Comparison of clinical outcome of titanium elastic nail and plate osteosynthesis in paediatric femoral diaphyseal fractures.

Sivaraj, S (2016) Comparison of clinical outcome of titanium elastic nail and plate osteosynthesis in paediatric femoral diaphyseal fractures. Masters thesis, Madras Medical College, Chennai.

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Abstract

BACKGROUND: There are a wide variety of non surgical treatment and surgical options available such as spica casting, traction followed by casting, plate fixation and flexible intramedullary nails for femur diaphyseal fractures in children. There is no clear consensus as to the ideal treatment. METHODS: We report our experience with a prospective comparative study involving 20 cases of femoral diaphyseal fractures treated with DCP and TENS with follow up of over a period of two years. Outcome was assessed with criteria of Flynn et al (2004). RESULTS: Out of the twenty cases 9 had middle 1/3rd fractures. Mean age was 8.9 + 2.38 years. Plating group has a mean radiological union of 9.9 + 1.66 weeks. TENS group has a mean radiological union of 7.80 + 1.03 weeks, which is statistically significant (p <0.01). Plating group has a mean clinical union (full weight bearing) in 13 + 2.05 weeks. Comparatively, the TENS group has a mean clinical union in 9.7 + 1.4 weeks, which is statistically significant (P<0.01). 2 cases in TENS group and 1 case in Plating group had limb length discrepancy and there were 2 cases with coronal plane angulation in TENS group. Functional outcome at the end of one year of both the groups was similar. CONCLUSION: Even though long term functional outcome of both procedures are similar, TENS has several statistically significant advantages over DCP in relation to patient morbidity. Hence a better choice of implant for paediatric femoral diaphyseal fractures.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Femur ; Dynamic compression plating (DCP); Titanium elastic nailing (TENS).
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 16 Sep 2017 14:11
Last Modified: 16 Sep 2017 14:11
URI: http://repository-tnmgrmu.ac.in/id/eprint/3190

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