A PROSPECTIVE STUDY OF FUNCTIONAL OUTCOME OF TITANIUM ELASTIC NAILS FIXATION IN LOWER LIMB DIAPHYSEAL FRACTURES IN CHILDREN

Dr Santoshbabu Miryabbelli; Dr.T.H.Prakashappa; Dr H S Chandrashekar

Volume : VII, Issue : II, February - 2017

A PROSPECTIVE STUDY OF FUNCTIONAL OUTCOME OF TITANIUM ELASTIC NAILS FIXATION IN LOWER LIMB DIAPHYSEAL FRACTURES IN CHILDREN

Dr Santoshbabu Miryabbelli, Dr. T. H. Prakashappa, Dr H S Chandrashekar

Abstract :

A prospective study of 50 Children and adolescents between the age group of 5–16 years with femur and tibia shaft fractures who were admitted in department of orthopaedics in Sanjay Gandhi Institute of Trauma and Orthopaedics, Bangalore, meeting the inclusion criteria were selected. during 24months period from November 2014 to October 2016. In our study, 60% were males & 40% females,70% femur shaft fractures and 30% tibia shaft fractures. All patients underwent titanium elastic nailing fixation for the femur and tibia fractures. Patients were followed up for a period of 6 months at 4,8,12 and 24 weeks. Functional evaluation using Flynn,s criteria showed excellent in 34 (68%) cases, satisfactory in 16 (32%) cases and there were no cases of poor outcome. In conclusion Titanium elastic nailing system leads to rapid fracture union by preservation of fracture hematoma and limited soft tissue exposure. It also helps in preventing damage to the physis. Our study confers all the advantages which the previous studies have shown at various institutes and is fairly a simple, reliable technique with a shorter learning curve imparting lot of advantages over other intramedullary techniques or other methods followed for management of pediatric diaphyseal lower limb fractures.