Surgical Management of Fracture Shaft of Femur and Tibia in Children using Titanium Elastic Nail: A Prospective study

Ramesh Prabu, G (2012) Surgical Management of Fracture Shaft of Femur and Tibia in Children using Titanium Elastic Nail: A Prospective study. Masters thesis, Government Mohan Kumaramangalam Medical College, Salem.


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BACKGROUND AND OBJECTIVE: Management of femoral and tibial diaphyseal fractures in the age group of 5-15 years is still controversial between conservative and surgical methods. Compared with young children, these groups of children have high risk of malunion and shortening when managed conservatively. Surgical methods are widely used in this age group of children, with intramedullary fixation being increasingly preferred. Aim of this prospective study to analyse the efficacy of titanium elastic intramedullary nailing in the treatment of paediatric fractures of shaft of femur and tibia between 5 to 15 years of age group. MATERIAL AND METHODS: The study was conducted from May 2009 to November 2011 at Government Mohan Kumaramangalam Medical College Hospital, Salem. The study included 20 patients who had sustained fracture shaft of femur and tibia and been treated with closed or open flexible intramedullary nail using TITANIUM ELASTIC NAILS (TENS). Among twenty children, 10 cases had femur fractures and 10 cases had tibia fractures in aged 5-15 years (16 cases were male and 4 cases were female). Two nails were used in each fracture. RESULTS: At the end of study all the patients were evaluated for functional outcome according to FLYN’S TITANIUM ELASTIC NAILING scoring system. More number of patients was in the age group of 12-15 yrs in femur and tibia fractures. All fractures were radiologically united at an average of 10.5 weeks in femur and 8.8 weeks in tibia fractures. Out of 20 patients, 7 cases of femur fractures and 8 cases of tibia fractures, nails were removed after complete union. Limb length discrepancy observed in 5 patients, mal alignment in 2 patients and nail protrusion in 3 patients. In our study, out of 10 patients with shaft of femur fractures, excellent results in 8 patients, satisfactory in one patient and poor in one patient. Out of 10 patients with fracture shaft of tibia, 9 patients had excellent results. One patient had satisfactory result. CONCLUSION: ❖ It is technically simple and reliable procedure with minimal complications, good outcome and easier post operative maintenance when compared to other methods of treatment. ❖ Based on our studies and result, we conclude that Titanium elastic nailing is an ideal choice of treatment for pediatric femur and tibia diaphyseal fractures of children between 5 and 15 years of age.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Children, femoral fracture, tibial fracture, diaphysis, intramedullary fixation, titanium elastic nail, age group 5-15 years.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 14 Sep 2020 17:32
Last Modified: 14 Sep 2020 17:32

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