1Assistant Professor, Department of
Orthopaedics, Hind Institute of Medical Sciences, Lucknow, India
2Assistant Professor, Department of
Orthopaedics, Government Medical College, Azamgarh, India
3Assistant Professor, Department of Dentistry,
Hind Institute of Medical Sciences, Lucknow, India
*Address for Correspondence: Dr. Deepak
Srivastav, Asst. Professor, Department of Orthopaedics,
Hind Institute of Medical Sciences, Lucknow, India
ABSTRACT- Background:
Femoral shaft fractures are most common fractures in
paediatric orthopaedic age group. There are distinct methodologies to treat them. Elastic stable intramedullary
nailing is one in every of them
and a longtime and
reliable methodology for
treating these fractures.
Aims: To evaluate the clinical, functional and
radiological outcome of intramedullary fixation of displaced fracture shaft
femur in skeletally immature children using titanium elastic intramedullary
nails.
Material
and Methods: 65
Femoral shaft fracture in 60 children aged 6-14 years were fixed with titanium
intramedullary elastic nail under image intensifier control between July 2013
and June 2017.Two nails of proper and equal diameter were used for fracture
fixation. No external splint was used after surgery. Outcomes assessed on the
basis of Flynn et al scoring criterion.
Results:
All patients achieved
complete healing at a mean of 9.5 weeks. 51 fracture reduced by closed means
but 14 needs open reduction. Common size of elastic nail used was 3mm. no major
complication was recorded all were minor and can be taken care off. Most common
was entry site skin irritation recorded in 10 patients. 90% had excellent
result and 10% had satisfactory.
Conclusion:
Elastic stable intramedullary
nailing is the method of choice for the Femoral shaft fracture in paediatric
patients, because it is minimally invasive and provide six point fixation and
shows very good functional and cosmetic result. It allows early ambulation and
shorter hospital stay and higher parent satisfaction. ESIN also provide
flexural, translational and rotational stability as well.
Key-words- Elastic stable intramedullary nailing (ESIN),
Titanium elastic nail (TEN), Femoral shaft fracture, Paediatric
