STUDY OF FUNCTIONAL OUTCOME OF RETROGRADE ENDER’S NAILING IN DIAPHYSEAL FEMUR FRACTURES IN PAEDIATRIC & ADULT PATIENTS (20 CASES)

Dr. HARDIK TAILOR; Dr. GAURANG PATEL; DR. HEMANT MATHUR

Volume : V, Issue : VI, June - 2016

STUDY OF FUNCTIONAL OUTCOME OF RETROGRADE ENDER’S NAILING IN DIAPHYSEAL FEMUR FRACTURES IN PAEDIATRIC & ADULT PATIENTS (20 CASES)

Dr. Hardik Tailor, Dr. Gaurang Patel, Dr. Hemant Mathur

Abstract :

 INTRODUCTION: Locked intramedullary nail remain the preferred surgical treatment for diaphyseal femur fractures but associated with risk of ARDS and damaging endosteal vascularity. Dynamic intramedullary fracture fixation using Ender’s nail appears to closely meet the objectives of achieving osteosynthesis with minimal surgical trauma. It is a relatively simple procedure. It does not require reaming, thereby minimising chances of ARDS and damage to endosteal circulation. Ender’s nailing therefore appears to be simple, safe and effective method of treating femoral diaphyseal fracture in adults as well as children. MATERIALS AND METHODS: The study included 20 cases of fracture of the shaft femur in patients treated by closed reduction and intramedullary flexible Ender’s nailing under l.l.T.V.guidence, carried out at the Department of Orthopaedics, Sir Sayajirao Gaekwad General Hospital & Medical College, Baroda, between June 2010 to November 2012. All the patients were evaluated clinically and radiologically using our modified scoring system at 1month, 6 months, and at final follow up of 1 year. RESULTS: At the end 18(90%) patients had excellent result, 1(5%) with significant knee stiffness had good result and 1(5%) with non union had a poor result. Mean operative time was 45 mins and average blood loss was around 50 ml. 80% of adult patients treated with Ender’s nailing have shown excellent results but rate of post operative knee stiffness is more. CONCLUSION: Retrograde Ender’s nailing is an effective method of treating femoral diaphyseal fractures in paediatric as well as adult patients with shorter operative time and less amount of blood loss