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

Author(s): Saikia K | Bhuyan S | Bhattacharya T | Saikia S

Journal: Indian Journal of Orthopaedics
ISSN 0019-5413

Volume: 41;
Issue: 4;
Start page: 381;
Date: 2007;
Original page

Keywords: Elastic titanium nailing | intramedullary nail | pediatrics femoral fractures.

Background: Management of femoral diaphyseal fractures in the age group of 6-16 years is contro versial. There has been a resurgence world wide for operative fixation. Materials and Methods: Twenty-two children (18 boys, 4 girls) aged 6-16 years with recent (< 3 days) femoral diaphyseal fractures (20 closed, 2 open) were stabilized with Titanium Elastic Nail (TEN). These fractures were in proximal third (n=3), middle third (n=15) and in the distal third (n=4) 17 patients underwent surgery with in seven days of their injury. The results were evaluated using Flynn′s scoring criteria. Statistical analysis was done using Fischer′s exact test. Results : All 22 patients were available for evaluation after a mean of 26 months (14-36 months) of follow-up. Radiological union in all cases were achieved in a mean time of 8.7 weeks. Full weight bearing was possible in a mean time of 8.8 wks. Mean duration of hospital stay was 9.8 days. The results were excellent in 13 patients (59.0%), successful in six (27.2%) and poor in three patients (13.6%). All patients had early return to school. Conclusion : Intramedullary titanium elastic nailing is an effective treatment of diaphyseal fractures of femur in properly selected patients of 6-16 years age group.
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