Outcomes of Titanium elastic nailing in femoral diaphyseal fractures of children in 6-16 years of age

Dr Rohan Memon; Dr Ketan Parmar

Volume : IX, Issue : I, January - 2020

Outcomes of Titanium elastic nailing in femoral diaphyseal fractures of children in 6-16 years of age

Dr Rohan Memon, Dr Ketan Parmar

Abstract :

Introduction: Management of femoral diaphyseal fractures in the age group of 6–16 years is controversial.Conservative management leads to Prolonged hospitalization, difficulty in maintaining child with traction for 3 weeks, then hip spica makes toileting and personal hygiene difficult. This may cause malunion/limb length discrepancies, rotational deformities, and sometimes psychological problems. Materials and Methods: A total of 32 children in the age group of 6–16years,25 boys and 7 girls having diaphyseal femoral fractures were stabilized with two stainless steel/titanium elastic nail retrograde way under fracture table.the results were evaluated using criteria of Flynn et al Results: The average duration of appearance of idging callus was 6 weeks. Radiological union in all cases was achieved in a mean time of 8.7 weeks. All children showed sound union at an average 8 weeks without significant complications. Return to school was early with an average 10–12 weeks. Result assessed for range of motion (ROM), irritation at the distal end of the nail, pain, deformity, limb length discrepancies, union, and malunion. Overall results observed were excellent in 24, satisfactory in 5 and poor in 3 patients. Conclusion: Intramedullary fixation titanium elastic nailing is an effective treatment of diaphyseal fractures of the femur in properly selected patients of the 6–16 years age group.