Role of Closed intramedullary Titanium Elastic Nailing in Fracture Shaft Femur in Children Role of Closed intramedullary Titanium Elastic Nailing in Fracture Shaft Femur in Children
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2017, Vol 3, Issue 2
Abstract
Introduction: Fracture shaft femur is a common injury in children. The best treatment for children between 5 to 14 years of age is still debatable. The ideal device for the treatment of most displaced femoral fractures in children would be a simple, load-sharing internal splint that allows mobilization and maintenance of alignment and extremity length until bridging callus forms. Titanium elastic nails offer these features. Aim and Objectives: To assess the functional and radiological outcome of closed reduction and internal fixation of fractures of shaft femur in children aged 5-14 years with TENS. Materials and Methods: 30 patients were treated from November 2014 to July 2016 between age group of 5-14 years by retrograde TEN fixation. Patients were mobilized without weight bearing on the 7th day post operatively. Partial weight bearing was started at 6 weeks and full weight bearing at 12 weeks depending on the fracture configuration, callus response and associated injuries. Follow up was done at 6 weeks, 12 weeks and 24 weeks. Results: Average radiological union was seen in 12.8 weeks. Maximum patients achieved full range of hip and knee movements. Only two had knee stiffness. Based on Flynn‘s criteria 70% excellent and 30% good results were recorded. Conclusion: Titanium Elastic Nailing system for the treatment of paediatric shaft femur fractures in the age group of 5-14 years is an effective method, as it avoids any growth disturbance by preserving the epiphyseal growth plate, and avoids bone damage or weakening through the elasticity of the construct.
Authors and Affiliations
V. P Pathania, Saurabh Arora, Sanjay Gupta
Keywords
Related Articles
- EP ID EP293869
- DOI 10.18231/2395-1362.2017.0031
- Views 61
- Downloads 0
Level of serum beta carotene and its association with lumbar osteophyte formation
Introduction Cause of chronic low back pain in persons over the age of 50 years include degenerative diseases like osteoarthritis of spine and spinal canal stenosis Osteoarthritis of spine is a degenerative process1930 i...
Comparative study between functional outcome of closed and open percutaneous K-wire fixation in gartland type II and III extension type supracondylar humerus fractures in children
Background: Supracondylar fractures of humerus is one of the most common injuries in children. It requires great attention while treating as it is associated with neuro-vascular complications pre-operatively and intra-op...
Long PFN nailing in comminuted high subtrochanteric fractures femur in lateral position on ordinary table
Introduction Most of the hip fractures are managed in supine position on a fracture table with foot attached to foot plates and biplanar fluoroscopy supervision under carm But this procedure has its own difficulties in m...
Management of both forearm bone diaphyseal fractures - ORIF v/s CRIF v/s hybrid fixation: An operative dilemma
Introduction Long bone fracture of forearm is common skeletal injury The most common causes of such injuries include road traffic accident fall or direct trauma amongst the various types of forearm fractures bothbone dia...
Direct lateral approach to shaft of radius – a cadaver study
Introduction: Shaft of radius is traditionally approached by Henry’s volar approach and Thomson’s dorsal approach. Direct lateral approach is described by Muhammed Hanif et al in 2014. We wanted to evaluate the direct la...