OUTCOMES OF TITANIUM ELASTIC NAILING IN FEMORAL DIAPHYSEAL FRACTURES OF CHILDREN IN 6-16 YEARS OF AGE

Dr Rohan Memon, Dr Ketan parmar

Abstract


Introduction: Management of femoral diaphyseal fractures in the age group of 6-16 years is controversial.Conservative
management leads to Prolonged hospitalization, difficulty in maintaining child with traction for 3 weeks, then hip spica
makes toileting and personal hygiene difficult. This may cause malunion/limb length discrepancies, rotational
deformities, and sometimes psychological problems.
Materials and Methods: A total of 32 children in the age group of 6-16years,25 boys and 7 girls having diaphyseal
femoral fractures were stabilized with two stainless steel/titanium elastic nail retrograde way under fracture table.the
results were evaluated using criteria of Flynn et al
Results: The average duration of appearance of bridging callus was 6 weeks. Radiological union in all cases was
achieved in a mean time of 8.7 weeks. All children showed sound union at an average 8 weeks without significant
complications. Return to school was early with an average 10–12 weeks. Result assessed for range of motion (ROM),
irritation at the distal end of the nail, pain, deformity, limb length discrepancies, union, and malunion. Overall results
observed were excellent in 24, satisfactory in 5 and poor in 3 patients.
Conclusion: Intramedullary fixation titanium elastic nailing is an effective treatment of diaphyseal fractures of the femur
in properly selected patients of the 6-16 years age group.


Keywords


Elastic titanium nailing, intramedullary nail, pediatric femoral fractures

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