A Comparative study assessing the efficacy and outcomes of sub-muscular plating and Elastic Stable Intramedullary Nailing (ESIN) in paediatric diaphyseal femoral fractures.

Dennis Martin, David (2015) A Comparative study assessing the efficacy and outcomes of sub-muscular plating and Elastic Stable Intramedullary Nailing (ESIN) in paediatric diaphyseal femoral fractures. Masters thesis, Christian Medical College, Vellore.

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Abstract

The study was conducted among the age group of 5 to 16 years and 7 patients each were randomised into ESIN or sub-muscular plating groups with mean ages of 9 and 8.71 years. The outcomes assessed were malunion in any plane and functional assessment using PODCI (paediatric outcomes data instrument) scale which was assessed at the end of 6 months. Other serious adverse effects along with duration of surgery, blood loss, radiation exposure and time to union were also assessed. We did not find any malunion or serious adverse effects in either group. The functional scores using PODCI and total radiation exposure were marginally better for the plating group as compared to ESIN but statistically not significant. The duration of surgery, amount of blood loss, hospital stay duration, time to return to school and time to union were better in the ESIN group but were statistically not significant. The comparison observational study for the same age group, found more implant related complications in the nailing group (30%) but more malunion rates in the plating group (10%). Remaining outcomes studied were similar to the prospective arm. The trends of this interim analysis show that sub-muscular plating is a viable option for paediatric diaphyseal fractures but a larger study is needed to come to any definitive conclusions.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Femur ; shaft ; submuscular plating ; Nailing ; malunion ; paediatric diaphyseal femoral fractures.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 26 Sep 2017 01:07
Last Modified: 26 Sep 2017 01:07
URI: http://repository-tnmgrmu.ac.in/id/eprint/3345

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