International Journal of Multidisciplinary Research and Development

International Journal of Multidisciplinary Research and Development


International Journal of Multidisciplinary Research and Development
International Journal of Multidisciplinary Research and Development
Vol. 4, Issue 11 (2017)

Pediatric femoral shaft fracture treated with elastic nail


Mohammad Khair Alawir

Background: Titanium elastic nail has emerged as an accepted procedure for pediatric diaphyseal fractures so the conservative management is giving way for operative one by ten.
Method: 70 patients with diaphyseal femoral fracture were treated with retrograde Titanium elastic nail. 49 males and 21 females. Age group 6-12 years. The mean follow-up was 24 months. The mean hospital stay was 2.3 days. The final result were evaluated using the criteria of Flynn at al.
Result: All fractures united at an average of 10 weeks. The mean hospital stay was 2.3 days. There was no case of non-union. Return to school was with an average of 8.3 weeks. Irritation at nail insertion site was the most common complication. Final limb length discrepancy LLD were seen in 11% and significant malalignment was observed in 2 cases only. Overall result observed were excellent in 51, good in 17, poor in 3 patients.
Conclusion: TEN is an reliable, safe, and cost-effective implant for pediatric femoral fracture. It is relatively free of complication.
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