Titanium Elastic Nailing System (TENS) In Paediatric Shaft Femur Fractures: Our Experience In 20 Cases
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 0
Abstract
Background: Femoral Shaft fractures in paediatric age group are common injuries and needs prompt intervention. The results mainly depend on the type of implant used and good anatomical reduction. Use of Flexible intramedullary nail has given promising results in paediatric population Aim: To assess the outcomes of paediatric femoral shaft fractures treated with TENS system .the results are graded using Flynn’s criteria Materials and Methods: This is a retrospective study of prospectively collected data of paediatric shaft femur fractures treated with TENS system. The patients were evaluated with pre-operative radiographs. All patients underwent surgery with TENS nails after appropriate reduction. The patients were followed up at regular intervals, radiographs were assessed for fracture union. The results were assessed with Flynn’s criteria. Results:A total of 20 patients were included in the study. The mean age of the group was 8.25 years with 18 boys and 2 girls(M:F-9:1).The average weight of the patients was 25.05kgs(15-36kgs).Middle 1/3 rd fractures was most common with seven cases of transverse pattern and seven each of short oblique and spiral fractures. The mean duration of full weight bearing was 10.6 weeks and mean duration of radiological union was 11.89 weeks. Two patients(10%) had pin site irritation and one patient(5%) had deep infection. Seventeen patients 85% had excellent , 2(10%) had satisfactory and one patient (5%) had poor outcomes according to Flynn;s criteria. Conclusions:Titanium Elastic Nailing System(TENS) is safe and an effective treatment modality for femur shaft fracture in children in the age group of 5 – 12 years. Faster fracture healing, early mobilisation, faster rehabilitation in children are promising results with flexible intramedullary nails.
Authors and Affiliations
Manjunath S Daragadh, Sunil Kumar PD, Chidendra M shettar, Santosh Jeevannavar, Raviraj Tantry
Keywords
Related Articles
- EP ID EP393820
- DOI -
- Views 123
- Downloads 0
Evaluation Of Clinico-Radiological Parameters In Operated Patients Of Displaced Diaphyseal Fractures Of Clavicle
The clavicular fracture were treated surgically in 25 patients of mid third clavicular fracture were fixed with plate and screws between August 2012 to August 2013 at Indore. The minimum follow up was 3 months and maximu...
Result Of Pre Contoured Distal Tibial Locking Plates In Distal Tibial Fractures By Minimal Invasive Technique
Distal diametaphyseal tibia fractures poses a challenge for orthopaedic surgeons to treat these fractures. Most of the distal tibial fractures are not suitable for intramedullary nailing and usually require open reductio...
Retrograde Enders Nail –An Excellent Option For Tibial Shaft Fractures With Compound Wound Over And Around The Knee
Aims & Objectives: A mode of treatment using retrograde enders nailing for compound (Gustillo- Anderson type 2 and type 3A) tibial shaft fractures with wound over and around the knee where intermedullary nailing is not p...
Locked Compression Plating Versus Intramedullary Interlocking Nailing In The Management Of Diaphyseal Humerus Fracture - Randomized Control Trail
With the recognition of the role of vascularity and soft tissue in fracture healing, Locking Compression Plates were developed. LCP leave minimal footprints on the surface of bone in comparison to conventional plates....
Functional outcome of radial neck fracture treated with radial head excision
Objective. The aim of our study was to evaluate the functional outcome of radial head excision for fractures of the radial head. Materials and methods. Eleven closed fractures of the radial head treated by resection were...