Evaluation of surgical fixation of paediatric diaphyseal long bone fractures in lower limb with elastic stable intramedullary nailing (Esin)

Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4

Abstract

Femoral shaft fractures account for 1.6% of all paediatric injuries. The best treatment for children between five to sixteen years of age is still questioned. patients in this transitional age group have high risk of shortening and mal union when conservative measures are used Fixation with flexible intramedullary nails have become a trendy technique, for stabilizing femoral fractures in school aged children. The present study consisted of 25 cases with diaphyseal lower limb fractures of either gender within age group 5-16 years, admitted in Orthopaedics Department of a tertiary care hospital of Punjab and were treated with elastic stable intramedullary nail. RTA accounted for 92% cases. Isolated femur fracture was seen in 40% cases. 8% cases also had ipsilateral tibial fracture with it & 52% had only tibial shaft fractures. Transverse fracture was observed in 56% cases. All cases were fixed with elastic titanium nail. Minor complications, as per Flynn’s criteria were seen in 12% cases. No case developed any major complication. Excellent results were obtained in 76% cases and satisfactory results were obtained in the remaining 24% cases.

Authors and Affiliations

Dr. Kamal Kumar Arora, Dr. Simranjit Singh, Dr. Priti Chaudhary, Dr. Rajesh Kapila, Dr. Rajan Sharma, Dr. Manjinder Singh

Keywords

Related Articles

Evaluation of pulmonary function in adolescent idiopathic thoracic scoliosis

Pulmonary function is known to be effected adversely in congenital and infantile scoliosis. But the changes in lung function in adolescent scoliosis are not much studied. We evaluated 33 patients with adolescent idiopath...

Medial patellofemoral ligament reconstruction using dual patella docking technique

Introduction: Medial patellofemoral ligament (MPFL) injuries are common in children and young adults. Patellar dislocation is the complete displacement of the patella from the trochlear groove of the femur. It nearly alw...

Complications of fibular bone grafting at donor site

Introduction: Prospective study to determine donor site complications after autogenous fibular graft for different surgical procedures. Complications following iliac crest grafting have been studied extensively in the pa...

The use of vacuum-assisted wound closure in musculoskeletal injuries

Background: This study was performed to evaluate the results of vaccum assisted wound therapy in patients with open musculoskeletal injuries or infected or exposed implant in situ (excluding arthroplasty) or traumatic wo...

The study of distal ¼ diaphyseal extra articular fractures of humerus treated with antegrade intramedullary interlocking nailing

Humerus fractures are one of the most commonly encountered Orthopaedic injuries after fall and road traffic accidents. In general, humerus diaphysis fractures accounts for 1 to 2 % of all fractures occurring in the human...

Download PDF file
  • EP ID EP481798
  • DOI 10.22271/ortho.2017.v3.i4g.69
  • Views 119
  • Downloads 0

How To Cite

Dr. Kamal Kumar Arora, Dr. Simranjit Singh, Dr. Priti Chaudhary, Dr. Rajesh Kapila, Dr. Rajan Sharma, Dr. Manjinder Singh (2017). Evaluation of surgical fixation of paediatric diaphyseal long bone fractures in lower limb with elastic stable intramedullary nailing (Esin). International Journal of Orthopaedics Sciences, 3(4), 501-504. https://www.europub.co.uk/articles/-A-481798