Role of Elastic Intramedullary Nail for the Treatment of Femur Shaft Fractures in Children
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2017, Vol 29, Issue 02
Abstract
Objective: To demonstrate the effectiveness of intramedullary fixation of femur shaft fracture in children using elastic intramedullary nails. Method: This prospective observational study was performed from January 2014 to December2016. 26 patients admitted with femur diaphyseal fractures with mean age from 6 to 12 years, who subsequently underwent femur elastic intramadullary nail insertion in retrograde fashion for the treatment of femoral shaft fractures were enrolled in the study. Patients were in regular follow up till radiological union achieved. Flynn scoring criteria is used to assess the functional outcomes at 6 months follow up. Results: The Mean age of patient in our study was 9 years (6- 12 years), all 26 patients were in regular follow up for average 26 weeks (14-36 weeks). Radiological union achieved in all patients in a mean time of 9 weeks (range 6-12 weeks). Two patients had skin breakdown at entry site, which lead to superficial infection. One patient had limb length discrepancy upto1.5cm and one patient had varus angulations up to (10º) and in one proximal migration of nail. According to Flynn Criteria outcome was excellent in 19 patients (73.1%), satisfactory in 6 patients (23.1%), poor in 1 patient (3.8%) respectively Conclusion: The use of elastic intramedullary nail in femoral diaphyseal fracture is better option in pediatric age group as it gives satisfactory outcome with minimum complication rates because of simple operating technique with less operating time and satisfactory radiological union achieved to accomplish the goal of treatment. So it could be considered as a favorable treatment option for femoral shaft fracture in pediatric age group.
Authors and Affiliations
Syed Kamran Ali Shah, Asif Peracha, Muhammad Arsalan Ghazi, Nouman Memon, Kazim Rahim Najjad, Sajid Younus
Keywords
Related Articles
- EP ID EP741738
- DOI -
- Views 54
- Downloads 0
Outcome of the Neuropathic Diabetic Foot Ulcers, Wagner's Grade 1 & 2, Treated by Total Contact Cast
To assess the outcome of the neuropathic diabetic foot ulcer, Wagner’s grade 1 & 2, treated with total contact cast. Methods: This study was conducted between 02 years from January 2013 to December 2015. Number of p...
Pakistan Orthopaedic Association (POA): A Quantum Leap towards excellence in Orthopaedic Care
It is a matter of honour for me to write this editorial for Journal of Pakistan Orthopaedic Association (JPOA). In my short carrier of more than two decades in Pakistan, I have seen Orthopaedic grow from trauma service a...
Human versus Artificial Intelligence (AI)-derived Scholarship: An emerging challenge
Artificial Intelligence (AI) is becoming increasingly prevalent in the field of research. Recently, AI’s advancements reached new heights with the release of a large language model called ChatGPT, developed by OpenAI1. B...
Snapshot of MRI neural axis abnormalities seen in consecutive cohort of pediatric and young adult patients undergoing spinal deformity correction in tertiary care hospital setting in Pakistan
Title Snapshot of MRI neural axis abnormalities seen in consecutive cohort of pediatric and young adult patients undergoing spinal deformity correction in tertiary care hospital setting in Pakistan AshfaqAhmed , Ab...
Role of Dynamization in Fracture Healing of Femoral Shaft Fracture Fixed with Interlocking Intramedullary Nail
Objective: To know about the role of dynamization in fracture healing of femoral shaft fracture fixed with interlocking intramedullary nail. Methods: This prospective comparative study was conducted between January 201...