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A study of titanium elastic nailing in the surgical management of fracture shaft of femur in children

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Original Article

Author Details : M A Q Ansari, Amaan Mahajabeen*, Ambreen Fatima

Volume : 7, Issue : 3, Year : 2021

Article Page : 227-232

https://doi.org/10.18231/j.ijos.2021.037

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Abstract

The most common fractures among long bones are femoral fractures. Femoral shaft fractures account for 1.6% of all paediatric bony injuries. Treatment of long bones fractures in children continues to enhance as newer techniques evolve. Previously most of the fractures were effectively managed conservatively & only unstable and displaced fractures were taken up for fixation. Children in the age group of 5-17 years are treated either with traction, hip Spica, flexible/elastic stable retrograde intramedullary nail, or external fixator.
Objective: To study the outcome of Titanium Elastic Nailing System (TENS) for the treatment of femoral shaft fractures in children.
This prospective study was carried out at the Department of Orthopaedics, in our hospital. 30 patients, 5-17 years aged, with fracture shaft of the femur were treated by closed reduction internal fixation with flexible Titanium nailing, followed up clinically and radiologically every 2 weeks upto 2 months, then monthly till bony union and full weight bearing by the patient.
Results: The clinical results were evaluated using Flynn’s criteria of scoring as, Excellent in 28 patients (93.33%), Satisfactory in 2 patients (6.67%) and poor in none. Full weight bearing was possible in mean time of 10.1 weeks (range; 7-12 weeks).
CRIF with TENS is very effective in management of paediatric shaft femur fractures in the age group of 5-17 years with advantages of lower rate of infection, early union, early mobilization and good range of movements.
 

Keywords: Paediatric fractures, Femur, TENS, Flynn's criteria.

How to cite : Ansari M A Q, Mahajabeen A, Fatima A, A study of titanium elastic nailing in the surgical management of fracture shaft of femur in children. Indian J Orthop Surg 2021;7(3):227-232

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