Management of diaphyseal long bone fractures in paediatric age group by tens

Gavaskar, Basani; Singh, Rithika

doi:10.22271/ortho.2020.v6.i1i.1907

Cited by 6 publications

(11 citation statements)

References 9 publications

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“…The characteristics of patients of our study are consistent with Gavaskar and Singh (7) according the age, sex, mode of injury, side affected, time for union, and range of motion at adjacent joints. The main side affected was right side; 14 right side affected (58.3%), and 10 left side affected (41.7%).…”

Section: Discussionsupporting

confidence: 88%

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Management of Open Tibial Shaft Fractures in Children with Intramedullary Elastic Nail

El-Adawy¹,

Megahed²,

Yosef³

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: Elastic intramedullary nailing is a method of diaphyseal fracture osteosynthesis in children. This technique has many advantages. Namely, there is primary bone union with avoidance of growth plate injury, early weight bearing, and minimally invasive surgery with a short duration of hospitalization. Objective: In this study, we evaluated radiological and functional results of treatment of open tibial shaft fractures in children using intramedullary elastic nail. Patients and Methods: This study was a prospective clinical study that included 24 cases with open tibial fractures treated with intramedullary elastic nail at Zagazig University Hospital (ZUH), Egypt and in Tripoli Central Hospital in Libya from June 2020 until September 2020 with six months follow-up. All patients were assessed radiologically by anteroposterior and lateral plain radiographs of the tibia that included the knee and ankle to limit unnecessary radiation. Results: The majority of studied group were excellent in 19 cases clinically according to Ketenjian and Shelton Criteria and 23 cases were united using radiological assessment. Only two cases had superficial skin infection and just one case had delayed union. Conclusion: Flexible intramedullary nailing is an effective treatment option in patients with open fracture (gustilo type I, II), four to fifteen years age group.

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Section: Discussionsupporting

confidence: 88%

“…There is a rise in motor vehicles on the road and improper regulation of traffic rules. Because of poor socioeconomic status in this region, working parents are not able to keep an eye on their children, which lead to high road traffic accidents (7) .…”

Section: Discussionmentioning

confidence: 99%

Management of Open Tibial Shaft Fractures in Children with Intramedullary Elastic Nail

El-Adawy¹,

Megahed²,

Yosef³

et al. 2021

The Egyptian Journal of Hospital Medicine

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“…9 Gavaskar and Singh performed a prospective study to evaluate the operative outcomes of paediatric diaphyseal fractures in the age group between 5 to 12 years using TEN. 10 In their study 47% of the patients were aged less than 8 years and 70% were males.…”

Section: Discussionmentioning

confidence: 94%

Pediatric long bone fractures treated by elastic intramedullary nailing

Gupta

Chaurasia

Jha³

2021

Int J Res Orthop

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Background: Pediatric long bone fractures can have a high morbidity and long term disability among the survivors. The present study was aimed to study the clinical outcomes of children with long bone fractures managed by elastic intramedullary nail.Methods: We retrospectively reviewed the medical records of children (aged 2 to 15 years) who were admitted and treated for unilateral femoral, tibial or forearm fractures with elastic intramedullary nail from January 2018 till February 2020. All were managed with elastic intramedullary nailing. The union times and complications were noted from the medical records.Results: Femoral, tibial and forearm bones were involved in 15 patients each (33.3%). Road traffic accident was reported by 31%) and physical abuse by one case (2%). The mean time of union was 10 weeks, ranging from 6 to 12 weeks. The mean time for union of the femur and tibia was 11.54 and 11.34 weeks respectively. It was significantly lower for forearm (6.67 weeks, p value <0.05). Two patients reported of bursitis and impingement, which were resolved after nail removal. One case had limb length discrepancy of about 0.5 cm in femur fracture, which was not impairing functional activity. Functional status was assessed based on Flynn criteria was found to be excellent in 36%, good in 44% and fair in 20%.Conclusions: The results of the present study show that titanium elastic nail (TEN) is an effective treatment modality for managing pediatric long bone fractures. We recommend the use of TEN in managing long bone fractures in children.

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“…A similar result was observed by many authors (fracture femur as the most common long bone involved). In their study of 30 cases of diaphyseal long bone fractures, Gavaskar and Singh observed 13 cases of femoral fractures (44%), nine cases of forearm fractures (30%), seven cases of tibia fractures (23%), and one case of humerus fracture (3%) [13].…”

Section: Discussionmentioning

confidence: 99%

An Outcome Analysis of Pediatric Diaphyseal Fractures Treated Surgically With the Titanium Elastic Nailing System

Warade,

Roy,

Moaiyadi

et al. 2024

Cureus

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IntroductionPediatric fractures account for one-fourth of all pediatric injuries. Stabilizing the fracture, regulating the length and alignment, encouraging bone healing, and minimizing morbidity and problems for the child and family are the objectives of treatment for diaphyseal fractures of long bones in children. Our goal is to investigate how pediatric diaphyseal long bone fractures are treated with a titanium elastic nailing system (TENS). MethodsA prospective interventional study was conducted on 24 children who had displaced diaphyseal fractures of major long bones, involving 31 diaphyseal fractures of long bones. Utilizing Flynn's grading standards, the result was examined. ResultsThe mean age was 12.20 years. The youngest child was seven years old and the eldest child was 16 years old. There were 20 boys (83.33%) and four girls (16.67%). The male-to-female ratio was noted to be 5:1. The commonest mode of injury was road traffic accidents (12 cases, 50%), followed by falls while playing (10 cases, 41.67%). Other causes included falls from height (one case, 4.17%) and blunt trauma (one case, 4.17%). The commonest bone to get fractured was the femur (37.50%), followed by both bones of the forearm (29.17%), tibia (20.83%), humerus (8.33%), and ulna alone (4.17%). The middle third (21 fractures, 67.74%) was the most prevalent location for fractures. Five fractures each (16.13%) accounted for in the proximal and distal thirds. Twelve fractures (38.71%) were detected on the left side, while the majority of fractures (19 fractures, 61.29%) were seen on the right side. Most of the fractures in this group were transverse fractures (18 fractures, 58.06%) followed by oblique fractures (eight fractures, 25.81%). Comminuted fractures accounted for five fractures (16.13%). Of the 31 fractures, open reduction had to be done in two fractures, after unsuccessful attempts at closed reduction. Closed reduction was done in 29 fractures. There were 15.12 weeks in the average union term. The range is six weeks to 39 weeks. The most frequent side effect was discovered to be skin irritation at the entry site. The extraosseous portion of nails caused irritation at two entry sites (6.45%). A case had delayed union (3.23%) and restricted knee range of movements. ConclusionFor the treatment of juvenile diaphyseal fractures of the long bones, the TENS is the best option. It is a quick, straightforward, safe, dependable, and efficient way to treat pediatric long-bone fractures in patients aged five to 16 years. The healing process takes a fair amount of time, while the surgery takes less time. It does away with the necessity for extended bed rest and significantly shortens hospital stays. It provides stability and elastic mobility, which is perfect for early mobilization and quick union at the fracture site. It has a low rate of complications and produces excellent functional results.

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Management of diaphyseal long bone fractures in paediatric age group by tens

Cited by 6 publications

References 9 publications

Management of Open Tibial Shaft Fractures in Children with Intramedullary Elastic Nail

Management of Open Tibial Shaft Fractures in Children with Intramedullary Elastic Nail

Pediatric long bone fractures treated by elastic intramedullary nailing

An Outcome Analysis of Pediatric Diaphyseal Fractures Treated Surgically With the Titanium Elastic Nailing System

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