Volume : VII, Issue : VII, July - 2017

TITANIUM ELASTIC NAILING OSTEOSYNTHESIS FOR DIAPHYSEAL TIBIAL FRACTURE IN PEDIATRIC AGE GROUP– OUR EXPERIENCE

Subal Debnath, Sachlang Debbarma, Abhijit Sarkar

Abstract :

 Background: To study the outcome of Diaphyseal Tibial Fracture treated with TENS Nail Osteosynthesis.     

MATERIAL & METHODS: A prospective study was carried out in the Orthopaedic Department ,Tripura Medical College & Dr.BRAM Teaching hospital ,Agartala Tripura for a period of 2 years from April 2014 to March 2016 with thirty(30) consecutive Diaphyseal   fracture either both bone or only Tibia in Peadiatric age group between  5 to 13 years of age, irrespective of sex,based on assessment criteria 30 fracture were included in this study out of which 22 were male(73.3%%) and 8 were female(26.7%). Average age of the patients was 9.3 years and mean follow up was 16.7 month (range 9–24 months)  were subjected to TENS NAILING OSTEOSYNTHESIS after obtaining written consent.

RESULT:Road traffic accident accounted  for 15 (50%) ,fall from height 9(30%) and sports injury accounted for 6 (20%).Out of 30 patients , 16(53.3%) were diaphyseal  fracture in both bone out of which 9 were type1 open fracture  and  tibial fracture in 14(46.7% . Eighty(80%) patients had consented for nail osteosynthesis for  early recovery & early mobility. Average time of sound clinical union is  8.5± 2.5 weeks in all cases,radiological cortical idging was seen at  4th postoperative week. The mean time of complete cortical idging or radiological union was 12.5±2.5 (range 12 –16 weeks). According to Flynn criteria, outcome of treatment, excellent in 17(56%), satisfactory in 9(30%) & poor in  4(14%).

CONCLUSION:  Closed reduction and cast application is still regarded as gold standard in treatment of diaphyseal fracture in tibia of children which is practising in many places. Over the past many years management of tibial  diaphyseal  fracture in children has turned more towards  operative intervention because of displaced fracture, early mobilisation & recovery. TENS Nail fixation is easy, fast  operation and very effective method for paediatric tibial shaft fractures. Based on our  study TENS Nailing is an effective surgical technique which  allows early mobilisation, rapid healing and with minimum complication  which can be avoidable  with careful precautions.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Subal Debnath, Sachlang Debbarma, Abhijit Sarkar, TITANIUM ELASTIC NAILING OSTEOSYNTHESIS FOR DIAPHYSEAL TIBIAL FRACTURE IN PEDIATRIC AGE GROUP– OUR EXPERIENCE, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾7 | July‾2017


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