Outcomes of fracture shaft femur in pediatric population managed at emergency

Sinha, Shandip Kumar; Kumar, Vineet; Singh, Ajai

doi:10.1016/j.jcot.2016.12.004

Cited by 7 publications

(5 citation statements)

References 17 publications

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“…In a study that analyzed functional outcomes, according to the Flynn criteria, 75.5% had excellent results, 17% had satisfactory results, and 7.5% had poor results. [23]. In another study, excellent and satisfactory outcomes were noted in 19 of 20 patients in the treatment of femoral fractures with TEN in pediatric patients aged 6-14 years.…”

Section: Discussionmentioning

confidence: 91%

Functional outcomes of titanium elastic nail procedure after femoral shaft fracture in pediatric patients

Koroglu,

Karakaplan,

Ergen

et al. 2023

Med-Science

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Pediatric femur diaphyseal fractures are seen after serious traumas such as traffic accidents and fall from height. Although treatment algorithms are made according to age groups, treatment planning is individualized according to the patient and the degree of injury. In our study, we evaluated functional outcomes of pediatric femur fractures treated with titanium elastic nail (TEN). This is a retrospective study including pediatric femoral diaphyseal fractures treated with TEN between 2012 and 2021. Open fractures, pathological fractures, distal fractures involving the femoral condyles, and proximal fractures involving the trochanteric region were not included in our study. Thirty-three femoral diaphyseal fractures with complete data were identified as stable and unstable in length, and functional results and post-treatment complications were recorded by performing TEN in fracture fixation. Clinical functional results were analyzed with Flynn criteria. Thirty-three femoral fractures of 29 patients were included. Eighteen (62.1%) of our patients were boys and 11 (37.9%) were girls. The mean age was 6.51 years (4-13 years). The most common injury mechanism was traffic accidents seen in 19 patients (24.51%). The mean follow-up period after surgery was 26.6 (6-90 months) months. Stable fractures (transverse and short oblique) were found in 26 cases (78.7%) and unstable fractures (spiral/long oblique and comminuted) in 7 cases (21.7%). According to Flynn criteria, excellent results were found in 20 fractures (60.6%) and satisfactory results in 10 fractures (30.3%) and 3 poor (%9.09). There was no significant difference between stable and unstable fractures in terms of functional outcome (p=0.12). Femoral diaphyseal fractures are serious injuries that require surgery. Regardless of the type of fracture, stable or unstable in length, the results of treatment with TEN are very successful. Major complications such as nonunion and re-fracture are rarely seen with this treatment.

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Section: Discussionmentioning

confidence: 91%

Functional outcomes of titanium elastic nail procedure after femoral shaft fracture in pediatric patients

Koroglu,

Karakaplan,

Ergen

et al. 2023

Med-Science

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show abstract

“…Excellent results were seen in 67.8% and satisfactory results seen in 32.2% in plating group and in TENS group, excellent results were seen in 62% and satisfactory results in 38% [ 13 ]. Excellent results were seen in 75.5%, satisfactory outcome in 17%, and poor outcome in 7.5% of cases treated with TENS [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Treatment of Diaphyseal Fractures of the Femur in Paediatric Age Group: A Comparative Study of Locking Compression Plate Versus Titanium Elastic Nailing System (TENS)

Venkataraman¹,

Ethiraj²,

Shanthappa³

et al. 2022

Cureus

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“…It is most common in preschool-age children (age <6 years) and the peak age at onset is approximately 5 years [3]. The ratio of male to female patients is approximately 3:1, and the late preschool period is another peak period of its occurrence [4,5]. The predominant cause of femoral shaft fracture in the early preschool period is low-energy injuries and most of these are simple femoral shaft fractures.…”

Section: Introductionmentioning

confidence: 99%

Early and Mid-Term Outcomes of Nonsurgical Management of Femoral Shaft Fractures with Associated Multiple Injuries in School-Age Children

2023

J Clin Med Surgery

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Objectives: Femoral shaft fractures associated with multiple injuries are commonly encountered in school-age children. Clinical outcomes of non-surgical management of pediatric femoral shaft frac- tures with high-energy multiple injuries are not well characterized. In this study, we evaluated the early and mid-term clinical outcomes of non-surgical management of pediatric femoral shaft frac- tures with high energy multiple injuries in our setting.

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Outcomes of fracture shaft femur in pediatric population managed at emergency

Abstract: Patient selection is important to obtain good results using titanium elastic nails. Mid diaphyseal femoral shaft fractures with minimal comminution are ideal fractures for treatment using titanium elastic nails.

Cited by 7 publications

References 17 publications

Functional outcomes of titanium elastic nail procedure after femoral shaft fracture in pediatric patients

Functional outcomes of titanium elastic nail procedure after femoral shaft fracture in pediatric patients

Treatment of Diaphyseal Fractures of the Femur in Paediatric Age Group: A Comparative Study of Locking Compression Plate Versus Titanium Elastic Nailing System (TENS)

Early and Mid-Term Outcomes of Nonsurgical Management of Femoral Shaft Fractures with Associated Multiple Injuries in School-Age Children

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