Management of Diaphyseal Lower Limb Fractures in Paediatric Age Group with Elastic stable Intramedullary Nailing
Journal Title: Journal of Chalmeda AnandRao Institute of Medical Sciences - Year 2018, Vol 16, Issue 2
Abstract
Aim : The purpose of this study is to analyze the efficacy of elastic stable intramedullary nailing(ESIN) in the treatment of fracture shaft of femur and tibia in children aged between 4 to 15 years with special emphasis on complications. Materials and Methods: This was a prospective ,observational study conducted in chalmeda anandrao institute of medical sciences, karimnagar. All children and adolescent patients between 4 and 15 years of age with diaphyseal fractures of femur and tibia meeting the inclusion and the exclusion criteria during the study period were the subjects for the study. Totally, 20 cases were studied without any sampling procedure. Patients were followed up at 4 weeks, 8 weeks 12 weeks, 6 months and 1 year after surgery and assessed clinically and radiologically. The final outcome is assessed as per Flynn’s criteria as excellent/satisfactory/ poor. Results: Twenty patients were enrolled into the study out of which 15 (75%) were boys and 5 (25%) were girls. Average age of patient was 9.8 years and average time taken to heal the fractures (both clinical and radiological) was 10.35 weeks. 4 (20%) had developed pain at site of nail insertion during follow up evaluation, all of which resolved by the end of 16 weeks follow up Superficial infection was seen in 1 (5%)case, No patient in our study had major limb length discrepancy (i.e. > ± 2cm). Nail back out was not seen in any of the cases. Conclusions: Titanium elastic nail fixation is a simple, easy, rapid, reliable and effective method for management of pediatric femur and tibial fractures in patients with operative indications. There may be the chances of complication following the TENS but these are avoidable as well as manageable with careful precautions.
Authors and Affiliations
Chokkarapu Ramu, Rajender K, Sravan Kumar
Keywords
Related Articles
- EP ID EP507507
- DOI -
- Views 100
- Downloads 0
Lymphangioma of Neck in a 35-year Old Female: A Case Report of Rare Entity
Lymphangiomas are lymphatic malformations which occur mostly in children and uncommonly in adult. Although the lesion can occur anywhere, the most common sites are in the posterior triangle of the neck, axilla, mediastin...
Management of Diaphyseal Lower Limb Fractures in Paediatric Age Group with Elastic stable Intramedullary Nailing
Aim : The purpose of this study is to analyze the efficacy of elastic stable intramedullary nailing(ESIN) in the treatment of fracture shaft of femur and tibia in children aged between 4 to 15 years with special emphasis...
Effect of Sleep Deprivation on the Academic Performance and Cognitive Functions among the College Students: A Cross Sectional Study
Background: Sleep is an important biological necessity, College students often have erratic sleep schedules, poor sleep hygiene and poor sleep quality, which might affect their performance and cognitive functions. Object...
Primary Plasma Cell Leukemia Presenting as Acute Kidney Disease
Plasma cell neoplasms represent 1.4-2% of all malignancies. Primary plasma cell leukemia (pPCL) is a rare and aggressive malignancy of plasma cells with a poor prognosis, constituting only 1-4% of all plasma cell neoplas...
Prediction of Significant Neonatal Jaundice by Cord Blood Albumin at Birth in Neonates with completed 35 weeks of gestation
Background and Aim: Over two third of newborn babies develop clinical jaundice. Bilirubin induced brain damage depends on free bilirubin as evidenced by mass action equation. Our study aims was to estimating the predicti...