Internal fixation of pediatric shaft femur fractures by titanium elastic nails: clinical and radiological study

Manoharan M.; Mahapatra S.

doi:10.18203/issn.2455-4510.IntJResOrthop20164157

Authors

Manoharan M. Department of Orthopaedics, Mahatma Gandhi Medical College & Research Institute, Puducherry, India
Mahapatra S. Department of Orthopaedics, Mahatma Gandhi Medical College & Research Institute, Puducherry, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20164157

Keywords:

Intramedullary fixation, Titanium elastic nail, Femoral fracture, Diaphysis

Abstract

Background: Management of diaphyseal femoral fractures in the pediatric age group is challenging. There has been a demand worldwide for operative fixation.

Methods: Twelve children (7 boys, five girls) aged 6-16 years with diaphyseal femoral fractures (12 fractures, one in each) was stabilized with titanium elastic nail system (TENS). Patients underwent surgery within a week days of their injury. The results were evaluated using Flynn's Scoring system. Identical two nails were used in each fracture.

Results: All 12 patients were available for evaluation and follow-up for a mean duration of 24 months (14-34 months). Radiological union in all cases was seen at a mean duration of 8 weeks. Full weight bearing was possible at a mean duration of 10 weeks (8-12 weeks). The results were excellent in 8 patients (67%) and satisfactory in 4 patients (33%). Complications that occurred were infection (2 cases), knee joint stiffness (4 cases), angulation <10 degrees (1 case), and shortening less than 10 mm (2 cases).

Conclusions: Intramedullary fixation by TENS is an effective, time-tested treatment of fracture of the femur in patients of the 6-16 years age group.

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Author Biographies

Manoharan M., Department of Orthopaedics, Mahatma Gandhi Medical College & Research Institute, Puducherry, India

Assistant Professor in Orthopaedics

Mahapatra S., Department of Orthopaedics, Mahatma Gandhi Medical College & Research Institute, Puducherry, India

Assistant Professor in Orthopaedics

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