Evaluation of Functional Outcome of Titanium Elastic Nail (TENS) in Femoral Shaft Fracture in Children
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 4
Abstract
Introduction: Diaphyseal Fractures of the femur in children are common orthopaedic problem. The traditional method of treatment was hip spica casting, but in last two decades there have been a shift in the trend towards surgical fixation using titanium elastic nail. The aim of the study is to report our experience in TENS nailing for femur fractures and to compare with similar studies. Material & Methods: This study included 25 children in the age group of 6-15 who underwent TENS nailing for femur shaft fractures between September 2015 to August 2016 in the department of orthopaedics, S.P. Medical College & Associated Group of Hospitals, Bikaner. Results: 21 patients had excellent Flynn score and 4 had satisfactory results. There were no cases of nonunion or delayed union and implant failure. The mean time for full weight bearing was 6.9 week. Hospital stay was a mean of 12 days. Only 5 patients had superficial infection which subsided with appropriate antibiotics. Conclusion: From our experience we found that TENS nailing in paediatric femur shaft fractures is a safe easy reliable surgery and satisfactory mode of treatment. It avoids the chances of physeal injury, infection and offers rapid healing. It helps in early mobilisation of the patients and independent weight at the earliest. Our study also reported very few complications. Most of the complication can be avoided when nailing is done in the right technique.
Authors and Affiliations
Khajotia B. L. , Sharan Sunil, Bhamboo Ravindra Singh
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