Outcome of Surgically Managed Diaphyseal Fractures in Children- A Prospective Study

Reddy, Sridhar M; Dhaniwala, Nareshkumar Satyanarayan

doi:10.14260/jemds/2020/90

Cited by 2 publications

(5 citation statements)

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“…In their study, Reddy and Dhaniwala found that among the 28 cases, the most common mode of injury was a fall while playing in 18 cases. Additionally, five cases were attributed to road traffic accidents, three to falls from height, one to blunt trauma, and one to another cause [ 25 ]. Bandyopadhyay observed that among the 49 patients' domestic falls in 27 cases, road traffic accidents in 10 cases, sports injuries in seven cases, and falls from bicycle in five cases [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…In their investigation of 30 patients with diaphyseal fractures of long bones, Baig et al found that 17 (56.7%) of the patients had femoral fractures, seven (23.3%) had tibial fractures, one (3.3%) had humeral fractures, and five (16.6%) had forearm fractures [ 11 ]. In their other investigations, Reddy and Dhaniwala found that long bones other than the femur were frequently affected [ 25 ]. In their investigation of long bone fractures, Furlan et al noted 35 tibial, 42 forearm, 41 femoral, and 55 humeral fractures [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…In their study, Raut et al found that among the 30 patients, the majority had fractures of the middle one-third of the diaphysis (73.3%), while 26.7% had fractures of the upper one-third of the diaphysis [ 12 ]. During their study of diaphyseal fracture of long bones, Reddy and Dhaniwala observed the most common level of fracture as the middle third (59.52%) [ 25 ]. Flynn et al noted that among the 58 fractures studied, the most common pattern observed was mid-shaft in 42 cases, with seven being distal and nine being proximal [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Naorem and Temjensunep reported amongst the 30 patients, 19 were transverse fractures (63.33 %), seven were oblique fractures (23.33%), four were segmental fractures (13.33%), and there were no comminuted fractures [ 14 ]. Reddy and Dhaniwala observed that transverse fractures accounted for the majority of instances (32 cases, 76.19%), with oblique fractures (six cases, 14.29%) coming in second [ 25 ]. In their investigation, Gavaskar and Singh found that 50% of the fractures were transverse, 20% were spiral, seven cases were short oblique, one case was segmental, and one case was comminuted [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Various studies have reported differing average follow-up periods. Reddy and Dhaniwala found an average of 22.08 weeks [ 25 ]. Khuntia et al recorded a longer average follow-up duration of 28 months [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%