Author:
SHELENDRA SAIYAM,KISHOR UIKEY,SHAILENDRA CHOUHAN
Abstract
Introduction: Femur fracture in children between 5 and 15 years is a common injury with a variety of operative and non-operative management options. There remains debate as to the optimal treatment for a given patient and fracture. Our aim was to assess functional outcome of a large number of patients after their femur fractures with a titanium elastic nailing (TEN).
Methods: This was a prospective randomized study comprised 50 patients with displaced diaphyseal femur fractures treated with TEN. Two nails were used in fracture. The patients were followed up at 2nd week, 1 month, 3 months, and 6 month after surgery. Results were evaluated by flynn’s scoring criteria at each follow-up visit.
Results: At the end of 6 months, out of 50 patients, excellent result was achieved in 45 patients (90%) and good in five patients (10%). No poor outcome seen. Intramedullary fixation by Tens is an effective treatment of fracture of femur in properly selected patients of the 5–15 years age group.
Conclusion: The treatment with femoral shaft fracture in children between the age group of 5–15 years by titanium elastic nail is ideal as it hastens fracture union, reduce rate of mal union, shortening, and allow early rehabilitation.
Publisher
Innovare Academic Sciences Pvt Ltd
Subject
Pharmacology (medical),Pharmaceutical Science,Pharmacology
Reference8 articles.
1. Flynn JM, Skaggs D, Sponseller PD, Ganley TJ, Kay RM, Leitch KK. The operative management of pediatric fractures of the lower extremity. J Bone Joint Surg 2002;84:2288-300.
2. Heinrich M, Muratli HH, Celeb L, Gulcek S, Bicimoglu A. The results of intramedullary fixation with titanium elastic nails in children with femoral fracture. Acta Orthop Traumatol Turc 2004;38:178-87.
3. Buckley SL. Current trends in the treatment of femoral shaft fractures in children and adolescents. Clin Orthop 1997;338:60-73.
4. Kasser JR, Beaty JH. Femoral shaft fractures. In: Beaty JH, Kasser JR, editors. Reckwood and Wilkins’ Fracture in Children. 5th ed. Philadelphia: Lippincott Williams and Wilkins; 2001. p. 941-80.
5. Herndon JM, Hresko T, Reynolds RA, Blasier RD, Davidson R, Kasser J. Titanium elastic nails for pediatric femur fractures: A multicenter study of early results with analysis of complications. J Pediatric Orthop 2001;21:4-8.