EVALUATION OF FUNCTIONAL OUTCOME IN MANAGEMENT OF FRACTURE SHAFT FEMUR IN CHILDREN BY ELASTIC NAILS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 33
Abstract
BACKGROUND Treatment for femoral diaphyseal fractures in the age group of 4 - 16 years is controversial.1 In recent years, fixation with flexible intramedullary (TENS) nails has become a popular technique2,3,4,5,6 for stabilising femur fractures in children. MATERIALS AND METHODS We conducted a prospective observational study in 30 children withfemoral shaftfractures treated by TENS. Two nailswere inserted in a retrograde manner from medial and lateral entry points above the distal physis. Postoperatively, all the patients were followed for a period of 24 weeks between March 2012 and Feb 2016 at Govt. General Hospital, Guntur. The mean age was 9.6 years (range 4-16 years) and mean hospital stay was 7 days (range 6-10 days). All fractures were radiographically united at a mean of 12.1 weeks (range 6-18 weeks). No angular deformity was observed and followed up until 24 weeks. RESULTS Final outcomes were classified as excellent, satisfactory or poor according to the Flynn scoring criteria for elastic flexible nail fixation. In the present study the final outcome was excellent in 18 (60%) cases, satisfactory in 12 (40%) cases and there were no poor outcome cases. CONCLUSION We conclude that elastic stable intramedullary nailing technique is an ideal method for treatment of paediatric femoral diaphyseal fractures. It gives elastic mobility which promotes rapid union at fracture site and stability which is ideal for early mobilisation.
Authors and Affiliations
Ananthula Ajay, V. V. Narayana Rao
Keywords
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- EP ID EP542058
- DOI 10.14260/jemds/2018/831
- Views 90
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