Diaphyseal fractures in children treated with titanium elastic nailing system a prospective study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 2
Abstract
Aim- To study the effects of Titanium elastic nailing system in treating diaphyseal fractures in children. Materials & Methods - In a series of 30 cases, during July 2015 to June 2017, in Maharaja Institute of Medical Sciences. Both bones were fractured in 25 patients, four fractured only the radius, and one experienced ulna fracture. 17 had unstable irreducible fractures, 13 had loss of reduction. Titanium elastic nails were used to stabilize the fractures. All fractures were immobilized postoperatively with an above-elbow plaster slab for 2 weeks till the swelling was completely resolved followed by encouraging range of motion exercises. Results – Of 30 cases in this study 20 cases were male and 10 cases were female, average age of 8 yrs. Closed reduction and TENS was successful in 22 cases, including 25 double-bone fractures and five single- bone fractures. Open reduction was completed in 3 fractures of both bones, and in 5 single-bone fractures. Bone union was achieved in all patients at an average of 7 weeks. The ROM of the forearms was evaluated using the Flyn et al grading criteria. Excellent results were reported in 97% without significant complications after a mean follow-up of 20 months. Conclusion - Titanium elastic nailing system for fixation of pediatric forearm fractures revealed several advantages, a small incision for insertion, a low rate of complications, unhindered bone healing, easier hardware removal and good clinical and radiological results thus achieving maximum range of motion at the earliest.
Authors and Affiliations
Pinnamaneni shankarrao, M J Naidu, shrikanth Choppara, Saurabh Deshpande
Keywords
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