Titanium Elastic Nails for Pediatric Femur Fractures: Clinical and Radiological Study
- 1 Department of Orthopaedics, Darbhanga medical College and Hospital, Laheriasarai, Bihar, India
- 2 Department of Orthopaedics, Darbhanga medical College and Hospital, Laheriasarai, Bihar, India
Abstract
Background: Management of femoral diaphyseal fractures in the age group 616 years is controversial. There has been a resurgence worldwide for operative fixation. Material and methods: Twenty children (15 boys, 5 girls) aged 616 years with femoral diaphyseal fractures (20 fractures, one in each) were stabilized with Titanium Elastic Nail (TEN). Patients underwent surgery within ten days of their injury. The results were evaluated using Flynn’s Scoring Criteria.Two nails were used in each fracture. Results: All 20 patients were available for evaluation and follow up for a mean duration of 24 months (1532 months). Radiological union in all cases was achieved in a mean time of 8 weeks. Full weight bearing was possible in a mean time of 10 weeks (812 weeks). The results were excellent in 14 patients (70%) and successful in 6 patients (30%). Few complications that occurred were infection (in 2 cases), knee joint stiffness(in 4 cases), angulation less than 10 degrees( in 4 cases), shortening less than 10 mm(in 4 cases). Conclusion: Intramedullary fixation by TEN is an effective treatment of fracture of femur in properly selected patients of the 616 years age group.
- J. M. Flynn, D. Skaggs, P. D. Sponseller, T J. Ganley, R. M. Kay and K. K. Leitch, “ The Operative Management of Pediatric Fractures of the Lower Extremity,” The Journal of Bone and Joint Surgery, Vol. 84, No. 12, 2002, 22882300.
- M. Heybelly, H. H. Muratli, L. Celeb, S. Gulcek and A. Bicimoglu, “The Results of Intramedullary Fixation with Titanium Elastic Nails in Children with Femoral Fracture,” Acta Orthop Traumatol Turc, Vol. 38, No. 3, 2004, 178187.
- S. L. Buckley, “Current Trends in the Treatment of Femoral Shaft Fractures in Children and Adolescents,” Clinical Orthopaedics, Vol. 338, 1997, pp. 6073.
- J. R. Kasser and J. H. Beaty, “Femoral Shaft Fractures,” In: J. H. Beaty, J. R. Kasser, Eds., Reckwood and Wilkins ‘Fracture in Children”, 5th Edition, Lippincott Williams and Wilkins, Philadelphia, 2001, pp. 941980.
- J. M. Flynn, T. Hresko, R. A. Reynolds, R. D. Blasier, R. Davidson and J. Kasser, “Titanium Elastic Nails for Pediatric Femur Fractures: A Multicenter Study of Early Results with Analysis of Complications,” Journal of Pediatric Orthopaedics, Vol. 21, No. 1, 2001, pp. 48.
- R. D. Galpin, R. B. Willis and N. Sabano, “Intramedullary Nailing of Pediatric Femoral Fractures,” Journal of Pediatric Orthopaedics, Vol. 14, 1994, pp. 184189.
- K. E. Buechsenschuetz, C. T. Mehlman, K. J. Shaw, A. H. Crawford and F. B. Immerman, “Femoral Shaft Fractures In Children: Traction and Casting Versus Casting Versus Elastic Stable Intramedullary Nailing,” The Journal of Trauma, Vol. 53, No. 5, 2002, pp. 914921.
- J. N. Ligier, J. P. Metaizeau, J. Prevot and P. Lascombes “Elastic Stable Intramedullary Nailing of Femoral Shaft Fractures in Children,” The Journal of Bone and Joint Surgery [Br], Vol. 70, No. 1, 1988, pp. 7477.