Outcome of pediatric shaft femur (6 to 12 years) treated with intramedulary nailing

Abstract

Fracture of shaft femur is a common injury in young boys and girls. Many controversy present about treating them between conservative and operative. In our study, we have evaluated outcome of fracture shaft femur in pediatric patients between 6-12 years of age treated with intramedullary nailing had high rate of union. There were 5-22 weeks of duration which were required for achieving full range of movements. There were only 8% of patient with limb length discrepancy and only 2 patients had angular deformity. Evaluation of final outcome is done according to "scoring system for a study of case of fracture shaft femur in children treated operatively was 80% excellent, 0% were good, 16% were fair and 4% were poor. Evaluation according to Flynn Criteria were excellent in 80%, 12% were satisfactory and 8% were poor. Thus, intramedullary nailing in fracture femur in pediatric patients is effective and safe method for achieving union and movements also.