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
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