Surgical Management of Long Bone Shaft Fractures in Lower Limb by Elastic Nailing in Paediatric Age Group

Abstract

BACKGROUND Incidence of paediatric long bone fractures are increasing day-today due to high speed vehicle accidents. The aim of the study is to-1. Evaluate the surgical and functional outcome of surgical treatment of long bone shaft fractures in children by elastic nailing. 2. Study the union rates. 3. Compare the results with those in literature and study the complications associated with elastic nailing. MATERIALSANDMETHODS Forty patients in the age group of 5-16 years of age with diaphyseal fractures of femur and/or tibia admitted at SVRRGGH, Tirupati. During the study period of November 2014 to October 2016 at SVRRGGH, Tirupati, patient fulfilling the inclusion and the exclusion criteria (as given below) were the subjects for the study. Finally, after the diagnosis, the children were selected for the study depending on the inclusion and exclusion criteria. Postoperatively, all the cases were followed up to six weekly intervals till the fracture union. Results were analysed both clinically and radiologically. RESULTS This study comprises of 25 male and 15 female patients aged from 5 to 15 years. The follow-up ranged upto 24 weeks and union rate is assessed based on clinical and radiological aspect. CONCLUSION Based on our experience and results, we conclude that elastic stable intramedullary nailing technique is an ideal method for treatment of paediatric diaphyseal fracture between the ages of 5 to 16 years with good results.

Functional Outcome of Fracture Shaft of Femur in Pediatric Age Group Treated With Titanium Elastic Nailing System

“…Study conducted by BHUYAN et al [9] in 2014 mean duration of union was 9 weeks. Study conducted by NARENDRA et al [10] in 2017 mean duration of union was 12.5 weeks.…”