A Prospective Study on Nailing in Isolated, Closed Diaphyseal Fractures of Femur in Children
Background: It is well known that femoral shaft fractures are the most common children injuries treated by orthopedic surgeons. This type of fracture happens in 1–2% of all fractures in the children population. The treatment has usually been age-related, influenced by the location and type of the fracture and associated injuries.
Materials and methods: In this study we were included 220 children of 5-16 year with isolated, closed; diaphyseal fractures of femur undergoing closed reduction and internal fixation with TENS nails. This study was conducted in Department of Orthopedics.
Results: This result revealed that prevalence of age group was 9-12 (102) followed by other age group. We were seen that in 100 cases causes of fracture was due to fall & in 120 cases causes of fracture due to RTA.
Conclusion: It can be conclude that TENs allowed rapid mobilization, minimizes the probability of physeal infections, injury and offer quick healing.
2. Irani R.N., Nicholson J.T., Chung S.M.K. Long-term results in the treatment of femoral-shaft fractures in young children by immediate spica immobilisation. J Bone Joint Surg Am. 1976;58:945–951.
3. Henderson O.L., Morrissy R.T., Gerdes M.H., McCarthy R.E. Early casting of femoral shaft fractures in children. J Pediatr Orthop. 1984;4:16–21.
4. McCartney D., Hinton A., Heinrich S.D. Operative stabilization of pediatric femur fractures. Orthop Clin North Am. 1994;25:635–650.
5. Krettek C., Haas N., Walker J., Tscherne H. Treatment of femoral shaft fractures in children by external fixation. Injury. 1991;22:263–266.
6. Aronson J., Tursky E.A. External fixation of femur fractures in children. J Pediatr Orthop. 1992;12:157–163.
7. Ward W.T., Levy J., Kaye A. Compression plating for child and adolescent femur fractures. J Pediatr Orthop. 1992;12:626–632.
8. Skak S.V., Overgaard S., Nielsen J.D., Andersen A., Nielsen S.T. Internal fixation of femoral shaft fractures in children and adolescents: a ten to twenty one year follow up of 52 fractures. J Pediatr Orthop. 1996;5:195–199.
9. Beaty J.H., Austin S.M., Warner W.C., Canale S.T., Nichols L. Interlocking intramedullary nailing of femoral-shaft fractures in adolescents: preliminary results and complications. J Pediatr Orthop. 1994;14:178–183.
10. Clinkscales C.M., Peterson H.A. Isolated closed diaphyseal fractures of the femur in children: comparison of effectiveness and cost of several treatment methods. Orthpaedics. 1997;20:1131–1136.
11. Ligier J.N., Metaizeau J.P., Prévot J., Lascombes P. Elastic stable intramedullary nailing of femoral shaft fractures in children. J Bone Joint Surg Br. 1988;70:74–77.
12. Flynn JM, Hresko T, Reynolds RAK, Blasier RD, Davidson R, Kasser J. Titanium Elastic Nails for Pediatric Femur Fractures: A Multicenter study of Early Results with Analysis of Complications. Journal of Pediatric orthopaedics. 2001;21(1):4-8.
13. Heinrich SD, Drvaric DM, Darr K, MacEwen GD. The Operative Stabilization of Pediatric Diaphyseal Femur Fractures with Flexible Intramedullary Nails: A Prospective Analysis. Journal of Pediatric Orthopaedic. 1994;14(4):501-7. PMID: 01241398-199407000-00016.
14. Moroz LA, Launay F, Kocher MS, Newton PO, Frick SL, Sponseller PD, et al. Titanium elastic nailing of fractures of the femur in children: PREDICTORS OF COMPLICATIONS AND POOR OUTCOME. Journal of Bone & Joint Surgery, British Volume. 2006 October 1, 2006;88-B(10):1361-6.
15. Saikia K, Bhuyan S, Bhattacharya T, Saikia S. Titanium elastic nailing in femoral diaphyseal fractures of children in 6-16 years of age. Indian Journal of Orthopaedics. 2007 Oct-Dec;41(4):381-5.
16. Jalan D, Chandra R, Sharma VK. Results of titanium elastic nailing in pediatric femoral diaphyseal fractures----report of 30 cases. Chinese journal of traumatology = Zhonghua chuang shang za zhi / Chinese Medical Association. 2013;16(2):77-83. PubMed PMID: 23540894. Epub 2013/04/02. eng.
Copyright (c) 2020 Anilkumar Bapugouda Patil
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.