In paediatric femoral shaft fractures implementation of elastic stable intramedullary nail (ESIN) - A retrospective study
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 20, Issue 3
Abstract
Background: Among all pediatric bony injuries 1.6% is accounted by highly incapacitating femoral shaft fractures. Management of these fractures is largely directed by age, fracture pattern, associated injuries, built of the child and socioeconomic status of the family. We retrospectively, evaluated the implementation of elastic stable intramedullary nail (ESIN) in surgical management of femoral shaft fractures in children and its complications. Materials and Methods: Sixty children were treated with titanium elastic nails (TEN) from June 2011 to August 2015 at Vinayaka Missions Medical College, Karaikal, at the end of the study there were 56 children for follow-up. Fractures were classified according to Winquest and Hansen’s as Grade I (n=36), Grade II (n=14), Grade III (n=6) and compound fractures by Gustilo and Anderson’s classification, Grade I (n=8), Grade II (n=4). There were 42 mid-shaft fractures, 8 proximal third shaft fractures, 6 distal third shaft fractures. The final results were clinically evaluated by using Flynn’s criteria and radiologically by Anthony’s criteria. Results: The mean duration of follow-up was 18 months (range 12 – 36 months). All fractures healed radiologically with grade III callus formation at 8 – 11 weeks (mean 9.6 weeks). The results were analysed using Flynn’s criteria and were excellent in 46 children (82%) and satisfactory in 10 children (18%). The most common complication in our study to be noted was soft tissue discomfort produced by the nail ends near the knee (25%, n=14). Other complications include limb shortening (n=5), varus malunion (n=4), pin site infection (n=5) and nail migration (n=2). There was no delayed union,non-union or refractures. Conclusion: ESIN is a safe, minimally invasive, relatively easy to use and provides an excellent functional outcome in terms of patient satisfaction in properly selected pediatric shaft of femur fractures. Level of Evidence: Level III, Retrospective cohort study. Keywords: Femur, Intra-medullary fracture fixation, bone nailing, malunited fracture.
Authors and Affiliations
Jimmy Joseph Meleppuram, Ibrahim Syed
Keywords
Related Articles
- EP ID EP500795
- DOI -
- Views 95
- Downloads 0
Development of indigenous innovative visual reinforcement system for hearing screening among young children
Visual reinforcement audiometry (VRA) is the gold standard hearing assessment procedure. It is a combination of both visual and auditory stimuli uses conventional toys and speakers to estimate hearing. The aim of the stu...
Laparoscopy as method of choice for diagnosing and treating peritoneal and intestinal tuberculosis A multicentric study
There are various modalities like x ray, ultrasonography, CT, MRI, Laparoscopy etc that can be used for making sure and certain diagnosis of isolated abdominal tuberculosis. Among them when these were evaluated with each...
Risk and prevalence of thyroid disorder among Indian population: A meta-analysis
Thyroid disorders are common in India population. This study aimed at synthesized population based studies on prevalence of thyroid diseases in India. General database and subject’s specific database were searched for pr...
Evaluation of Amiodarone for Its Effect on Glucose Metabolism in Euglycemic Albino Wistar Rats
Objective: To evaluate the effect of amiodarone on glucose levels in albino wistar rats. Materials and Methods: Albino wistar rats were divided in to test group (amiodarone) and control group (distilled water) of six ani...
Retrospective Study of Eclampsia in a Teaching Hospital
Eclampsia is one of the major cause of both maternal and perinatal mortality in India. Retrospective study of eclampsia was done in our hospital from Jan-2011 to Jun-2013 Over a period of 2 ½ year to know the incidence,...