Tibia Diaphyseal Fracture Fixation in Children by Titanium Elastic Intramedulary Nails – Efficacy and Outcomes
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 9
Abstract
To evaluate the clinical, functional and radiological outcome of intramedullary fixation of displaced fracture shaft tibia in skeletally immature children using titanium elastic intramedullary nails.90 Tibial shaft fracture in 84 children aged 6- 14 years were fixed with titanium intramedullary elastic nail under image intensifier control between June 2013 and January 2017.Two nails of proper and equal diameter were used for fracture fixation. No external splint was used after surgery. Outcomes assessed on the basis of Flynn et al scoring criterion.All patients achieved complete healing at a mean of 9.5 weeks. 87 fracture reduced by closed means but 3 needs open reduction. Common size of elastic nail used was 3mm. no major complication was recorded all were minor and can be taken care off. Most common was entry site skin irritation recorded in 30 patients. 90% had excellent result and 10% had satisfactory.Elastic stable intramedullary nailing is the method of choice for the Tibial shaft fracture in paediatric patients, because it is minimally invasive and provide six point fixation and shows very good functional and cosmetic result. It allows early ambulation and shorter hospital stay and higher parent satisfaction. ESIN also provide flexural, translational and rotational stability as well.
Authors and Affiliations
Dr. Deeapk Srivastav, DrMithlesh Kumar, DrArpita Mohan
Keywords
Related Articles
- EP ID EP478985
- DOI -
- Views 48
- Downloads 0
Effects of Hypothyroidism on Total Cholesterol, Triglycerides and LDL
Abstract: Hypothyroidism is an important metabolic disorder and is associated with many biochemical abnormalities.Thyroid hormones are involved in regulation of lipids and lipoprotein metabolism,therefore hypothyroidism...
The Implementation of Various Surgical Approaches in Management of Recurrent Incisional Hernias
Management of recurrent incisional hernias still remains a challenge for surgeons in determining the best technique to ensure successful repair. Decision making will be more difficult when the recurrences occur at multip...
Predictors of Left Atrial Smoke and Thrombi in Patients with Rheumatic Mitral Stenosis a Clinical and Echocardiographic Study
Abstract: Rheumatic mitral stenosis is common clinical problem in India. Patients with mitral stenosis are associated with an increased risk of thromboembolism and are a major cause of morbity and mortality. Spontaneous...
A survey to evaluate the awareness of Fixed Dose Combinations (FDCs) among 2nd year medical undergraduates at a rural tertiary care centre, B G Nagara
Combination of two or more active ingredients in a fixed dose ratio is termed as fixed dose combination (FDC). Presently, there is lot of debate over rationality and irrationality of FDCs. This study was focused on medic...
Acute Kidney Injury in Tropical Acute Febrile Illness of Malwa Region
Abstract: Tropical Acute Febrile Illness (TAFI) is defined as all acute febrile syndromes with oral temperature over 37.5oc within the last 24 hours and less than two weeks, in tropical and sub-tropical d...