Titanium Elastic Nails for Pediatric Femur Fractures: Clinical and Radiological Study

Abstract

Background: Management of femoral diaphyseal fractures in the age group 616 years is controversial. There has been a resurgence worldwide for operative fixation. Material and methods: Twenty children (15 boys, 5 girls) aged 616 years with femoral diaphyseal fractures (20 fractures, one in each) were stabilized with Titanium Elastic Nail (TEN). Patients underwent surgery within ten days of their injury. The results were evaluated using Flynn’s Scoring Criteria.Two nails were used in each fracture. Results: All 20 patients were available for evaluation and follow up for a mean duration of 24 months (1532 months). Radiological union in all cases was achieved in a mean time of 8 weeks. Full weight bearing was possible in a mean time of 10 weeks (812 weeks). The results were excellent in 14 patients (70%) and successful in 6 patients (30%). Few complications that occurred were infection (in 2 cases), knee joint stiffness(in 4 cases), angulation less than 10 degrees( in 4 cases), shortening less than 10 mm(in 4 cases). Conclusion: Intramedullary fixation by TEN is an effective treatment of fracture of femur in properly selected patients of the 616 years age group

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

“…Similar findings male predominance was seen in other studies like Narayanan UG, Joshua HE, Andrew MW, Mercer R, et al [5] Saikia KC, Bhuyan SK, Bhattacharya TD, Saikia SP et al, [6] Khazzam M, Tassone C, Liu XC, Lyon R, [7] Iqbal M, Manzoor S, Cheema GM, Ahmed E, [8] Navdeep S, Kanav P, Suhail V, Harish D [9] . Kumar N, Chaudhary L [10] . In the present series, RTA is the most common mode of injury.…”

Surgical Management of Long Bone Shaft Fractures in Lower Limb by Elastic Nailing in Paediatric Age Group

“…Stabilisation follows the three-point fixation principle that provides internal elastic support in the presence of cortical contact and an intact soft tissue envelope. 1,2,3,4 The technique offer several advantages including better reduction, dynamicaxial stabilisation, shorter hospitalisation with early rehabilitation and low rate of complications. In children who are five years of age or younger, early closed reduction and application of a spica cast is an ideal treatment for most diaphyseal fractures of femur and tibia.…”