injury are managed by closed reduction and casting. We investigated the degree to which the clinical and radiographic follow-ups reveal complications that lead to a change in management of the un-manipulated distal radius fractures in children less than 14 years of age. We determined the frequency and type of complications registered during treatment, and assessed the stability of the different fracture types.</p><p class="abstract"><strong>Methods:</strong> Study includes examination of 30 patients with closed DER fractures who were admitted in tertiary care centre between August 2016 to April 2018.<strong></strong></p><p class="abstract"><strong>Results:</strong> Closed reduction and casting was modality of treatment in 40%, casting was done in 33.3% and closed reduction and k wire were done in 26.7%. In patients with closed reduction and k wire slab was given. Gartland and Werley’s scoring system was used and found that 60% patients have 0 score, 30% have 1 score, 6.7% have 2 score and 3.3% have 3 score. 29 patients had excellent result and 1 patient had fair result.</p><p class="abstract"><strong>Conclusions:</strong> In this study of management of DER fracture in children with different modality of treatment, we noted that if it is an undisplaced fracture, can be managed with casting. If it is displaced fracture and reduction is achieved then closed reduction and casting can be done. If displacement is more than 50% of bone diameter then closed reduction and k wire can be done.</p>
<p class="abstract"><strong>Background:</strong> The treatment of long bone fractures in children from 6 to 14 years is a challenging scenario. Titanium elastic nail (TEN) fixation was originally meant as a gold standard treatment method for femoral fractures, but was gradually applied to other long bone fractures in children, because it represents a middle path between conservative and surgical modality.</p><p class="abstract"><strong>Methods:</strong> In the present study paediatric patients in the age group of 6 to 14 year with long bone fractures to be treated with TEN in the Department of Orthopaedics were admitted to MGM Hospital (Kamothe) were selected. A total of 30 patients consenting to undergo this study were subjected for treatment after screening using the inclusion and exclusion criteria.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean age of the patients was 9.67±2.68 years. There was male preponderance (63.3%). In our study, RTA was observed to be the main cause of fracture (80%) whereas 20% fractures were due to fall. In our study, 50% patients had fracture of radius ulna followed by fracture of tibia 23.3%, femur (23.3%), and humerus (3.3%). The mean time to union was 5.30±1.06 weeks.</p><p class="abstract"><strong>Conclusions:</strong> TEN seems to be simple, biocompatible, more physiological, reliable and effective method of treatment of all long bone shaft fractures in 6 to 14 years old children. It is a rapid, safe and simple procedure with advantages of short operative time, minimal blood loss, shorter hospital stays early union, allowing early mobilization and early return to function with minimal complications.</p>
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