Surgical intervention and results of diaphyseal fractures in the lower limb long bones among pediatric patients treated using the titanium elastic nailing system

Abstract

Abstract Background: The recent surge in popularity of elastic stable intramedullary nailing is attributed to its stability, reduced complications, and the possibility of early mobilization. This study assesses the efficacy and outcomes of using titanium elastic intramedullary nailing in managing diaphyseal femoral bone fractures in pediatric patients. Materials and Methods: A prospective randomized study involved 30 children, comprising 20 males and 10 females, aged between 5 and 15 years. Closed diaphyseal fractures were stabilized using titanium nails of suitable diameter and length. Outcomes were evaluated using the FLYNN scoring system and Anthony scale grading to assess callus formation. Results: The research revealed that most fractures were oblique (66.7%) and spiral (23.3%), primarily occurring at the middle third level. The average duration of hospitalization was 8.16 ± 3.5 days. Limb length discrepancy was not significantly observed in 90% of patients. The average time for radiological union in fractures with grade 3 callus formation was 9.86 ± 1.56 weeks. FLYNN score outcomes were excellent in 90% of instances, with only one patient necessitating additional surgery. Conclusion: Titanium elastic intramedullary nailing demonstrated effective treatment of diaphyseal femoral fractures in pediatric cases.