COMPARATIVE STUDY BETWEEN TITANIUM ELASTIC NAILING (TENS) AND DYNAMIC COMPRESSION PLATING (DCP) IN THE TREATMENT OF FEMORAL DIAPHYSEAL FRACTURES IN CHILDREN
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 32
Abstract
Orthopaedic surgeons have long maintained that all children who have sustained a diaphyseal fracture of femur recover with conservative treatment, given the excellent remodeling ability of immature bone in children. Angulations, shortenings and malrotations are not always corrected by conservative treatment. Of many surgical options, titanium elastic nailing has been the newer implant which is being used regularly. Although good results have been reported with elastic intramedullary nails, plate fixation continues to be a viable alternative in surgical treatment of femoral shaft fractures. However there are not many studies comparing the efficiency of titanium elastic nailing and plating for femoral diaphyseal fractures in pediatric age group. AIM: The present study aims to compare the surgical management of diaphyseal fractures of femur in children with Dynamic Compression Plating versus Titanium Elastic Nailing. DESIGN: This is a prospective study. MATERIALS AND METHODS: This prospective study was conducted in a tertiary hospital. Patients who presented to the out-patient department and casualty of the hospital with femoral diaphyseal fractures during April 2012 to June 2014 were considered for the study. Subjects fulfilling the predetermined inclusion and exclusion criteria were included in the study. STATISTICAL METHODS: Fisher Exact test, ChiSquare Test, Student t test (Two tailed, independent). RESULTS: Patients in the age group of 6- 14 years were considered for the study, Patients were divided into two groups and treated with DCP/TENS. The duration of surgery, hospital stay, and, amount of blood loss was minimal in TENS group. Callus was seen early in TENS group. Radiological union was early in TENS group by 2-3 weeks. Outcome was better in patients treated with TENS (Excellent-70%; Satisfactory–30%; Poor-0%) in comparison to DCP (Excellent-70%; Satisfactory-25%; Poor-5%). CONCLUSION: TENS is more versatile and can achieve biological fixation, with minimal complications compared to DCP hence it is concluded that TENS is better procedure for fracture shaft femur in children than DCP.
Authors and Affiliations
Ramasubba Reddy M. , Srinivasa Reddy Datla, Priyank Uniyal, Rakesh Reddy
Keywords
Related Articles
- EP ID EP229729
- DOI 10.18410/jebmh/2015/674
- Views 76
- Downloads 0
A STUDY OF CORRELATION OF FOOT LENGTH AND GESTATIONAL MATURITY IN NEONATES
BACKGROUND Gestational age estimation at birth can be done by clinical estimation through careful history of LMP, ultrasonic estimation of gestational age, date of first recorded foetal activity “quickening” first felt a...
HYSTEROSALPINGOGRAM IN EVALUATION OF PRIMARY INFERTILITY- A RETROSPECTIVE STUDY
BACKGROUND Infertility is one of the commonest problems encountered in gynaecology. Improved familiarity with and access to infertility services among the affluent and better educated patients probably accounts for their...
A COMPARATIVE STUDY OF INTRAOCULAR PRESSURE LOWERING EFFECT OF 2% DORZOLAMIDE AND 0.5% TIMOLOL IN POAG
BACKGROUND Glaucoma is an optic neuropathy in which there is characteristic structural damage to the optic nerve head associated with widespread progressive ganglion cell death, nerve fibre loss and typical visual field...
COMPARATIVE EVALUATION OF INTRATHECAL DEXMEDETOMIDINE AND MAGNESIUM SULPHATE AS ADJUVANTS TO BUPIVACAINE FOR LOWER ABDOMINAL AND LOWER LIMB SURGERIES
BACKGROUND Neuraxial anaesthesia is most widely practiced for surgeries of lower abdomen and lower limbs. Hyperbaric bupivacaine along with adjuvants are used with an intention to prolong the duration and quality of sens...
OPEN REDUCTION AND INTERNAL FIXATION OF FRACTURE BOTH BONES OF FOREARM THROUGH A SINGLE POSTERIOR CURVILINEAR INCISION
BACKGROUND Fractures of both the radius and ulna in adults are usually treated by operative method and plating of both forearm bones by two separate incisions is the most commonly adopted method. Sometimes we find diffic...